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31A-314 Northampton, MA Property Detail Page 2 of 2 Vacant /Dwell /Oby Status: Dwelling Frame Garage Additional Features: Wood Deck Brick Trim: 0 X 0 Open Frame Porch Stone Trim: 0 X 0 One Story Frame Remodeling Data: Wood Deck Year Remodeled: 0 Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type Feet Value no Prime information Site 8, 160 240,230 Type Qty Year Size 1 Size2 Grd no information Acreage Type Street /Road Type Acres Value no no information information Sales Info Permit Info Date Type I Price Validity Date Permit # Price Purpos 04/01/1992 Bldg+ 242,500 0 no information http : / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =3 A -314 -001 &page... 12/2/2009 Northampton, MA Property Detail Page 1 of 2 City of Northalnpton, MA: Residential Property Record Ca New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 31A -314 -001 Zoning: Assessmen Location: 135 VERNON ST Neigborhood: 11 Land: #Living Units: 1 Deed Book: 3930 Building: Class: R -101 Deed Page: 125 Total: Dwelling Information Building Sketch Style: Col /Gam Year Built: 1941 Story Height: 2 Attic: None Basement: Full Total Rooms: 9 18 Bedrooms: 5 B s Full Baths: 2 14 14 14 Half Baths: 1 f2_E' 1 46 18 Exterior Walls: Frame 5 [2 4 .. 17 e 34 e Unfinished Area: 0 18 Ground Floor Area: 1200 2 14 16 41 2Fr /B Total Living Area: 2424 i zoo 26 15 FG 1 s Finished Basement Living 17 0X0 3 Mil Area: 34 4 11 Basement Recreation Area: 0 X 390 Woodburning Fireplace Stacks /Openings: 1 / 2 /)) f O Metal Fireplace / 0 a0� Stacks /Openings: b Heat /Central A /C: Central a- L' Air Heating System: Warm Addition Information: Air Fuel Type: Oil Quality Grade: B Physical Condition: Good , Lower 1st Story 2nd Story 3rd Interior /Exterior: Same Basement One Story Frame One Story Frame Condition /Desirability/Utility: GD Wood Deck (Frame Bay I http : / /www. northamptonassessor. us/ noho /propertydetail.php ?map_no =31 A- 314 -001 &page... 12/2/2009 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 proces 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 conjunction_ the builrpermitissued,_ 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 I, understand the above. (Hom : , wner /resident's si ure requesting exemption) I will call o schedule all require, • ilding inspections necessary for the building permit issued to me. I Z Z 07 Address of work , / location / � � V Er J; A rivic) /1a •• • The Commonwealth of Massachusetts .....60.... Department of Industrial Accidents a _:� - f Office of Investigations t ®1= 600 Washington Street . — Boston, MA 02111 te .. ,;, s www.mass govidia • -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organizati on/lndividuaI): .1: `, rAC C®/ Address: 2...- 2-, E. ?L. w ' City /State /Zip: 1.I-I -S7 141 / 4 "" D/1 02-Phone. #: 3 2 374 1657 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 6. 0 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. ❑ Remodelin g ship and have . no er loyees These sub - contractors have 8. 0 Demolition for me in any capacity. employees and have workers' working p D'• # 9. Q Building addition [No workers' comp. insurance comp..mnsurance... required] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions cars ha &tr ._their 0 pig,' g repairs 3. ❑ I am -a- homeowner- doing-all wer-k 11.. to ; airs 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. El 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. 1 Contractors that check this box must arrarhed 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: 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 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 firP of up to 5250.00 a day against the violator: a advised that a copy of this statement may be forwarded to the Office of Investieations of the DL& for insurance coverage verification I do hereby ce fy under the pains and penalties of p. erjury that the information provided above _is_true_audcorrect _. Signature: 1'441 / i - i 1A Date. (Z 0 ' 0 Phone # : C '> 37-f- " J la i 1 1 F � Official use only. Do not write in this amen, tobe eompkied by city or town officiaL City or Town: Permit/License # Issuing Authority (circle ®ne): I. Board of Health 2 Buihii Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbina Inspector 6. Other ,- Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : - - - -- L- ieenee Numbcr Address Expiration Date Signature Telephone 0.. Registerdd .Home;IrhprouementCantr _ .: , 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 ❑ No ❑ The_curtent_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 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 o amp on • r @ tnances a no - s-General =L- aws- Annotated. - Homeowner Signature i • SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) i New House ❑ Addition ❑ Replacement Windows Alteration(s) 0 Roofing 0 Ur Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [(l Siding [D] Other [D] Brief D scription Work: Rqi -A-c6 Proposed s n�6 Deu:� rpm ti- �o 1 MD �oRi R p; rn>'e f- Cl z Tai L Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes x No Plans Attached Roll - Sheet 6a ff New °house end oeaddition.ta existing housinch complete the fo[fo* .iriq: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? 'G5 ,}' � I d. Proposed Square footage of new construction. `f d' 7 4 Dimensions e. Number of stories? i4 f. Method of heating? _ NA jj (j Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. NM Masscheck Energy Compliance form attached? h. Type of construction NA/1)0D i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes X 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 I, t "`" • 1,•1/4-1 as Owner of the subject property hereby . f rize _ AS to act • ;• , in al . � , • - _ ; . - -rized by this building permit application. Signa IF of Owner 4 Date I. A 1 C ` I, ���� `°(v' i��iv� , a•utharized 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. p, i A Mr Print N me Sign ure of Owner/Agent Date t . J b 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 Frontage Setbacks Front 30'l Side L. ___ _ R.'_,_," __.. L:, R: Rear _,- Building Height Bldg. Square Footage % & Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES IF YES, date issued:1 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW �'l:` YES 0 IF YES: enter Book ' Page! and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ;I' 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 NO ? l IF YES, describe size, type and location: D. there any proposed ch intended for t the property ? YES 0 NO 1 " / 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 i < IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • • City of Northampton S egnr ,,�' �°' k Budding Department Cu , yy�ef 4, 212 Main Street �e� t i e V 0 _ A Room 100 I�C/� -,:,':.=.',":',i., it a •11 isa •• 1I 1 06.0.__ Fa ` o a v " `�S g C TjC ptirone 413- 587 -1240 Fax 413- 587 -1272 tei '� , i {the ec t" ; ; i J APPLICATION TO CON.STRVCZ.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: /� ltM� Sr Map Lot Unit Ni bRr� r 1F W n V t P i O f M Zone Overlay District EIm.St?District CB District SECTION 2 PROPERTY , it ERSHIP /AUTHOR _ ED AGENT 2.1 Owner of Record: , Name (Prin Current Ma Address: c...,_ I _ Telephone Signature 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 1 / b l o©() (a) Building 'Permit Fee 2. Electrical (b Estimated Total Cost of Construction from (6) 3. Plumbing Build Perm Fee 4. Mechanical (HVAC) • 5. Fire Protection - « 6. Total= P) (1 + 2 + 3 + 4 + 5) Check Number V This Section For Officlal Use O Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date . , File # BP -2010 -0574 APPLICANT /CONTACT PERSON WEITZMAN PETER & DIANE E TRAVI 14111-4(' ADDRESS /PHONE 135 VERNON ST NORTHAMPTON ? &4tir' PROPERTY LOCATION 135 VERNON ST MAP 31A PARCEL 314 001 ZONE URA(100) / /WP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid 6 0 y �_ _ Fypeof Construction: REPLACE DECK AT FAMILY ROOM & ADD DECK TO DINING ROOM 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 Ft LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF'o' 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 - . Signature of Building e ficial 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. c �r - 135 VERNON ST P 1414 ( �E1 ee BP-2010-0574 GiS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31A - 314 " CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2010 -0574 Project # JS- 2010 - 000804 Est. Cost: $16000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 8145.72 Owner: WEITZMAN PETER & DIANE E TRAVI Zoning: URA(100) / /WP Applicant: WEITZMAN PETER & DIANE E TRAVI AT: 135 VERNON ST Applicant Address: Phone: Insurance: 135 VERNON ST NORTHAMPTONMAO1060 ISSUED ON :12/8/2009 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE DECK AT FAMILY ROOM & ADD DECK TO DINING ROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector l fnderground: 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 12/8/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo