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Assessors City of Northampton
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Northampton, MA: Res co t
.)1 tn . , Card 19-
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of IT
City o Property Type Classification
s_
Asse
proPe'k-Y ' Assess
rch ' -
New Sea . zoning
Zoning: sification Code Re eene
001
parcel - Location - 24D-167-
BLaunBuild N e i g - - Book: 7005
d: 10
1 E ST
Total
39 MYRTLE
Dee
226
Map-Block-Lot:
1
Deed Page:
e
. .
Location:
R -101
Sketch
#Living Units:
Building
Class:
Information Dwelling Inform
Dwe ‘jf Pi ec:
Style: Conventional
year Built: 9
Story Height:
Attic: None
iFF/8 61.31-3
Basement:
Full 14
22
Total Rooms: 6
Bedrooms: 3 22
4 22
Full Baths: 2
Half Baths: 0 14
•
Frame
0
1.5FOR 30
,--------•
8) 30 (6!„9
660
Exteri eWdallrse: Area:
Unfinished
d Floor Area:
1
Groun .
22
Living Area: 583
• Finished Basement Living Area:
0 x 0
4
4p
Total
Basement Recreation
Area:
6/9/10 10 06 PM
. _ pi ren1 q0e
1 of 1
dh ummo
Wiln
t - '
159 65 60.74
58.5
155.3 120
24D -172 56.3
55 24D -169
160
■./
24D -152
166.1 120
A 24D -168 60 .
60
24D -173 C7) 175 120
92.5
163 80 88
89
l(y�-}1( 88
24D -166 86 24D -165
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r ci
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Dning Map 70 - iron fizft_.
06/09/10 11:11:19 AM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 24D- 167 -001 39 MYRTLE ST PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER /ADDRESS NEIGHBORHOOD ID: 10.00 FINAL VALUE FLAG: MARKET
DWIGHT WILLIAM & ALIDA LEWIS LAND DATA
- ASSESSMENT INFORMATION -
39 MYRTLE ST TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 6889 153,780 PRIOR COST CURRENT
NORTHAMPTON MA 01060
LAND 174,300 153,800 153,800
BLDG 134,200 128,700 132,600
DEED BOOK: 7005 TOTAL 308,500 282,500 286,400
DEED PAGE: 226 SALES INFORMATION
DEED DATE: 20030127 TOTAL ACREAGE: 0.158 TOTAL LAND VALUE: 153,800
LAST UPDATE /COST: 20090714 DATE TYPE PRICE VALIDITY
19870601 LAND + BLD 168,000 5
LAST UPDATE /COST: 20090714
X DATE: ADDITION DATA
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A Bsmnt 1sFr 120
ENTRANCE CODE: UNIMPROVED B OFP 16
INFORMATION SOURCE: C Bsmnt 1sFr 308
DATA COLLECTOR: ED D
DATE: 19991106 E
F
DWELLING INFORMATION G
H
STYLE: CONVENTIONAL
YEAR BUILT: 1900
STORY HEIGHT: 1.50
ATTIC: NONE
Basement: FULL
TOTAL ROOMS: 6
TOTAL BEDROOMS: 3
FULL BATHS: 2 ADDITIONAL DWELLING INFORMATION 14
Half Baths:
BASEMENT GARAGE( #CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: FRAME BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA: 660
TOTAL LIVING AREA: 1583 REMODELING DATA 22 1Fr /3
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED:
MASONARY FIREPLACE STACKS /OPENINGS: /
METAL FIREPLACES: KITCHEN REMOD Y/N
HEAT /CENTRAL A /C: CENTRAL AIR BATH REMODEL (Y /N3
HEATING SYSTEM: WARM AIR
FUEL TYPE: GAS
QUALITY GRADE: C+ PHYSICAL CONDITION AVERAGE 22
COND /DESIRABILITY /UTILITY AV INTERIOR /EXTERIOR POORER
OUTBUILDINGS & YARD ITEMS PERMIT DATA
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE
RG1 1 1920 1 216 C A
30 30 1 . SFr /e
NOTES:
j2 xi I o� P,�-�.,(;,: n
4
l° d x,
' 4
v
. .
tr° 1 T ,'-? pio )-?) /,--, ?-v )1 1 --ik3DclOi
.....
015
41,
Jo / t t
it'' 6 4' S`"
8 17
t7
C
ris
14 14 Existing garage
, -
Lean-to
Shed
-.--------- ON
1 k''■
14
1 Frie I
22 22,i
308 i
4 14
22 .
...
S .. ,...
..s-
1 5Fri8 ...
7:133 30 30 cr
(.,
660
3
.,
c
.....
a
4 22 1
4e4 c , ....
, e
c ,...
39 Myrtle St. Property of Lida Lewis and William Dwight
°8
M. (i ir Si-
Quick Open Space Calculations Coverages
I 39 Myrtle Street Porch existing
Lot area existing proposed existing
I 68891 1716 1828 House existing 1028
Sheds existing 238
Open Space 5173 5061 Driveway existing 450
total 1716+
Open % 75.1% 73.5%
Zone urc I Addition new
Req'd 30% Sheds new 112
Garage new
total 1828
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
_.. - --- - - -_ 1 I w 1 . • I . • 1 • , . • if • .., , • ..s - . 1 1 •
1 . 1 I • . 1 • • . • s' • i — 'i'-h
-- - - - - -- - __
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 DELAY the project until such time as the proper permits and inspections are
made
/4 / 1 S
J ' 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 WV (-:-
2
Address f work M9 r
,_ _ _ . c - - 7' --
location Lj
r
The Commonwealth of Massachusetts
Department of Industrial Accidents
jP, —fitir . Office oflnvestigations •
== °me
rr 600 Washington Street
t. _._ Boston, MA O2I11
www.mass.gov/dia .
-Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LegibIv
Name ( Business /Organization/Indivirinal):
• Address:
City /State/Zip: - Phone. #: .
❑ mg repairs or additions
Are you an employer? Check the appropriate box: - . Type of project (required) : / 1. I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction
employees (fall and/or part-time).* have hired the sub - contractors
listed on the attached sheet 7. 0 Remodeling
2_ 0 I am a sole proprietor or partner-
ship and have no eloyees These sub - contractors have. 8. 0 Demolition
working for me m any capacity. et loyees andlhave workers'
9 Butt aild
[No workers' con insurance
Comp. mcnratrr _.., .- Q _ - .:.
required.] 5. 0 We are a corporation and its 10 0 Electrical repairs or additions
3. I am a homeowner doing all work
officers have4exercised their 11. Plumb" r •
, ;
myself [No workers' comp. right of exemption per MGL
12.0 Roof repairs
ed:
insurance re t c. 152, §1(4), and we have no .
-- I required.] employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box #I must also fin out the section below showing theaworlcers'.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 contractors and state whether or not those entities have
employees. If the sub - contractors have employees, they must provide their workers' comp. policy number.
lam 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 /Stare/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. Section'25A: ofMGL c. 152 can lead the imposition` of criminal penalties of a
fine up to 51,500.00 and/or one -year imprisonment; as well as civil penalties in the form of a STOP WORIR- ORDER and a tine
of up to 5250.00 a day against the violator Be advised 'that a copy of this statement may be forwarded to the Offi of
Tnvesti itions of the DIA for insurance coveraee verification , _ _,_ -_:. :.. _.:
ra
I do hereby certify u der the aurs an penalties of perjury that the `informationprovrded ove true_ arrest
/ iznatare: [ Date: / /Ct 2 .7 0 ,
Phone it: c 6 Z ZT l -
- 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
i. Contact Person: Phone #:
SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
11. let tlsr�3eirimiItn#arovgenrt�an#rac �. Nir 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 U No ❑ - -
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 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 T ocal Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition -0 Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. `' Demolition ❑ New Signs [0] Decks [C] Siding [D] Other [0]
Brief Description of Proposed i - i3Y-1
,.4,
Work: CA gj'fIfUC ►rAn, c k_kl_411 -- fi<'�` SSVIQl
Alteration of existing bedroom Yes __ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes _(No
Plans Attached Roll - Sheet
a. Use of building : One Family 1 Two Family Other
b. Number of rooms in each family unit: r 7 Number of Bathrooms Z'
c. Is there a garage attached? V'1O 552
d. Proposed Square footage of new construction. Dimensions
e. Number of stones?
f. Method of heating? ■)/ Fireplaces or Woodstoves N/ Number of each
g. Energy Conservation Compliance. r Masscheck Energy Compliance form attached?
I t
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes ..1No
j. Depth of basement or cellar floor below finished grade `
k. Will building conform to the Building and Zoning regulations? V' 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
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
It 1 ( , as Owner /Authorized
form foregoing application are true and accurate, to the best of my knowledge
hereby declare that the statements and m a eg g pp Y e 9
and belief.
Signed under the pains and penalties of perjury.
CA) aA,A." DO.)(
Print Nam -
1 1 $
Signature o OwnerP Date
R
1
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed i Zoning
This Requ column red by to be of in by
Building Department
d t
Lot Size �7lr i 1 1
Frontage 1 ° l €
Setbacks Front t____._.i
Side L:l i R: I L:1 B R: ' 1 1
Rear I 1 = i
Building Height"
Bldg. Square Footage % 1 I 1 i 3
Open Space Footage %
(Lot area minus bldg & paved i I = I I ° !
parking)
# of Parking Spaces
Fill: i
(volume & Location) I 1
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 Page and /or Document # }
B. Does the site contain a brook, body of water or wetlands? NO V DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location: j
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO g
IF YES, describe size, type and location:
E. WiII the construction activity disturb (clearing, gradin• ex - vation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton :: ®* 7
Building Department
212 Main Street e
Room 100
Northampton, MA 0106 $
0 -.,.
phone 413 -1240 Fax 413 - 587- 1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION f -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
CS � , �}, '� �� Map Lot Unit
, � Zone Over lay Dlstrrct
` Slt District DB District
SECTION 2 -PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: -7-�
Q .) t Il� t c3 V A) Lc 1 f � r= L-42- !,�d � i'� �}_ r N ..
Name (Prin Current Mai ing dyes
• .. r.ra�� Telephone
2.2 Authorized Agent:
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3 - •ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building 63(2:)
(a) Building Permit Fee
2. Electrical Q- (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) Sc21 ? � C) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File # BP- 2010 -1123
APPLICANT /CONTACT PERSON DWIGHT WILLIAM & ALIDA LEWIS
ADDRESS/PHONE 39 MYRTLE ST NORTHAMPTON (413) 262 -6710 0
PROPERTY LOCATION 39 MYRTLE ST
MAP 24D PARCEL 167 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 0240)' J�.1 �—
Fee Paid 9�d`c)
Tvpeof Construction: CONSTRUCT LEAN TO SHED 12 X 7
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
INF5 RMATION PRESENTED: P �3� ( �,I i �(J t\',
A pproved Additional permits required (see below) -L' ,� �
He►�"` sET
PLANNING BOARD PERMIT REQUIRED UNDER: § `2
put K 1
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan A`5
Major Project: Site Plan AND /OR Special Permit With Site Plan 9 110
GAW
ZONING BOARD PERMIT REQUIRED UNDER: § K
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
4 14—eitj
6 is l
Signa re 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.
_ x
39 MYRTLE ST BP- 2010 -1123
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24D - 167 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 -1123
Project # JS- 2010- 001647
Est. Cost: $2300.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 6882.48 Owner: DWIGHT WILLIAM & ALIDA LEWIS
Zoning: URC(100)/ Applicant: DWIGHT WILLIAM & ALIDA LEWIS
AT: 39 MYRTLE ST
Applicant Address: Phone: Insurance:
39 MYRTLE ST (413) 262 -6710 O
NORTHAMPTONMA01060 ISSUED ON :6/10/2010 0 :00 :00
TO PERFORM THE FOLLOWING WORK :CONSTRUCT LEAN TO SHED 12 X 7
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: QK ct_ /d CjYli
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
64/4: /an 4oti
Certificate of Occupanc / Sienature:
FeeType: Date Pa d: Amount:
Building 6/10/2010 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo