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CLARK DAVID CLARK 16 SHEFIELD LANE FLORENCE, MA 01062 4- Update Address and return card. Mark reason for change. SCA 1 w 20M -0 /11 ❑ Address 0 Renewal ❑ Employment ❑ Lost Card Office of Consumer Affairs & Business Regulation License or registration valid for individul use only - ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: t=.TlBr � Office of Consumer Affairs and Business Reg ulation f = e gistration: 1 43023 Type: xpiration: 6/912014 Individual 10 Park Plaza - Suite 5170 z Boston, MA 02116 DAVID M. CLARK DAVID CLARK 16 SHEFIELD LANE g�P� FLORENCE, MA 01062 Undersecretary ��� rY N t va rd withou nature 4 NIdssdchusett. - Department of Public safety I * Board of Building Regulations and Standards Construction Supervisor License License: CS 635 , 410 , DAVID M CLARK 16 SHEFFIELD LANE \ , FLORENCE, MA 01062 �"� - Expiration: 11/6/2012 t onmii.,iuncr Tr #: 5207 -NOTE- THIS PLAT IS COMPILED 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 NOTE: Z SUBJECT TO EASEMENTS AND Q RIGHTS OF WAYS OF RECORD. 70 --{ Z 1 e 1 Se7 - 13Rc -K la-p 295.21'f ■ i v,. - # shed 106 1 - -.... Bl 0, PAGE 92 ., CI D ST D�cl<5 P 67, PG. 28 r �+ 73 LiSrip LT 1+ r rov, 1.11 fi 305.11 t 4 1 5eT04C1( F RopSCD `otti x '33. n llac - 0 II -I X n r - "I TO: 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 WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 —NOTE — SURVEYOR ✓�-8.-s 7. ._j THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY r S .0 of kiss MORTGAGE LOAN INSPECTION PLAT — NORTHAMPTON, MASSACHUSETTS � RANE ALL yG PREPARED FOR y IZ 0 DAVID M. & KATHLEEN M. CLARK 32 CALE: 1"=60' MARCH 27, 2012 94'0 SU I ) HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADLEY — MASSACHUSETTS Northampton, MA Property Detail Page 1 of 2 City of Northampton, MA: Residential Property .Record Card I New Search Property Type Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 17C- 017 -001 Zoning: Assessment: Location: 106 NORTH MAPLE ST Neigborhood: 5 Land: 139,300 #Living Units: 2 Deed Book: 5420 Building: 164,100 Class: R -104 Deed Page: 92 Total: 303,400 Dwelling Information Building Sketch Style: Conventional Year Built: 1900 Story Height: 2 Attic: None Basement: Full 16 Descriotor/Area A 2Fr /B Total Rooms: 10 1152 sgft Bedrooms: 4 16 Wood Deck B:OFP 132 sgft Full Baths: 2 C:OFP Half Baths: 0 30 60 sgft D :1Fr Exterior Walls: Alum /Vinyl 8 60 sgft Unfinished Area: 0 2Fr /B t6 18 E:21 sqft sgft Ground Floor Area: 1152 F: Wood Deck Total Living Area: 2385 24 1,1 256 sgfr Y1 Finished Basement Living 5 0 5 5 P 5 28 Area: 0X0 3 18 Basement Recreation Area: 0 X 0 3 Woodburning Fireplace 0 / 0 24 Stacks /Openings: 6 ? e 6 Metal Fireplace 2'2 Stacks /Openings: 0 / 0 Heat/Central A /C: Basic Heating System: Stream Fuel Type: Gas Quality Grade: C+ Addition Information: Physical Condition: Good Interior/Exterior: Same Condition/Desirability /Utility: AV Vacant/DwelUOby Status: Dwelling Lower 1st Story 2nd Story 3rd Story Areal Additional Features: BasementliOne Story Frame '.One Story Frame' 1111521 Brick Trim: 0 X 0 Open Frame Porch 11 11 1321 'Open Frame Porch 11 11 60 Stone Trim: 0 X 0 One Story Frame I ' 60 Remodeling Data: ' 1 Frame Bay I ' 21 Year Remodeled: 2008 'Wood Deck 1 1 256 Kitchen Remodeled (Y/N): Yes Bath Remodeled (Y/N): Yes Land Data Outbuilding Info http: / /www.northamptonassessor.us/ noho /propertydetail.php ?map_no =17C -017 -001 &pagec... 2/2/2012 t i 1 i " rrs .; • • r $ d +�k n r 1. ..2 , ,. r. q 6 f • :; a IN f ir d i 4_ s I ^4M ,1 n �4 1f () 4 !V t� 7� j ! _. '3 ,gyp f � t 4 ' -'',.Y,',' . z 4P' '4 • ,-,�, , ,4 £ . :r ,•["�» '° Y :r.: ,, rI A A4 r , 4 ;:. ■ ■ . .4 4 / t f 1+ \ 4.4 1 r t .-.• , q e�' i + k r ? u , « 4 rh 4Rk I t Y `"', '^^P ' '' ( , r 4 1t '''''':'''''::!,''1,1'1':'• " x y t } i 'Y tt a �lrwr, ei m. a ,o f s Y tr a* ° " +f" p a t + '44N4,. �` °"+ ' r ''�1 ` r }, � g >x « ' i t 1 v t �� � � ii " 1 i q ` � c ' ', , , t t : 4 C i t { I ' 'd y 1 ai �'''''Q i SRJNF �' ( r d ,,,r U y � Ny £ .�$$ 7' 'i a ,k CM1 "} t -G i t r ; F ti y City of Northampton a� 'o b ? Massa cl ;usetts DEPARTMENT OF BUILDING INSPECTIONS r d 212 Main Street • Municipal Building Northampton, MA 01060 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 1 e/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 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 Address of work location • The Commonwealth of Massachusetts Li! - Department of Industrial Accidents Office of Investigations 4 ; 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 0 pt(,) t 0 4-1. Address: i S + £ ic- sEi t-b LISJ City /State /Zip: fit.- 0 (0 6 2-. Phone #: 4 t'3 5 1 4 3 41 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 * have hired the sub - contractors 6. ® New construction employees (full and/or part- time). AEcI\t 2. ® I am a sole proprietor or partner - • listed on the attached sheet. 7. ❑ Remodeling OAR FttlE ship and have no employees These sub - contractors have 8. ❑ Demolition 1 r`T working for me in any capacity. employees and have workers''? Pr`' i ZD g Y p t3' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t Dm , required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions I am a homeowner doing all work officers have exercised their 11. ❑ 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 11.1 employees. [No workers' 13. ❑ 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. 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. Iam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. trA 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ,. t - ' • ' , nalties of perjury that the information provided above is true and correct. Signature: t Date: a .:.: z. .� Phone #: G ?' ir' ` . Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: • J 4 t ' �6� 01 .41qi£ s s . 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : D 4 V 1 0 C i-1°r 1L it C S 4=3 5 License Number kp el € - > ` (Et- L A- zV r_ Address F LO mr, Vie.)r =te raw; o o it; Expiration Date c - ( 2- .na - Telephone L °3 Not Applicable ❑ 4ctv p cc 44•-t( 1 4 "3 7.. 3 Company Name Registration Number (L S4eFFIE LI' , Address Expiration Date L� (L - Telephone 5 /qt. 't 17 T O * l ' OIIII ... e Alrt-$C11 { ro 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 ❑ I%) ; A °.�,�..`,� Pa �, fit �e� yS �'F_ °' `i•'`�P1�` @i 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 1083.5.1. 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 ter the $ uilding 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 J CC nn � +. �„. �, .� SEtrTION "DESCRIRT ®Ksb i'ROPOSEDI O IC hec� It a o f bi � A. R� h i W 5fi y �E m ag t3 M ' 4 � � a i ,„ s sa e E � t , 3 s s s 4," ;§ a� ., `. ,. New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing n Or Doors El Accessory Bldg. © Demolition ❑ New Signs [D] Decks [p Siding [D] Other [CO Brief Description of Proposed ' y L. D M � °7 `' y 4 32 Got A (4.c-c. - TO �} S t $vy�p t iv& , Work: ?O`r B* cctJT(LJ .T :1"4 c-ots e t . - 4 5 3 TNrtr <' pve Its r+CEr�i iio,c Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet � 4ti r� c '.e b.. ..t,. )T .....: fl 1 f [1EI�, F.aArr� -K hA '� R!—} " y? __ _ . ...�. � A 1 � r e � ; A � � � . "' h � i� � r f: a . ® c .J ` w � m e �` 5 � s � aX� A . a. Use of building :Ogle Family Two Family Other m -AA - b. Number of rooms teach family unit: Number of Bathrooms N .4 kCff Eta c. Is there a garage ached? d. Proposed Square '•otage of new construction. Dimensions e. Number of stories f. Method of heating Fireplaces or Woodstoves Number of each ' g. Energy Conservati.n Compliance. Masscheck Energy Compliance form attached? h. Type of constructs • n i. Is construction wit in 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 confo to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply fO - 6' z ({ a a 5044 � � t A l a 44 Ett ' �E O 1El 1 ® �1i S 0 1 ° : x 4 1N sP r ' �' +.mcv rt.. . :... .._,. rag I, ° A O t D 1.... A ,a, j.< , as Owner of the subject property hereby authorize b d ' i D C_ t.. .. t . �= to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, D A t9 I r, r ,a 2K. , 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 and penalties of perjury. C) Pt v 0 C 4 ft i �. Print Name Signature of Owner /Agent Date • . , a )4Rttr-4-: . Section 4. ZONING Ali 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 1 4 1 Frontage 1 ? 4' 25 l I I i Setbacks Front ( 4 MEM t l 1 Side L:I 4 R: 1 L:1 ?r 1 R:I 2 .8 1 1 1 1 1 ?1 z 4 CAE Rear - 768 Building Height 2 1 105 FiTri (5 `f — 1 4 ,(i$Tlrtc^ }i Bld Square Footage I ( 1 % 1 7 6s 1 1 1 4 Open Space Footage . . _ % —__ e iNE- ETC- , € ! — (Lot area minus bldg & paved f c ( 7 $ ° /� 1 t 3606 4 ' parking) i 1, Y14/ SF 16. (6 s[; 1_ 2 2J"/ - C.V.fr 44 ta- _ # of Parking Spaces 1 1 y )oF ARN pgDt �a„t,2r.G-e- Lsov JD Cav- e.Fte -D Fill: pc{ MA 1-V bt ire - .-._...._.._.._.....� s (volume 84 Location) c. C toCS J ° PC: MS I-fi6 GAAVCL. win in ime` Prk&P44)EA A. Has a Special Permit /Variance /Finding ever been issued for /on the site? C5 a+%.1/e - NO 4 DONT KNOW ® YES ® L H+M1u e uwQ, Wi t- IF YES, date issued: t,eocT 75 c s e. IF Y : Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page and /or Document if B. Does the site contain a brook, body of water or wetlands? NO 1j DONT KNOW 0 YES IF YES, has ha5yArii.it. been or need to be obtained from the Conservation Commission? Needs be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES ® NO 1 IF YES, describe size, type and location: ```"' `�" D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 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 0 NO " IF YES, then a Northampton Storm Water Management Permit from the DPW is required. File # BP- 2013 -0392 f,-R, APPLICANT /CONTACT PERSON DAVID CLARK • c ADDRESS /PHONE 16 SHEFFIELD LN FLORENCE (413) 586 -4347 .?6►O i N J PROPERTY LOCATION 106 NORTH MAPLE ST MAP 17C PARCEL 017 001 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 % i D Fee Paid / 53 - (ICJ Typeof Construction: CONSTRUCT 24 X 32 DET GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 000635 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION 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 Demolif . 1 - lay /y. S of B - ding i fficial 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. 106 NORTH MAPLE ST BP- 2013 -0392 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C - 017 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: GARAGE BUILDING PERMIT Permit # BP- 2013 -0392 Project # JS- 2013- 000632 Est. Cost: $8200.00 Fee: $153.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DAVID CLARK 000635 Lot Size(sq. ft.): 22302.72 Owner: CLARK DAVID M & KATHLEEN MARIE Zoning: URB(100)/ Applicant: DAVID CLARK AT: 106 NORTH MAPLE ST Applicant Address: Phone: Insurance: 16 SHEFFIELD LN (413) 586 -4347 FLORENCEMA01062 ISSUED ON:10/22/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24 X 32 DET GARAGE 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 10/22/2012 0:00:00 $153.60 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner