24C-178 S KS ( pt[ PZAN CaveR)--___
10/21/09 2:50:47 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 24C- 178 -001 187 CRESCENT ST PLOT: LIVING UNITS: 2 CLASS: R - 104 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS NEIGHBORHOOD ID: 11.00 FINAL VALUE FLAG: MARKET
PANNONI PAULA A & LAND DATA
ELIZABETH G POWELL - ASSESSMENT INFORMATION -
4360 LANDFALL DR TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 11070 241,250 PRIOR COST CURRENT
WILLIAMSBURG VA 23185
LAND 241,300 241,300 241,300
BLDG 190,800 188,800 210,700
TOTAL 432,100 430,100 452,000
DEED BOOK: 5234
DEED PAGE: 78 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 0.254 TOTAL LAND VALUE: 241,300
LAST UPDATE /COST: 20090107 DATE TYPE PRICE VALIDITY
19971001 LAND + BLD 222,000 0
LAST UPDATE /COST: 20090107
X DATE: ADDITION DATA
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A OFP OFP 88
ENTRANCE CODE: UNIMPROVED B Bsmnt 1sFr 1sFr 42
INFORMATION SOURCE: C OFP OFP 70
DATA COLLECTOR: MC D
DATE: 19990923 E
' F
DWELLING INFORMATION G
H
STYLE: CONVENTIONAL
YEAR BUILT: 1900
STORY HEIGHT: 2.00
ATTIC: PART FINISH
Basement: FULL
TOTAL ROOMS: 12
TOTAL BEDROOMS: 4
FULL BATHS: 2 ADDITIONAL DWELLING INFORMATION 5
Half Baths: 1 FAi /B
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: ALUM /VINYL BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X 14
GROUND FLOOR AREA: 1216
TOTAL LIVING AREA: 2820 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS /OPENINGS: / 6 ,
METAL FIREPLACES: KITCHEN REMOD Y/N 6
HEAT /CENTRAL A /C: BASIC BATH REMODEL (Y /N)
HEATING SYSTEM: WARM AIR 3
FUEL TYPE: OIL
QUALITY GRADE: C+ PHYSICAL CONDITION AVERAGE 44
COND /DESIRABILITY /UTILITY GD INTERIOR /EXTERIOR SAME
OUTBUILDINGS & YARD ITEMS PERMIT DATA 12
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE 3
RG1 1 1920 1 324 C F
NOTES: 12
26
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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 press 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
p € rmits-in-conjunction_.to- the -huilding_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, 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.
T�_ Date
Address of work
location
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 = -gg i Office of Investigations •
k . _ 600 Washington Street
e Boston, MA 02111
�� . www.massgov /dia
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( Busi 'Organi7ation /Individual): 04-4 1►v I) Ee
Address: S' - 1 - / F / M A- ,
City /State/Zip: Phone. #: 14l7 i-i"
Are you an employer? Check the appropriate box: Type of project (required): I'
1.0 I am a employer er with 4. 0 I am a general contractor and I
6. ❑ New construction
employees (full and/or part- time).* have hired the sub- contractors
2. I am a sole proprietor or partner- listed on the attached sheet 7. 1)1 Remodeling
ship and have. no - T'ployees These sub - contractors have 8 ❑ Demolon
capacity. employees and have workers'
working for me in any P ty. 9. Q Buildi v addition
[No workers' comp. insurance comp. - :nsurance_-
required.] 5. 0 We are a corporation and its 10.� Electrical repairs or additions
3.0 I am -a homeowner-doing-all-work _o cer_s ve excised 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
employees. [No workers' 13.0 Other
comp. insurance required.}
"Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contactors and state whether or not those entities have
employees. If the sub- contractors have employees, they mustpravide their workers' comp. policy number.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job 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 declarafion page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,_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. Fie advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insuranc -� • veraze verification.
I do hereby certiA u -•.. • 1; ,, enart►Ps of perjury that the information provided above_islrue_and correct.
,� ,�jr .
Stu. ,tare: ,�� Date: 10 ' - d,
(� �r
Phone #: Ll !"f 2 -l. cc)
Official use only Do not write in this area, to be completed by city or town ofciaL
City or Town: Permit/License # �
Issuing Authority (circle one):
. I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
b
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: j � Not Applicable
Name of License Holder : ki 1/ L/ " # ► i2_ o `� "� 3 4th
License Numb
Q� C4E 1 J 7, D
Addres Expiratio Date
Signature Telephone
9. Registered Home improvement; Contractor Not Applicable ❑
e-z OL1 2g
Company Name Registration Number
C p� - r S': F-Lov NC1 12./t/ � 0
Address Expiration ate
Telephone cg -210
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 f 2( No ❑
1 , R ome Q: 11 xemt on-
The_current_exemption for "homeowners" was extended to include Owner Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a licens- • rovided 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/ - resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detac• - • structures accessory to such use and/ or farm
structures. A person who constructs more than one home in - • 'o - year period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, • - . form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under t, • uilding permit.
As acting Construction Supervisor your pre e on the job site will be required from time to time, during and upon
completion of the work for which this pe.• t is issued.
Aloe be advieed that i. ith refPr'nr'• • aptrr 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resu g in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire - to perform wort f. ou -- - - - --
--------- The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
ort - amp on a r. trances; Stare tuca .- . • • .. - -+
- . - • - s-F- eneral- Laws - Annotated.
Homeowner Signature
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [❑ Siding [0] Other [0]
Brief Description of Proposed T2 1\ t / l n« � , ^ u J f'" ^ }., v
1=V ° f t
Work: F- �rT
Alteration of existing bedroom Yes / / RE tJ No Adding new bedroom Yes No
Attached Narrative — Renovating unfinished basement Yes 2.
Plans Attached Roll - Sheet
a >
6a_ if Nei �:house'and or addit on to existinq houslnq, compiete'the foifov inq:
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. Dimens'• s
e. Number of stories?
f. Method of heating? F' --places 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 w- . nds? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cel . floor below finished grade
k. Will building confo% to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
� $ Poi iPoi / 2, E - ZY- -
I, G/ / � I G - 1''(/ --- Z-c as Owner of the subject
property
hereby authorize 0' 0 1 a -"
to act on my behalf, in all matters relative to work aut +rized • r buildin rmit application.
� L `y
2 — 0
ignature of Owner Date
e:71/- , 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 perju
Print Name
ow,
Signature of Owne gam Date
Section 4. ZONING Alt 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
Frontage
Setbacks Front
Side LQ R:w.._ L: _ R -_....._
Rear 2 : 0
Building Height /
Bldg. Square Footage f %
Open Space Footage
x..
(Lot area minus bldg & paved 2
( g P
parking)
# of Parking Spaces
Fill: m
(volume & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DONT KNOW l 40 YES
IF YES, date issued:,
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW t YES 0
IF YES: enter Book V Page; and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 4,10 DONT KNOW 0 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 0 NO ltd
IF YES, describe size, type and location:
D ss e there any pro'posedhanges to or additions of signs — intended for the property ? YES 0 NO >JJf
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 11
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton Status of Pertnrt
Building Department C Cutl)rrveway"eactrf
212 Main Street SeweraSepfrcAva►Ibrlity £4
Room 100 Wa c�t aab
Northampton, MA 01060 etru "�iri
phone 413- 587 -1240 Fax 413 -587 -1272 Pat7Srte�larts
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office
1.1 Property Address:
3 1 c 5C I' 1 � Map Lot Unit
w/ '',Zone Overlay District
Elm St District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
AA P 1•1_1614_1_ -- E 2, weL -l-- 16 _ -__ i 7 Sao
Name (Print) r Cut L � z s 8
i / ` Tone
Signature
2.2 Authorized Agent:
a r s De P--- Teo 602 8 P1b PA,
Name � Current Mailing Address:
%1 � /_ /_� P t-(13 5 -t-{ 7-too
Signature Telephone
SECTION 3.-:ESTIMATED CONSTRUCTION COSTS •
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 115 / o (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
6. Total (1 +2 +3 +4 +5) �► Check Number i �a
This Sectinn Fnr tlffirial Use Anly
Date
Building Permit Number: Issued:
Signature:
Building Commissioner /Inspector of Buildings Date
File # BP- 2010 -0454
APPLICANT /CONTACT PERSON EDWIN OLANDER
ADDRESS/PHONE 97 CHESTNUT ST FLORENCE (413) 584 -2100 0
PROPERTY LOCATION 187 CRESCENT ST
MAP 24C PARCEL 178 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out JA
C Paid JAC
Typeof Construction: REPAIR & REBUILD FRONT PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 049348
3 sets of Plans / Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO 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 _ Permit DPW Storm Water Management
Demolition Delay
d 26 80d'
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.
157 CRESCENT ST BP- 2010 -0454
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24C - 178 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 H BP- 2010 -0454
Project # JS -2010- 000620
Est. Cost: $15000.00
Fee: ¶90.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: EDWIN OLANDER 049348 •
Lot Size(sq. ft.): 1 1064.24 Owner: POWELL ELIZABETH G & PAULA A PANNONI
Zoning: IJRB(100)/ Applicant: EDWIN OLANDER
AT: 187 CRESCENT ST
Applicant Address: Phone: Insurance:
97 CHESTNUT ST (413) 584 -2100 0
FLORENCEMA01062 ISSUED ON :10/27/2009 0:00 :00
TO PERFORM THE FOLLOWING WORK :REPAIR & REBUILD FRONT PORCH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: LI C L L S Q ��
Footings:
Rou Rough: 0/ J r House # Foundation: / l- 3 . b 9 � 2
r v Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
j
Final: Smoke: - Final: OK 512,5 to u er - 14 - ff -
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of OccupancyS / Signature:
FeeType: Date Paid: Amount:
Building 10/27/2009 0:00:00 $90.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
' Building Commissioner - Anthony Patillo