30B-065 (2) Northampton, MA Property Detail
Land Data Outbuilding Info
Square Foot Type
Utilities •
Type F Qt Value
no
Prime information
Site 6,000 101,200 Type Qty T e t Year Size 1 Size2 Grd Cond
RS2 1 1990 7 9 C A
Acreage Type
Street /Road
Type Acres Value
no
no infoiniation
information
Sales Info Permit Info
Date Permit # Price Purpose
Date Type Price Validity 04/07/2006 1000 4,000 REPLC SHED W/
11/01/2010 Land + Bldg 186,000 0 0 "ECK,REFRAME"
03/01/2006 Land + Bldg 175,000 0 0 "KIT WALL,NEW"
0 WINDOWS
04/03/2006 969 910 SHED OFF
Northampton, MA Property Detail
City €_ ha n # to TA :A: Residential Fi otte i t \` Record Card
New Search Property Type Classification Code Reference Card 1 of 1
Parcel - Location - Zoning - Assessment
Map -Block -Lot: 30B 065 - 001 Zoning: Assessment:
Location: 284 RIVERSIDE DR Neigborhood: 6 Land: 101,200
#Living Units: 1 Deed Book: 10357 Building: 74,400
Class: R - 101 Deed Page: 20 Total: 175,600
Dwelling Information • Building Sketch .
Style: Conventional
Year Built: 1850
Story Height: 1.5 _________
Attic: None (
J
r(f
Basement: Part i \
Total Rooms: 7 - Descriptor /Area
14 A.:1.5Fr /B
Bedrooms: 4 / 598 sgft
Full Baths: 1 1 Fr A B:oFP
1$ 13 - 126 sit
Half Baths: 0 i 2
g � • C:1Fr
Exterior Walls: Asbestos /d E5 tigft
14 D:1 Fr
Unfinished Area: 0 5 23 252 sgft
Ground Floor Area: 598 y Fr
Total Living Area: 1364 t5
Finished Basement Living 0 X 0 5 26 t_� B 26
Area: (59s0
Basement Recreation Area: 0 X 0
Woodburning Fireplace 0 / 0
Stacks /Openings: 23
21
Metal Fireplace 0/ 0 6 B 6
Stacks /Openings:
Heat /Central A/C: Basic
Heating System: Stream
Fuel Type: Oil
Quality Grade: C-
Physical Condition: Average
Interior /Exterior: Same
Condition/Desirability /Utility: FR Addition Information:
Vacant /Dwell /Oby Status: Dwelling
Additional Features: Lower 1st Story 2nd Story 3rd Story Area
Brick Trim: 0 X 0
Stone Trim: 0 X 0 Basement One Story Frame Half Story Frame 598
Open Frame Porch 126
Remodeling Data: One Story Frame 65
Year Remodeled: 0
Kitchen Remodeled (Y/N): One Story Frame 252
Bath Remodeled (Y/N): Yes
11111
I
() MUM
r____„__49
2' I c<v t,f`i.o,c /2/ v .,
I-1 0 0 5.--e____--, ____________ 1
, pc4/,
\ ,---1 A ,i,
\'.) A
42 l ej ' $ C" ? ,. 1114 Z`s*)4- _Alii ' . .
: 0 1
lb'
r0QJe s
1 t i._. r) 54 0 ecic k: : a L6'
____ - - - - -- __r....
2)4e-1 ,,,, if.-ii it,/,)-4 _s-r,..i.043.
k , i 6 ( ,..___,------_________9
UJ
09 E
C90
00
4 \\.,
-.,--'.- P h ,
x.
0
,... .. �� 0 9 �'�. V9080 ..., . .-
X , I.\ QiL \\,, 0 0
Li u
It/ y �' ,.
� '.
atke
8 � � „„
C 0 9 ..... , ,„
,,„,,,.,,,, , ..„,..,
g -4 '09
. ,,, 6
'I
00 .
- g, - ,,..' - ;
OC
7
.,,
,,,.
7(
0� 9909
9 09
00
t
”,
Stephen Camp Construction
46 East St.
Easthampton, Ma 01027
(413)527 -7124
Submitted To ; Brandt Passalacqua Phone- 91 7- 374 -8801
Address : 284 Riverside Drive Date - 6 -5 -12
Florence, Ma 01062
We hereby submit this estimate for - Deck
I will build a 16'x 16' deck in the back of the house.
Concrete will be poured in sauna tubes as needed.
Pressure treated lumber will be used for the whole project.
There will be a set of stairs to the ground.
I will build the railings with spindles on all sides.
Trash removal and building permit are included in my price.
Price for materials = $ 2350.00
Price for labor = $ 3130.00
Total Cost = $ 5480.00 50% to start / balance upon completion
Contractor Supervisors License number 082531
Home Improvement contractor Registration number 135204
I propose to supply materials and labor -in accordance with above specifications.
This proposal may be withdrawn f
By us if not accepted within 30 days Authorized Signature 1,, / 41
Acceptance of proposal Signature
City of Northampton
Massachusetts ' ��;,
ec :
1 ul ,t
at# t ' ry" DEPARTMENT OF BUILDING INSPECTI
212 Main Street • Municipal Building
Northampton, MA 01060 s0*
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
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 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
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
•
The Commonwealth of Massachusetts
Department of Industrial Accidents
t"t
• - Office of Investigations
600 Washington Street
0, IRMA* = �: Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business / Organization/Individual): 51 (4
Address:
City /State /Zip: 5 �JL .J y 0 /O27 Phone #: X2? - ?/2"
Are you an employer? Check the appropriate box:
Y Type of project (required):
1. I am a employer with _3 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub - contractors 6. ❑ New construction
2. El I am a sole proprietor or partner- listed on the attached sheet. 7. 126 Remodeling
These sub - contractors have
ship and have no employees 8. El Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. n We are a corporation and its 10.❑ 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 12.0 Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other /9r
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 - 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: (" vc'k/ �J A90 ,12.0 ,12.0 / I? $ v / /�e f
Policy # or Self -ins. Lic. #: $fU G .75 / 1 3 Expiration Date: 4-
Job Job Site Address: 2-4/ / /vC /S/r2 -e Pe"p✓✓`C City /State /Zip: , /o/r4.4 e /'1 6t e2 G 2
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.
Ido hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Si. ature: �'� ../e°9* Date: ( ' /
Phone #:
Official use only. Do not write 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 #:
S ECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: � �] Not Applicable 3 ❑
pe
Name of License Holder : ✓ v V is ""'� ( ' 0e.2 5! /
License Number
I 23 -
Address Expiration Date
5 ? - 2/
ignature Telephone
ere; o xre m ® rove men" .antra o ¢ . _' � Not Applicable ❑
CAM Ps 60 s 6/(--4iLJ /f20,
Company Name Registration Number
S 74— S �� 1 ./ ' /Y
Address Expiration Date
Telephone 5 2/
SECTION 10- WORKERS'. COMPENSATION INSURANCE AFFIDAVIT (M G L cA52, §25C(6)) ;9
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 Ar. 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 -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
•
r
W
S E CTION? 5- D ES C R I P T ION O PROP WORK (ch applicable) e
�; •1
New House ❑] Addition ❑ Replacement Windows Alteration(s) n Roofing n
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks Ijkn Siding [D] Other [D]
Brief Description of Proposed
Work: Add i4 /6 • A/1‘ ' 6 .PL L C 7 A A, e76c. /7 3c
Alteration of existing bedroom Yes X No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
` use an i ddltfon to iiiiiihq 'oiliiiiii 3n aiiiii e het otlawfri; :
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' 7a OWNERAUTHORIZATION ::,:x0:15:, E COMPLETED WHEN r a r
OWNERS AG CONTRACTOR APPLIES FOR BUILDIN PERMIT 4 4
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
L. ( ✓t-1,
I , as Owne • uthorized
Agent hereby de are that the statements and information on the foregoing application are true and accurate, to the best : =-- ewledge
and belief.
Signed_ under_ the pains and penalties of perjury.
Print Name e '
Signs ure of Owner!' •ent / Date -- •
I, `
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
a
Existing Proposed Required by'Loning.. ;" -
This column to be filled in by ! ,
Building Department
Lot Size 1 i i
1 1 1
Frontage I !
Setbacks Front -- = i
Side L:' I R:''. I L:l i R:1 i
Rear = 1 l
Building Height I 1 = 1
Bldg. Square Footage 1---1 1 1 % 1-1
Open Space Footage %
(Lot area minus bldg & paved r I I I I
parking)
# of Parking Spaces
Fill: — ___ . _. .
(volume & Location) I �?
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:: I
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book I Page # and /or Document # j
B. Does the site contain a brook, body of water or wetlands? NO 0 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 ,Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: I 1
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 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.
r J
" i : City of NNlo;thampton , ,
Building Department m .
212 Main Street - � 0 = e �r��ap � � � ` � �.°� m feat 3$ V Room 100 = r
c j oN • rthampton, MA 01060 e d - , x �` i
\ v„,..
6 � • ■ e413- 587 -1240 Fax 413- 587 -1272 ; + Y � �� �,,
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE.INFORMATION .
, t.' i -. This section to be. omple b
ted y office ; `t
. * -
1.1 Property Address: . • .
y
2$>' /' g �:. A "� ASP "^ ,�''
�� i s
"
�^ "
One • •� .� ; � Overlay; District >
✓ �✓ .✓ C./4 e ";f ,.:"`fir: b s £��' iiA i ;x� �§ a��sT,�S° �`'� r n y u y w ,„>"�",''e�`
_ Sit. Dls'trt ct` i. n ., . -, .. i "CB `Distr Cty 3.`. _ = •
SE CTION PROPERTY OWNERSHIP /AUTHORIZED AGENT
Y ; tip, .cI -cV;'
2.1 Owner of Record:
OV(ten Asskleic43 v./ 2c(y n u/..‘..1 ti,‘ ,v
Name (Print) Current Mailing Address:
Telephone J / 2 3 , G"..- g9p/
Signature
2.2 Authorized Agent:
S i eeLvo eA.(i /..‘. e f
Name (Print) 401 / Current Mailing Address: e // 7:7
. ,, 2 7- 2/2j s, n �/ yiJ )-- y '
Signature �� Telephone
SECTION 3 -.ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
t i
1. Building Ir 5- ,�� , cv `(a) Building Permit Fee
ddff
2. Electrical (b) Estimated Total Cost of.
Construction from .(6)
3. Plumbing Building Permit Fee w°.
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 4 ijg'O. Oa Check Number V o F . '.
This Section For Official 'Use Only -
Date
Building Permit Number ' - „ Issued
Signature:
Building Commissioner /Inspector of Buildings Date
F
File # BP- 2012 -1102
APPLICANT /CONTACT PERSON STEPHEN CAMP
ADDRESS/PHONE 46 EAST ST EASTHAMPTON (413) 527 -7124 ()
PROPERTY LOCATION 284 RIVERSIDE DR
MAP 30B PARCEL 065 001 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 07 1,7 0 1 �—
Typeof Construction: CONSTRUCT 16 X 16 DECK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 082531
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IN Off' ( MATION 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
6// Y I ._
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.
284 RIVERSIDE DR BP- 2012 -1102
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30B - 065 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Deck BUILDING PERMIT
Permit # BP- 2012 -1102
Project # JS- 2012- 001889
Est. Cost: $5480.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: STEPHEN CAMP 082531
Lot Size(sq. ft.): 6011.28 Owner: PASSALACQUA BRANDT
Zoning: URB(100)/ Applicant: STEPHEN CAMP
AT: 284 RIVERSIDE DR
Applicant Address: Phone: Insurance:
46 EAST ST (413) 527 -7124 () WC
EASTHAMPTONMA01027 ISSUED ON: 6/14/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: CONSTRUCT 16 X 16 DECK
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 6/14/2012 0:00:00 $55.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner