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32C-316 Northampton, MA Property Detail Page 2 of 2 Brick Trim: 0 X 0 Basement One Story Frame One Story L Stone Trim: 0 X 0 Frame A Enclosed Frame Remodeling Data: Porch Year Remodeled: 2007 Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type S Q Value no Prime information Site 6,900 120,320 Type Qty Year Size 1 Size2 IGrd RG1 1 1982 1 528 C Acreage Type Street /Road Type Acres Value no no information information Sales Info Permit Info Date Type Price Validity 08/29/2008 Land + Bldg 242,000 0 Date Permit # Price Purp 04/11/2008 Land + Bldg 25,000 A 02/26/2007 811 2,000 NEW WIT 12/19/2006 Land + Bldg 180,000 0 http : / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =3 -3 -001 &pag... 10/19/2009 Northampton, MA Property Detail Page 1 of 2 City Of Northampton, MA: Residential Property Record C New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 32C- 316 -001 Zoning: Assessr Location: 40 HENRY ST Neigborhood: 16 Land: #Living Units: 1 Deed Book: 8986 Buildi Class: R -101 Deed Page: 103 Total: Dwelling Information Building Sketch Style: Conventional Year Built: 1900 Story Height: 2 Attic: Unfin Basement: Full Total Rooms: 6 27 Bedrooms: 3 4 8 23 Full Baths: 1 23 Half Baths: 0 - Exterior Walls: Frame 20 Unfinished Area: 0 16 16 Ground Floor Area: 704 Total Living Area: 1408 28 UA! i F`f e 4 Finished Basement Living 5 , Area: 0 X 0 Basement Recreation Area: 0 X 0 7 1 Woodburning Fireplace 0 / 0 Stacks /Openings: 28 M etal Fireplace 0/0 1 Stacks /Openings: - V . Heat /Central A /C: Basic i V Heating System: Stream Fuel Type: Oil Quality Grade: C- Physical Condition: Average Addition Information: Interior /Exterior: Same Condition/Desirability /Utility: AV Vacant /Dwell /Oby Status: Dwelling Lower 1st Story 2nd Story Additional Features: I 11 11 if http:// www. northamptonassessor. us /noho /propertydetail.php ?map_no =32C- 3 16 -001 &pag... 10/19/2009 1.1P 32C- 282 51.5 59 32C-283 123.30 1 48:5 726 — 53 2 32C 284 - _ � ���`' 74 165 00 � ` 156 120.1. 3t 32C -285 r 320-2 6 1 48.. 147 ' rises —' 32C-2 fiD '8 48.5 rt5 ?`. 7 51.7 Q f; ; 116 iia 32-'3 �: ::.,, ", X2_:2 z -_ -- 65 9 , 16 t 1181 55 5 I /40 N _.. _ 3 2 3 t ;ma p 3 , nr, l .its - 121 2'ir. 54.2 83 3110 109.75 602 320-31 )032.130 212 2C -3 2 �c _ � 2 32 , = 320 -332 - � 85 2 c�' 60 106.5 60.2 56 �� 239 s.- + 38.5 . 91 32C-303 35 32C-310 15s 62 60 "9725 6'..3/.4/1/ 3.4 108 _ 85.5 32(x3 $ s / ` 2 / 342 `^' Sa .)L( -304 70.72 32c-33 j 60 151.46 / <32C-305 171.5 167.8 � :7 y 63.4 .71 :.: . (I+ 66 _... - - - - 32C-309 320 -3'� i ( • 32C -303 24.62. 225.3 1624 a 134 70 0 __. Xr, 32�3�J8 )4 c easz r. 154.79 8897 -, .4`r •.1 D! _ - - .. arty tine t rnen 376 � ? __ _ ...... Map Sh op number tot number ©�� tuber 'ia: • m a FIEZE�! f.' E 3 �+ . „ E'er zm a+c. z+� zsc 488 32 zoning— � �� ME Q 33 *A" Street _ 75 11:111113111111111:332A 1 8M1 / 3 2 C 135 Q47.6 � mat . 11111111131112.2011 11111111131112.2011 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: 11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 e or is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for usey the Building Department ,_ EXISTING PROPOSED - ; itlW ) Lot Size 5. e r� Frontage O Setbacks Front Side L: R: L: R: R: Rear Building Height Building Square Footage (_J % Open Space: (lot area eat minus building & paved parking # of Parking Spaces *' # of Loading Docks Fill: (volume & location) 13. Certification: hereby certify that the information contained herei • - - -,g rate to the best of my knowledge. I C Date: f ( C 0 Applicant's Signature NOTE: issuance of a zoning permit does not relieve an ap burden to comply with all Zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W :\Documents\ FORMS\ original \Building - Inspector\Zoning - Permit- Application- passive.doc 8/4/2004 File No. mP16 AI P. . P.9E/VAT ONYOO . Please type or print all information and return this form to the Building Inspector's Office with the $15 filing fee (check or money order) payable to the C ty of Northampton 1. Name of Applicant: aCC∎" Address: [ 0 r Telephone: 413 C: f 2 1 5 5 2. Owner of Property: f ��9:'�(`�✓l ;�/ -_ Address: C '] a f d Telephone: -( t'7 _ ( o Li; 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 4. Job - Location. L ip \ \ 'C'/ 9 sae `s s"w.'°, x n 1. M- a",�a�. te r. :7i.G, p° .. _ " k�= `-" .. 'Yr lc; �! M � � w ..�.�.,_ 4 t ea '�–� *s�y4 r%-g er.. 5. Existing Use of Structure /Property: ' \ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Ca ( i� i ZS'Yvv:v 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Finding ev been issued for /on the site? NU DON'T KNOW \o• YES IF YES, dew Issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book -- --- - - - - -- - - - -- Page -� and /or Document # - - 9.Does the site contain a brook, body of water or wetlands? NO " DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? f Needs to be obtained Obtained , date issued: (Form Continues On Other Side) WADocuments\FORMS\ original \Building- Inspector\Zoning- Permit- Application passive.doc 8/4/2004 File # MP- 2010 -0021 APPLICANT /CONTACT PERSON BEEK DARRIN ADDRESS/PHONE 40 HENRY ST (413) 923 -8155 0 PROPE'�u �� # Y ST THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE (- TONING FO' V FILLED OUT • ee • ail • .— Building Permit Filled out Fee Paid Typeof Construction: ZPA - ROOF OVER LANDING 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 INFO ATION PRESENTED: roved _ 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 Conn ision Permit DPW Storm Water Management /""7— ./2<7, 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 the Office of Planning & Development for more information. CI ) C2'SS -6 al ' ) 6 0.? , I ...-- ,-- / / lok.4 , , ■ i i . 1 I 1111114 till 4 „Ao --i —z5-k\cr , 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 nrocesslequires 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 -------- - - - - pe nits- in- conjunction_to_ the _build.ing.pennitissued,_ 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 VO■rr v ._ .— 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- - - --10 _ . Address of work location qD l r ?/' 1 1� L i\ D Ca 0 The Commonwealth of Massachusetts Department of Industrial Accidents g Wit= Office of Investigations a = _ 600 Washin Street V.6.4 ... Boston, MA 02111 ,;, ' www.mass.gov /dia -Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): • Address: - City /State /Zip: Phone. #: ,_ Are you an employer? Check the appropriate box: Type of project (required): 1 1. D I am a employer with 4.. D I am a general contractor and I 6. ❑New construction. employees (full and/or part- time).* have hired the sub- contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have. - o employees These sub - contractors have. g. 0 Demolition for me in any capacity. employees and have workers' working Y aP ty. 9. 0 Builds' S addition [No workers' comp. insurance c omP-- ;nsuranc e_ required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3. I -am f [No wa. workers' comp. officer hav � and i t s — —1-1,0-Plumbing repairs or additions myself [No right of exemption per MGL 124 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 beiow 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: - 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 fine of up to $ 250.00 a day against the violator. Ile advised that a copy of this statement may forwarded to the Office of Investisations of the DIA for insurance coverage verification • . do hereby cer r - .1 . _ - - , d enaltips o . perjury that the information provided above is_true_andcorrect b 3 ti , .. �Ji P fP 1 ry f P S i a. at tire : � Date; /C . 2 • Phone #: (1 .2 - .2 l� � _ 7 ,___ .33. F - O f f i c i a l u s e o n l y . Do n o t w r i t e i n t h i s . - a r e a , to be completed by city or town offciaL City or Town: Permit/License # Issuing Authority (circle one): • - - I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Ir pector 5. Plumbing Inspector 6. Other 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 9. Reaistered Home:: dniprovement COntracior 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 ❑ ll�, dXll�ie- Cl�rier ;��remptic��: Thecurrentexemption 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. Alco be advictd that with referpnrfetn f'haptPr 15? (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 - - - -- -------- - The undersigned "homeowner" certi • • • assumes • • ility for compliance with the State Building Code, City of — " — " • ;- tts- General-Laws-Annotated. Northam • �`•n• . ". n•�_ Homeowner Signature ' 0,0•00 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ I Replacement Windows Alteration(s) 0 Roofing n Or Doors E Accessory Bldg. ❑ Demolition El 1 New Signs [p] Decks [I] Siding [p] Other [p] Brief Desc f Prop sed ) Work: -ion fl cps -e C T ' Ret, - ® v Alteration of existing bedroom Yes No Adding new bedroom Yes k.." No Attached Narrative Renovating unfinished basement Yes \/ No Plans Attached Roll - Sheet 6a`if New houseeitd`or addition - i existinq hoiaslnp; coriipl to the "follouuinaj: 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 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN , OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 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 1, Lei; r% 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 a • - -nalties o \ perjury. Pnnt N..- -� r,, I' Signature • "finer /Agent �� 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 filled in by Building Department Lot Size ,.._._ a.1_____ __ .,. ___ Frontage . 91 (7 ; _._.._. Setbacks Front Side L. .0 _.__ R.._. _. L: ___, _ R•_ .._.___ ;_5_ Rear _. . 2QM Building Height ,C: 4 Bldg. Square Footage % Open Space Footage /o ° --- „„„ _ (Lot area minus bldg & paved ._ parking) # of Parking Spaces -- Fill: ( (volume & Location) A. Has a Special Permit /Variance /Finding er been issued fo . , the site? NO 0 DONT KNOW YES 4 V IF YES, date issued:(p D� ac> IF YES: Was the permit recorded at the Re • ry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book " Page' and /or Document # ;w B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 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 0 NO tS(' IF YES, describe size, type and location: D. are tfiere any proposed — thariges to of ad of signs intencFed for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb {clearing, grading, exc Lion, 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. U artmen se pnly City of Northampton S tY P tt `�tus of Pei � � 4 Building Department ate ay 1ni# r rt" 212 ain Street s er;;Avatiab>I }t l Room 100 lei �x �' 11 _NoftharngtoYi, MA 01060 Try© e ®f citarl?ar9s ��� �` r �' ~J\ phona4 -1240 Fax 413 - 587 -1272 p fi • -erSpec 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 1-4 r Map Lot Unit 1 1\A l 0 Zone Overlay District Elm'St:District CB District SECTION 2 PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name • = ,/� Cu Maili9 dr s: V ( 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 * 4 O r (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/ 6-5— This Section For C1ffrial Use OW Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP -2010 -0455 APPLICANT /CONTACT PERSON BEEK DARRIN ADDRESS /PHONE 40 HENRY ST NORTHAMPTON (413) 923 -8155 () PROPERTY LOCATION 40 HENRY ST MAP 32C PARCEL 316 001 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 Fee Paid /1 `y' 0 Typeof Construction: CONSTRUCT ROOF OVER LANDING 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 F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF RMATION 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 re/X Signature of Building Offic al 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. :$, ' , BP- 2010 -0455 GIs #: COMMONWEALTH OF MASSACHUSETTS :` 1 .32C 11 6 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catcoory: Non structural interior renovations BUILDING PERMIT Permit # BP- 2010 -0455 Project # JS- 2010 - 000573 Est. Cost: $400.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 6882.48 Owner: BEEK DARRIN Zoning: URC(100)' Applicant: BEEK DARRIN AT: 40 HENRY ST Applicant Address: Phone: Insurance: 40 HENRY ST (413) 923 - 8155 () NORTHAMPTONMA01060 ISSUED ON:10/27/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ROOF OVER LANDING 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 10/27/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo