23C-071 (3) . 82.5'
n
141'
8x12 garden
-
0 shed _^
214.5'
214.5' I ' ngpool roun
73'
•
� 13i,..,0 h f 6e-
existing
garage 14 �r
a
4' � g �4 k,t blv�
In
14.5'' -� 28, �� S+ `
£ W. hSr f Slit ;ilc _ 3 . � - St-- -- 22'- -.A
s. existing I
20'house i drivel 45.5
• 1
32' I 24'
6' 30 , 1 -l'_1
r __ 1
15.5' = = - - -- = �t-134
1 .. I
y� i
.,
67 willow Street
Northampton, MA Property Detail Page 2 of 2
Woodburning Fireplace 0 / 0
Stacks /Openings:
Metal Fireplace 0 / 0
Stacks /Openings:
Heat /Central A /C: Basic
Heating System: Warm Air
Fuel Type: Gas Lower 1st Story 2nd Stor
Quality Grade: C+ Basement) One Story Frame One Story Fi
Physical Condition: Average ( Basement lone Story Frame
Interior/Exterior: Same 1 (Frame Bay
Condition/Desirability/Utility: GD I Op en Frame Porch
Vacant/Dwell/Oby Status: Dwelling I 1Masonary Stoop or Terrace
;,
Additional Features: J;
I,
Brick Trim: 0 X 0 ' It
I
II
J,
Stone Trim: 0 X 0
Remodeling Data:
Year Remodeled: 2001
Kitchen Remodeled (Y/N): Yes
Bath Remodeled (Y/N): No
Land Data Outbuilding Info
Square Foot Type
Utilities
Type F Q Value no
information Type Qty Year Size 1 Size2 Grd Cond
Prime 17,696 117,690 ' I RG1 II 1 11900 1 1 483 C A
I RP2 1 1 197011 1 1 648 I C I A
Acreage Type I I Street/Road I RS 1 I 1 1970] 1 64 I C A
I Type Acres (Value no
no information
information ;
Sales Info Permit Info
Date Type Price Validity Date Permit # Price Purpose
06/20/2008 I 1143 1 33,579 I RENO BATH
no information
110/11 /2001) 0386 114,000 INTERIOR RENO
http:// www. northamptonassessor. us/ noho /propertydetail.php ? map_no C- 071 -001 &page... 6/22/2010
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Northampton, MA Property Detail Page 1 of 1
City or Northampton, MA: Residential Property Record (
New Search Property Type Classification Code Reference Card 1 of 1
Parcel - Location - Zoning - Assessment
Map- Block -Lot: 23C- 071 -001 Zoning: Assessment:
Location: 67 WILLOW ST Neigborhood: 6 Land:
#Living Units: 1 Deed Book: 3589 Building:
Class: R -101 Deed Page: :231 Total:
Dwelling Information Building Sketch
Style: Conventional
Year Built: 1900 28 -
Story Height: 2 E4
4 1 Fr /B
Attic: None 0
Basement: Full
Total Rooms: 7 32
Bedrooms: 2
Full Baths: 1
Half Baths: 1 r 20 2Fr /B
Exterior Walls: Frame ft
Unfinished Area: 0
Ground Floor Area: 640
Total Living Area: 1678 O P 6
Finished Basement Living 1 8 0
Area: 0 X 0
Basement Recreation Area: 0 X 253
Addition Information:
http: / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no = =23C - 071 -001 &page... 6/16/2010
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01*
\1!1.71-4 1
- TA - 5\1c3 r Q1 ! .. ): :,/,11,J).„(- 3 24 r1v (.44v1_1
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. 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 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
jermits 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 D1 LAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
• L\ The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
t E.-7.34 600 Washington Street
it., SEM= ^4
Boston, MA 02111
• - ‘74-730
www.mass.gov/dia •
-Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name pusiness/Organization/IndivicirmD: 51421/4.4.- 2L4C-(1
Address: 10 (let. 6,e,„? •
City/State/Zip: kki t 11 Phone #: L ir/ -5 C I 1 3Y
Are you an employer? Check the appropria e ox: Type of project (required): I
1. DI am a employer with 4. I am a general contractor and I
6. New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet 7. Remodeling
2..0 I am a sole proprietor or partner-
These sub-contractors have. ODemalirion
• ship and have no employees
atnTloyees and have workers' •
working for me M any capacity. 9. Building
[No workers' comp-. insurance
requirecL] • D We are a corporation and its 10.0 Electrical repairs or additions
3. 0 I am a homeowner doing all work officers have4xercised their • 11.0 Plumbing repairs or additions
myself [No workers comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
13.LI er
employees. [No workers' Oth
• comp. insurance required.1
*My applicant That checks box #1 must also fill out the section below showing their workers' compensation policy information.
t
Homeowners who submit this afradaVit inclicathig they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees If the sub-contractors have employees, they must provide their workers' comp. policy number.
Jam an employer that is providing workers' compensation insurance for my employees. Below is the policy andjob site
information.
•
Insurance Company Name: •
Policy # or Self-ins. Lic. Expiration Date: -
Job Site Address: City/State/Zip: • -
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage . as required under Sectiiiii 'of MGT., c. 152 can lead tO the iMposition of Crimini,1 penalties of a
fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Offfse of
Investigations Of the DIA for insurance coverage verification _
Iiohereb ;"tirtrilar the pains and penalties of iirjuryiltat the information provididabave and.eorrecl
/
ai , • Date; 1 •
Phone 4: 1 11 I 3V76 - - •
Official use only Do not write in this area, to be completed by city or town official
• •
City or Town: " • Permit/License # _
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. ElectricalInspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : 5 .C. '
/' � License Number
- 10 ( k -- t } (' ( -"P
Address Expiration Date
00 t
Sig "t - Telephone
91/ t At, i ,4 4ce
9 .:`lfeaistere ai6lin,rovemt onifra ct1?t':il' ma *,.ate . •F y= .., Not Applicable ❑
Company Name Registration Number
Address Expir Date
V rir c, r. r\ hA Telephone t,1 /) 3V-b
—
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 ❑ No ❑
TV: me N.10 lia int
4 1t. 0
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 1083.5.1.
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 Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
I
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition El Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Ac essory Bldg. El De molition . New Signs [0] Decks [[] Siding [0] Other [0]
/ Brief Description of Proposed j l C ?rtib( iSl -7 Qki� ►fi � ► , � I k
Alteration of existing bedroom Yes No Q r �C Y r.(,� .
Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
ii -Af New nitr a laitttf ora itlit6 : iEn+t +iit inq Qt ifa i ti a :
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. Masscheck 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 -
SECTION Ta OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
E' 4 Ge (- ; f W'C , as Owner of the subject
property
hereby authorize Std Iln.A 7 U1 ;
to act on my behal , in all ma rs relative to work authorized by this building permit application.
Signat re of Owner Date
I, veil". 2.vC d, • hq , 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.
Print Name
Lti.„" Signatur of Owner /Ag nt a te
w
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
' Lot Size i I ' F
Frontage 1
Setbacks Front 1"�`� = L.. 1
Side L:L-- = R:1 L:` R:
Rear 1 9
Building Height
Bldg. Square Footage 1 % r i
Open Space Footage % {
(Lot area minus bldg & paved [ I
parking)
# of Parking Spaces i I .„,
Fill: # £ m
(volume & Location) €
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW 0 YES 0
IF YES, date issued:;
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book I el I and /or Document #;
B. Does the site contain a brook, body o . to or tla s? NO 0 DONT KNOW Q YES Q
IF YES, has a permit been or need be , stained from the Conservation Commission?
Needs to be obtained 0 Obtained ,Date Issued
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: f
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
IP
r`. aa. .. z �3, , , 't %-mc sa
City of Northampton 1 � �� z ,.e
Building Department �. w : - 4 k,
212 Main Street - ' 4k, .
n r � , Room 100
2 L Northampton, MA 01060
phone 413 -587 -1240 Fax 413 - 587 -1272 s a . � �� ,,,a, ° ,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address:
This section to be completed by office
6 ' t/ °f S -� Map got Unit
Zane; Overlay District
Elm S District CB. D istrict
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: ll
{ I \ 2. c,. l? P t (r ) r \ (--../ 1 \•)-r'it/� 4:.J '^( (N t I k' u. 1 [I " , (E C (C Z-
Name (Print) Current Mailing A
f �4�/tfLi .
c �t / �I �f . r � ' "`�° Telephone 3 1 - f ,i .
Sign Lure
2.2 Authorized Agent: f / / f
-�1 �� Z,c.c11 , Fr±3 ����, Sa-� (le IV�i+ f 1 1 �'` � If MA MA
Name P • Current Mailing Address:
e( ) g
1 `1! 1 )_ 51 1 1 — 5 7 i
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from ; (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection r� ;��"
6. Total = (1 + 2 + 3 + 4 + 5) !�' v '' Check Number t" 2! 'P .. — r'
This Section For Official Use Only
Building Permit Number. Issu ed:
—
Signature:
Building Commissioner/inspector of Buildings Date
File # BP- 2010 -1179
APPLICANT /CONTACT PERSON STEVEN ZUCCHINO
ADDRESS/PHONE 70 Gleason Road NORTHAMPTON (413) 584 -3878
PROPERTY LOCATION 67 WILLOW ST
MAP 23C PARCEL 071 001 ZONE URA(100) //WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out / c
Fee Paid
Typeof Construction: DEMOLISH 1970 648 SO FT DET GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 021356
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFQRMATION 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 Permit DPW Storm Water Management
Demolition Delay
("^- it1(,%j 612-i)W
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.
BP- 2010 -1179
GIS #: COMMONWEALTH OF MASSACHUSETTS
Ma0:13lock:'23C4V4Y 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- 2010 -1179
Project # JS- 2010- 001717
Est. Cost: $8000.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEVEN ZUCCHINO 021356
Lot Size(sq. ft.): 17685.36 Owner: SILVER ELIZABETH A
Zoning: URA(100) //WSP Applicant: STEVEN ZUCCHINO
AT: 67 WILLOW ST
Applicant Address: Phone: Insurance:
70 Gleason Road (413) 584 -3878
NORTHAMPTONMA01060 ISSUED ON:6/28/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: DEMOLISH 1970 648 SQ FT DET GARAGE
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: Date Paid: Amount:
Building 6/28/2010 0:00:00 $20.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo