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08/27/04 10:58:51 AM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 29 -225 -001 144 ACREBROOK DR PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS ZONING: URA NEIGHBORHOOD ID: 14.00 FINAL VALUE FLAG: MARKET
BOWYER DIANE HOLLY & LAND DATA
MARY M STANTON - ASSESSMENT INFORMATION -
144 ACREBROOK DR TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 15149 51,310 PRIOR COST CURRENT
FLORENCE MA 01062
LAND G 38,000 81,200 95,600
DEED BOOK: 6271 TOTAL 104,300 132,500 146,900
DEED PAGE: 157 SALES INFORMATION
DEED DATE: 20010703 TOTAL ACREAGE: 0.348 TOTAL LAND VALUE: 51,300
LAST UPDATE /COST: 20040827 DATE TYPE PRICE VALIDITY
19990901 LAND + BLD 114,000 0
LAST UPDATE /COST: 20040827 9406 LAND + BLD 98,500 0
X DATE: ADDITION DATA
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A Wddk 160
ENTRANCE CODE: ENTRY + SIGN B
INFORMATION SOURCE: C
DATA COLLECTOR: D
DATE: E
F
DWELLING INFORMATION G
H
STYLE: RANCH
YEAR BUILT: 1968
STORY HEIGHT: 1.00
ATTIC: NONE
Basement: FULL
TOTAL ROOMS: 6
TOTAL BEDROOMS: 3
FULL BATHS: 1 ADDITIONAL DWELLING INFORMATION
Half Baths:
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES: 16
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 1062
TOTAL LIVING AREA: 1062 REMODELING DATA 10 WD
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS /OPENINGS: /
METAL FIREPLACES: KITCHEN REMOD(Y /N) NO
HEAT /CENTRAL A /C: BASIC BATH REMODEL (Y /N) NO ergs
HEATING SYSTEM: HOT WATER
FUEL TYPE: GAS
QUALITY GRADE: C PHYSICAL CONDITION AVERAGE
COND /DESIRABILITY /UTILITY AV INTERIOR /EXTERIOR SAME
OUTBUILDINGS & YARD ITEMS PERMIT DATA
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE
20000713 3,200 10 X16 DECK 27 26
NOTES:
18
22 11
N.
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1 HEREBY REPORT THAT 1 HAVE EXAMINED THE PREMISES, AND BASED ON EXISTING MONUMENTATION, ALL EASEMENTS, ENCROACHMENTS
AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER
REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY
NUMBER 4243'0/6 7
DATED: 04 - 20- 0 /
NOTE ,
I I ` 1 THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES
SURVEYOR: . - ._ _ _ _ • ' . . NOT CONSTITUTE A PROPERTY SURVEY.
MORTGAGE LOAN INSPECTION PLAT
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Richard J. LaBarge, Sr., Registered Professional Land Surveyor
110 King Street, Northampton, Massachusetts 01060
�iti.AMp
It ) Q it of artlialnptan * °Y"_
WA ��ii) �` t( �� jttassadtusrtts Wig= `
,f& :0'` DEPARTMENT OF BUILDING INSPECTIONS '� _ ` = � :
INSPECTOR 212 Main Street • Municipal Building %��, .
Northampton, MA 01060 .
,1
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as iris /her construction sup': ;or. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and /or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made I, I ,,,),`gyp - / Z/2( 22)a) e understand the above.
(Home owner /resident's signatur• requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
g — 2 V — 0
Address of work t
location 1 H Li A- Creor'C ( 0rr`i\i--e
c'I0 r C'C-e (Y1\- 0 I
4 ttA}f PT .
B ` �, see (rit�l i:. f Northampton *_
g „��lj l t „ J3lrsncxrhtnstt1,' _.. _ —:
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DEPARTMENT OF BUILDING INSPECTIONS 12 1` —
212 Main Street ' Municipal Building
• Northampton, Mass. 01060 r'�
WORKER'S COOMIIENSA'z'lON INSURANCE AFFD)AV[T
(1iccnscc rmittce)
with a principal place of business/residence at
1 it-cre_cvt,oit Pr Ytor ace _ o`bG),- (PhOne. `fit ? - 5( (,-lS
(.,t -t trt_.t:.> .!.ip)
do hereby ceiti1y, tin:ler the. papas and penalties of perjury, that
( ) I aII1 an enTioycr providing the followincL % orr:er's compensation covera c for my
employees working on this job.
(Insurance; Company) (Peitc; Number) (I_)p Date)
i i i i)V4
I am a sole proudetor, general contractor or Iomeowner circle one) and have Hired
the contractors listed below - svho have the follow worker's compensation policies:
ONIame of Contactor) (Insur ncc Comna:ri /Policy Number) (Ex: ration Date)
o
(Name of Contractor) (Insurance Comtpa.n•/Po!ic' Ntunber) (}��:Diraiion Date)
----
(Name of Contractor) (Insurance Co tit pan yiPolicy Number) i --.xp;r.aic: Date)
(Name of Contractor) (Insurance Comoany/Policv Number) (Exptration Date)
(attach id c_:ct if tx.- ca,_:- to lo,,be e : _: ce p,- teinnr t:- ell c,cucde::-)
( ) run a sole proprieroi and have no one '.vorhlntl, for me.
1 am a home o■olei herforIninb all the DJor:h inyself
NOTE: picric be nts hat tsh-i]e lx<ncots;r_ea ts;i.o c ,p toy tr::c:.a to 5) treillitaance, cur:±c,:ct:m or :cpair w■vi: on > .issclli: et
not tnocc till° throe unite in which the Ii.;,:1t rn:.'..:ie or at tit.: :. :v_e z, -p rtcnant thacto c:c toe ct-xrally crt....1. hit
cmployca un'icr the tvo;1_n's crt' --tz. aticn Act (GL152 e 1(51), zrpl tic :; by e hottcowocr for Lcai;c cc p_rmi: c .� : -. n.: t1:-
legal cteau of an ornployec under tho Woricd. Coneixeration ?tut.
1 undcetend that a copy of tfii cteterocat may be forwnniod to the Departn-ene of Industrial AcclLrnta' offoe of L:sruanto for the
oovcrzgc vu ificatio0 anti that f:ilurc to o curc covcrng0 ux sc .ion 25A of hid[, 152 can load to tho imposition of cn:ni: J pa`ilt :cs
oo.aft tang of it lino of up to 51,500.00 an'.'or i. prisoomcni of up to cot }tar n: civil pena lties in ttx (wen of e Stc ;e Work. Oteke t ^„1 a
fine 0(5100.00 it thy ig.r.irrt itr_.
For d4%utn u
retel .c cell
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._. - -: %et i`�� Perm Nttmbc.r _
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SECTION 8, ,CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable V
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
r g reT A .., - F ,,.. �, a: _` �� c „` � � ` e C5/
Q9"Re istered��TTom"�e"m rovement�Contractor � :� te a- , i2r , �,� �,�� Not Applicable
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes V No ❑
x . 11 � ® i`< ne 'we 1, olio,.
The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning aws ancLState of Massachusetts General Laws Annotated.
``"L
Homeowner Signature 6 t . m y -t ;_ e �
I
SECTIONS O'
aDESORIPTION F PROPOSED.WORK ='(chec all applicable) ,
=,.
s
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Work: 7W / X (Z 54.,e i,- Ovfi - -s / /'. -r ph, � e„,„6,, S ,,) J tes
Alteration of existing bedroom _ Yes ✓ No Adding new bedroom Yes v No
Attached Narrative 0 Renovating unfinished basement Yes fNo
Plans Attached Roll 0 - Sheet D
pir41 f N.eW liTIMMdf addition° ;to e i n g ' completelthe fol"Lowing:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? _ Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTIO 7a, `OWRIAUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGE
N1 R: CONTRACTOR; APPLIES FOR BUILDING PERMIT
:
I, , as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, , as Owner /Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Prin '..me .
.,..' - . Ai.- -.NV - ` -"- S --.-- ' /
ignature of Owner%A•ent • Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
/ Building Department
Lot Size /J1 /51 / SJ �
I
Frontage / 96 '(`7
Setbacks Front /l 41C-
Side L: R: L: 41 R: /71
,
Rear •
Building Height
20
Bldg. Square Footage , %
Open Space Footage
(Lot area minus bldg & paved 46/(7 ec%
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 7 DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO V
IF YES, describe size, type and location:
D. Are ,here any proposed changes to or additions of signs intended for the property ?YES
No ;,/
IF'YES, describe size, type and location:
t orthampton Satsof Permrt���� s,, �w
Bui Department
r11 \ SewerfSep ac a b}
i 2 2004 2 S treet
t o. m 100 Wa er /Well Aval a ®t
Nor ..mpton, MA 01060 TwoSetso tr c �}
� n + wn 14' -12 0 Fax 413 -587 -1272 Plot%SIteiPlan
Io �;
Other Specify s
fi3- 2stX c
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1- SITE INFORMATION
1.1 Property Address:
lq
This section,to be completed; by office
{ r � �n � <'1V Map Lot ( Unif
O c - t,A t ( (1A- 0106. Zone G ...6/7 1 /4
Overlay Distract
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
;4oe- el/ 19y A- ...I _617) 0k OAV
Name nt) Curret Mailing Address: a a of 05
Signature 2.2 Authorized Agent:
Name (Print) Current Iai!ing Address:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
X00 (a) Building Permit Fee
1. Building $4/
2 Elec.rica' (b) timated Total Cost of
/6/ _ Construction from (6) _
3. Plumbing st)A Building Permit Fee
4 Mechanics! (HVAC) — —
5. Fire Protection A-
6 Total = (1 -+ 2 3 + 4 + 5) Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner /Inspector of Buildings at
File # BP- 2005 -0237
APPLICANT /CONTACT PERSON BOWYER DIANE HOLLY &
ADDRESS/PHONE 144 ACREBROOK DR FLORENCE () 586 -1566 0
PROPERTY LOCATION 144 ACREBROO DR
MAP 29 PARCEL 225 001 ZONE URA to p
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 607 L ' 2 5
Tvpeof Construction:_ERECT 8 X 12 SHED
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission
... .1"4"/ 1Y 4rA111--- 84,4
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
144 ACREBROOK DR BP- 2005 -0237
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map :Block: 29 - 225 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2005 -0237
Project # 3S- 2005 -0290
Est. Cost: $1200.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 15158.88 Owner: BOWYER DIANE HOLLY &
Zoning: URA Applicant: BOWYER DIANE HOLLY &
AT: 144 ACREBROOK DR
Applicant Address: Phone: Insurance:
144 ACREBROOK DR 0 586 -1566 0
FLORENCEMA01062 ISSUED ON :8/30/04 0 :00 :00
TO PERFORM THE FOLLOWING WORK: ERECT 8 X 12 SHED
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 8/30/04 0:00:00 607 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo