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24C-179
nefi _.. ry) e :7 7 Q \ • f i t �j (?1 Vl cbj��'s £ P y rvop 21178 ro i - 2xxv rreV A�++ Yi4 Ira , $ ?It i i 111111 1111 I i II I I 411 1 /t • • • • • rivre. y . 1 1 11 1' I 111 11 i inITT . II II - I 1 _ .. omee I • • .77 L, ,.antrolorrier MIS PLAT IS COMP/LED FROM DEEDS. PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED `4.. 120'± �/ Book 314, Page 340 `p Lots 96 & 97 M -#I +4 • iV "v so co 0 #'99 a ;?.., t- -- _I 120` , • CRESCENT STREET TO: WestStar MORTGAGE AND CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION. KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WrIHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED 1 ITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FEZ COMMUNITY #250167 SURVEY T. 11S PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY —kW ' A , • :. ■ "' 1t q— v, NORTHAMPTON, MASSACHUSETTS PREPARED FOR y BRIAN J. & DEBORAH C. COOK #35032 SCALE H :40 1 1 O' SEPTE ER 1 , 2005 HAR L. EATON AND ASSOUA IF S. INC. REGISTERED PROFESSIONAL LAND SUR VE Y S Ps :k rojxtsW►awalpsbytOMAxOdhaMPKWA1 5050 .,tg 235 RUSSELL STREET lHA Y — 4A SSArf SE!I'S . . IHIS PLAT IS COMPILED FROM DEED PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND is NOT 10 BE RECORDED BUILDING LOCATION ACCURACY IS NOT GUARANTEED . /01 120'± Li i • Book 314, Page 340 0 Lots 96 4c 97 fr "*.■ .... +I 44 • Iv 4 03 co .-- . # i 99 ri 1 [ Er 1 0 r ? 0, L ....J N.:3 i 1 2O± I ■ ---- '-'*----- • CRESCENT STREET • TO: WestStar MORTGAGE AND CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION. KNOV4LEDGE AND BELIEF ! I HERFPY REPORT THAT I HAVE EXAMINED THE PREMISES ANO BASED ON EXISTING I MOltrikatEN TA liON ALL CA VIS:Fg C., 4 - A''' . TS' ENCROACIAMENTS ANtn U" "C API ,!...f TED i THE: GROUND AS SHOWN AN THAI' if-iEILIILDINGS ARE ENTIREI "NI tiklI !FUN 11-IF I ni ! !NES, EXtt „PT AS NOTE...D. ; FURTHER REPORT THAT THE 1-*ROPERTY iS kW LOCATED *4110N i (*M AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR g1230167 —NOTE— --- suRvEyr.)./4,0 . . ,,.... I_______ THI S PLAT FOR MORTGAGE LOAN PURPOSES ONLY 1 1 ...vi.‘,..±___°r.&4,444 ND DOES NOT CONSTITUTE A PROPERTT SIP3VEY i — MOR A ; i t' CTION Pi-- - v.* • ' ,.......,.. ...IP P T*()N svi ' A cl"...: PREPARED F04 QIN 14 ,s. .._ _ .".........1 BRIAN J,, 5t- DFR OR ,,V-1 C. Cri.7. 35 4)32 ''...t r•AProjectsWrimengsbytovsMoitharrigsv SCALE : r z". 40 SEPTE43 1 6, 2006 i HAROLD L EA 1014 AN!) AS:S00. RELISERFi; F.4 , C. ; :''' r ,7 ' '... " 7 ' '. j .. ji VI: ;:.' ....;; : :,, : P0 . 1 .... , 1CLL "4141t. P — liAptilY -- MASSACHUS • ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) TM 10/05/2009 I PRODUCER 413 , 586. 0111 FAX 413 . 586. 6481 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber & Grinnell Ins. Agency , Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND Ol: i 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIC # INSURED Craig Harney INSURER A: NGM Insurance Company 14788 DBA: Harney Builders, LLC INSURER N: WCAR Liberty Mutual 57 Ashfi el d Road INSURER C: Williamsburg, MA 01096 INSURER D I INSURER E: COVERAGES ! TIT vr)! t(lF,:z cr /Nrlpn,ANtrr !!7rrn nrInvy ' 'II I`t`I Tr) 1,, 111 E t1 INIAMn AR/ FI7IR I nif: - POI rY nrrUOD INDICATED. NOTWITHSTANDING 7:..Er• , '.: - ":;,;4.:'," . ; 1::.I '.•.::::.LII•41.:N•I' I.'VTI I REI3r1;:C7 TO WHICH 11-1IS CERTIFICA TE MAY BE ISSUED OR 'THE TERMS. EXCLUSIONS ANO CONDITIONS OF SUCH P.;::EB, ABGREC/VIE LIMITE. ;;;I-I0 ,..I,;;:' iif."17.....: BEEN REBLICEB BY PAC cl.A:mS. icilEk ; Abile/Li POLICY' EFFECT j POLICY EXPIRAT1044 ' .7. ,.!...:: '7,7. TVPV.: rIC:h7 POI ryislUNAPEFI DATE (MAI/DOP/r/V) / DATE (MAUDDN(YY) LIMITS 15) ! 10/01/2010 EACH OCCURREN 1 GOO, 0 ---1- $ , . . III:7NTACE iu REN ' X I COMMERCIAL GENERAL LIAEtaiTI: PREMISES (Ea occurrence) $ 500,000 CLAIMS MADE I XI OCCUR MED UP (Any one person) $ 10,000 A PERSONAL. S. ADv INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLES PER: PRODUCTS - COMP/OP AGG $ 2,000, 000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION I oTh- P4C131S3746,2701.9 (19P4/2009 09/19/2010 AND EMPLOYERS' LIABILITY - t L , . I : r I -IV '"')::ICI IELIEXEC"JI.:IVE •.--- --; I C L LAO.; AC:CADENT i $ /00,00d B ES iCER'N/Er/P:ER EY.CL. i (Mandatory In NH) EL DISEASE - EA EMPLOYEE $ 100, 000 1 It yos, descrbe under ' SPECIAL PROVISIONS below YES EL DISEASE - POLICY LIMIT $ 500, 000 l OTHER i i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS 4o members are covered by the worker's compensation policy. CERTIFICATE HOLDER CANCELLATION _ ---- T - 7.;„7„...7771ZSOVE. LiE.3CRiBEr1Pni.ICES 3E CANCELLED BEFORE THE EXPiRA i'V.,,N i DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WR/r . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 10 DO SO Si;;;1, IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, /TS AGENTS t:R REPRESENTATIVES. ***** For Informational Purposes Only ***** AUTHORIZED RifFLiSENTA11VE EtWa&L..114.1* -H, - f r ;.,,...;.,:', --- ,-,; ,: f., - 'i _ ;- or..,4 Acc4 T.) t:CiRPORATiON, Aii Iiiiitit* tt-o,-16. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts t11111111111Mi Department of Industrial Accidents i�• = t {.� ' Office of Investigations ;�� ' 600 Washington Street • r Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization /Individual): 4,- 1-APN Address: : City /State /Zip: /eds. /14. oiot5 Phone #: 71- 3 " Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and /or part- time).* have hired the sub - contractors 6. New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. ['Demolition working for me in aci employees and have workers' g any capacity. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ 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. 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 - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide 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: �-' Loy/ Policy # or Self -ins. Lic. #: //( / 3i-3 y 7 1('k-.,2 7 d; 9 Expiration Date: � :/t Job Site Address: /99 C>e'.x- City /State /Zip: " "z.r�7'/ k � 1,4 (9 Attach a copy of the workers' compensation policy declaration 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided abo e is ue and correct. Signature: 4* Date: —749 /d Phone #: / ?E'' 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. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : (1? 4 c /' �� 5 7/ c- 9 License Number / • O, x' /cD 5 Zee% M. ®10ss' I/ X Address ` Expiration Date b,... 5th' C :ia Signat� Telephone 9. Reoiste d Home Improvement Contractor: Not Applicable ❑ ( „,,, /-A(. /0.9. Company NaMe / Registration Number /2,0=v /J'1'c'el: /x'14- e%Ec3 ‘(3 �' Address Expira ion ate Telephone cie'- {-/,7 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 ❑ 11. - Home Owner Exemption 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 Laws and State of Massachusetts General Laws Annotated. Homeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition J Replacement Windows Alteration(s) Roofing ❑ Or Doors O Accessory Bldg. El Demolition ❑ New Signs [D] Decks [C] Siding [CO Other [p] Brief Description of Proposed ‘' � 3� o�O" S '�J e„. (5e ee Work: OC7+: • C ,ed /o /2C• J Alteration of existing bedroom Yes C No Adding new bedroom Yes / No Attached Narrative Renovating unfinished basement Yes •• No Plans Attached Roll Sheet 6a. If New house and or addition to existing housing, complete the following: 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? P d. Proposed Square footage of new construction. 78e) sit Dimensions • ' fr " -© e. Number of stories? f. Method of heating? ? - e4!/ 7iv d e z Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 1,""c./ (10414: i. Is construction within 100 ft. of wetlands? Yes t No. Is construction within 100 yr. floodplain Yes Y No j. Depth of basement or cellar floor below finished grade 7' k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer r Private well City water Supply V SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �►� I, • C i L , as Owner of the subject property !� hereby authorize Cia- u"( L? i /) �.✓1 : iu h / to on my behalf, in all m. -r relative to work authorized by this building permit application. Signatu • of Owner Date M ay , as Owner /Authorized Agent hereby deelare that the sWements 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. /eA 1 / J(y Print Name Signature o Ow" gent Date 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 tilled in by Building Department Lot Size Frontage /010 �c Setbacks Front ‘41 Side L: 19' R: d 011 L: /9 R: `C' /s Rear // - Building Height /.5/' 351 Bldg. Square Footage % 0$0 Open Space Footage (Lot area minus bldg & paved 5690 O # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW e YES 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 Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO e DONT KNOW ® YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained ® Date Issued: C. Do any signs exist on the property? YES ® NO 41 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 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 Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. miummommommummu Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer /Septic Availability \ Room 100 Water/Well Availability '\`3 ;; Northampton, MA 01060 Two Sets of Structural Plans ` � phone 44 3- 587 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify 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 Map Lot Unit 4 /9C, 'f'.5Ceu7Z/ Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Nam Print) Current Mailing Address: Telephone Signatu a 2.2 Autho ize. pent: Name (P nt) Current Mailing Address: kG - .5 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 05'uJv. cs, 2. Electrical (b) Estimated Total Cost of v?l. ,.s, Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection t 6. Total = (1 + 2 + 3 + 4 + 5) 4:2C3 �' Check Number /7 3 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2010 -0827 APPLICANT /CONTACT PERSON CRAIG MARNEY ADDRESS/PHONE P 0 Box 128 LEEDS (413) 586 -5512 PROPERTY LOCATION 199 CRESCENT ST MAP 24C PARCEL 179 001 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 Fee Paid /i0 de Typeof Construction: CONSTRUCT 14 X 20 SUNROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 057159 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 3 /2 i3 Signa e 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. e St ; BP- 2010 -0827 GIS #: COMMONWEALTH OF MASSACHUSETTS ap:B1ock ' 4C'= Y 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 -0827 Project # JS- 2010- 001218 Est. Cost: $20000.00 Fee: $120.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CRAIG MARNEY 057159 Lot Size(sq. ft.): 21605.76 Owner: COOK BRIAN J & DEBORAH C Zoning: URB(100)/ Applicant: CRAIG MARNEY AT: 199 CRESCENT ST Applicant Address: Phone: Insurance: P O Box 128 (413) 586 -5512 WC LEEDSMA01053 ISSUED ON:3/26/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 14 X 20 SUNROOM 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 3/26/2010 0:00:00 $120.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo