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43-039 (2) facsimile transmittal .-- ..----- - - - - -� , To Rich Denno Fax: 413.584.0852 From: James Raranowski Date: 10/4/2012 Re: Northampton WSP zoning table Pages: 3 w /cover C Urgent ❑ For review 11 Please comment 0 Please reply 0 Please recycle Notes: Select this text and then delete it or replace with your own. To save changes to this template for future use, choose Save As from the File menu. In the Save as type list, click Document Template. The next time you want to use this template, choose New from the File menu, and then double-click the template. Hi Rich, Attached: Zoning 350 Attachment 1.8, 1.8:1, 1.8.2. Note: 350 Attachment 1.8, 1.8:1 ShOwS: "Single - family dwelling or legal building let In existence (oxcludinn Lug lots, seo below) as otMay 7, 2007, including attached accus:,ury apdxuncnta mcc::ng cx,turcd in 350 -:0.10 Dimensions: Lot size %frontage /Ouoti,: Same as in existoncu en rune 7, 2007, or 80, 000 square feet, whichever is loss Se tbdck3 Front' 20 Side: i5 fo «t Rear 2 20 tee: Maximum height: 33 Lot Open space. 60%" If you continue in the table to 3S0 Attachment 1.8, 1.8:2 snows: Accessory structures: Detached (but no :uri :er than :,000 square Ccut of lot coverage) Sec .,lse S 350 Attached (same setbacks as principa: structure); or • Attdchcd used for workshop, storage, garage, noncommercial purposes only 7in:cn.,ton�: Setback:: front detached: 20 feet Front attached: 40 Yet Side' 4 feet Roar: 4 feet Maximum height: 20 feu: Linkto WSP zoning to Northampton nap; / /www,P_rg� .0 X17. /f10rum en tgg0222fi /N.02.2 35.0iY. 2.0.Wc° /: Q.41.11% ODLCO.r...0 % Srhrc t =y6u Northampton, MA Property Detail http: / /www.northamptonassessor.us/ noho /propertydetai1.php ?map_no =... New Search Property_Tvpe Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map -Block -Lot: 43 - 039 -001 Zoning: Assessment: Location: 72 AUTUMN DR Neigborhood: 3 Land: 81,600 #Living Units: 1 Deed Book: 7460 Building: 136,900 Class: R -101 Deed Page: 169 Total: 218,500 Dwelling Information {Building Sketch Style: Ranch Year Built: 1974 ! Story Height: 1 Attic: None Basement: Full Total Rooms: 6 Descriotor/Area A:1 Fr /B Bedrooms: 2 1092 sqft Full Baths: 1 1 1 1 12 B:21 216 sqft Wood Deck 1Fr Half Baths: 0 — �, f . .rte, C.FBAY {132' 216; B sqft Exterior Walls: Frame Tr ` D:FG Unfinished Area: 0 42 480 sqft E: vv ood Deck Ground Floor Area: 1092 132 sit 1F rfB F: Terrace Total Living Area: 1316 F� 7F , 16 sqft Finished Basement Living 0 X 0 30 td$ 1 Area: Basement Recreation Area: 0 X 0 1 c - 1 F a Woodburning Fireplace , 16 Stacks /Openings: 0 , 0 Metal Fireplace 0 / 0 Stacks /Openings: Heat /Central A /C: Basic Heating System: Electric Fuel Type: Electric Quality Grade: C± Physical Condition: Average Interior /Exterior: Same Addition Information: Condition/Desirability GD Lower 1st Story 12nd Story 3rd Story Area /Utility: Basement One Story Frame r 1092 Vacant /Dwell /Oby Status: Dwelling One Story Frame 216 Additional Features: Frame Bay 8 Brick Trim: 0 X 0 F Frame Garage 480 Stone Trim: 0 X 0 Wood Deck 132 Remodeling Data: Masonary Stoop or Terrace 16 1 of 2 10/27/2012 3:08 PM i i 4 c. c®1 . , 1 I i , . i : • : 1 • , , I ,, .. : : . 301,21 1 1 . . ......„._......_ __, ..,,..,,,,, , '----, ____, 1 1 i ,•1... .4 V , ------ " ft. f 1 ',...:.% Zli , . . , - ,., ...,, / 4 , 1 . , , . ... ,-- . ...) r . ...„. i 1 i 1 I , . . . , . , . . . - 0 , , 1 1 i --- . "......,,,... , 1 .1 '- . ' . [ , . , •i -..... $ . .1 . I ■ I 1 ,' t k 1. 1 ; ■ t .., 1,... •T t. . , . . . . . 7 1 ... ‘-',..'_ ,....„,) ,' , •., ' ;), ._ , . I . . . . • ..- . $ .._, ., ....., ,,,, , , •; .. - ii f, , 4 I , i Ac„,,. ,ii .,; : t .....__ ..., ;. . ..,,.. . , -,----- . ) .„-- „._.--- -,‘-' i. - 1 .. . .•\ The Commonwealth of Massachusetts . Department of Industrial Accidents All = ;'Mi t Office of Investigations i1ie y 600 Washington Street Boston, MA 02111 =r..0 < www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 1jy79 ..27 2 (, , Address: ,c ,Z r'e4 w —,, ell . City /State /Zip: /-24,t-i4 0,, 04-20 s t Phone #: ....C -0 c4g7 Are you an employer? Check the appropriate box: Type of project (required): 1.0 I an a employer with 4. 0 I am a general contractor and I 6. 0 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 no employees These sub - contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' Y P h' = 9. E Building addition [No workers' comp. insurance comp. insurance. required.] 5.Z We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing officers have exercised their 11. 0 Plumbing repairs or additions myself [No workers' comp. right per 12.0 Roof repairs insurance required.] t G. 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 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. 4 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 subcontractors 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. 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 certify under the • s and penalties of perjury that the information provided above is true and correct. Signature: Date: /e44 /.7 hone# s"/ - 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : c,MA 6 6 /e 9 / License Number Address Expiration Date i _ Signa ure Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ 4 ■/z (7, Company Name Registration Number Address Expiration Date Telephone .S V/ deo'o 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 ❑ 11. - Home Owner Exemption The current exemption for - homeowners - was extended to include Owner- occupied Dwellings of one (I) 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 -vear 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 responsibilit} 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 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition Replacement Windows Alteration(s) n Roofing T1 Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [❑] Decks [El Siding [ ❑] Other [ ❑] Brief DescripOry of Proposgd / Work: /Jobor ep /5 'Jed 6'7 •-QJ•c 7toAti hr9li � z rh.A 4 , s042i a'4 42, Alteration of existing bedroom Yes No Adding new bedroom Yes No No Attached Narrative Renovating unfinished basement Yes _ No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: 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 0141 /4.11 DS "J as Owner of the subject property -� hereb authorize / /C ..1. 1)4 to act my behalf, all matters relative to work authorized by this building permit application. 1 2k-(1 -- Sig f Owner Date 1, -37)r ti as -AlosseiAuth orized 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. 44 011.- Print Name • Signature of goiter ' gent 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 tilled in by Building Department Lot Size Frontage Setbacks Front 4 4 r 4 4 Side L: 22.- R: L.: R: Rear -4 5 4 y Building Height Bldg. Square Footage °o Open Space Footage 0. 0 (Lot area minus hldg & pa∎ ed parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO * 4 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW O YES Q IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 Date Issued: C. Do any signs exist on the property? YES 0 NO ' 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 -e 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 O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only ECE.5 City of Northampton Status of Permit: I Building Department Curb Cut/Driveway Permit 5 201 Sewer /Septic Availability r \ 212 Main Street Room 100 Water/Well Availability �tia \lorthampton, MA 01060 Two Sets of Structural Plans ',~0 _ " 1 3- 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans DEPT. OF B+;�` PTON, M,F. 0� s - N pRTHAM Other Specify 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 7,2 Aui0 A "0.4,/e Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: //1�"""� f J I >M. Gi 4/ Q & O S }: 6 "7-2. Nu 7� fJfY7 JI De- Nam ( rint) Current S M I g Ad s : - s Telephone 0 Si ure 2.2 orized t: ` ,sr./G) h h'6' .5 f2 o.-rM c. -5 20/ FZI Al Name (Print) Current Mailing Address: 5 0 eg 7 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (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 /�j 6. Total = (1 + 2 + 3 + 4 + 5) —2 S4 / 4 Check Number /39g it/rj'G This Section For Official Use Only i Building Permit Number: Date Issued:_ 1 1 Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0521 °;/ APPLICANT /CONTACT PERSON RICHARD DENNO t 0 1 J� �y \ U ADDRESS /PHONE 551 FLORENCE RD FLORENCE (413) 584 -0852 ` ) 0 PROPERTY LOCATION 72 AUTUMN DR 1.-.) MAP 43 PARCEL 039 001 ZONE 9 F , , , �q t 1 THIS SECTION FOR OFFICIAL USE ONLY: 1 c �\e e c �, PERMIT APPLICATION CHECKLIST N� ��l ENCLOSED REQUIRED DATE �� / F O ZONING FORM FILLED OUT S'��'( OS) Building Permit Filled out .� ` :- a Fee Paid /�7/ C � QQ � l Ty Construction: ADD 14 X 30 TO EXISTING ATT GARAGE, EXTEND ADDITION 12', ENCLOSE Q PORCH ,R �( / / New Construction r'' Y� Non Structural interior renovations Addition to Existing (' c( �l� Accessory Structure 1 146 Oa Building Plans Included: Vje Li., ¢ Owner/ Statement or License 066189 e r. . 3 sets of Plans / Plot Plan Q.1 ! \w THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON Gik 0 INFQRMATION PRESENTED: `, Approved Additional permits required (see below) t�4�1 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 11 9 t 2.. Si atur of Building Official Date I e g 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. 72 AUTUMN DR BP- 2013 -0521 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 43 - 039 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit # BP- 2013 -0521 Project # JS- 2013- 000817 Est. Cost: $29546.00 Fee: $177.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RICHARD DENNO 066189 Lot Size(sq. ft.): 14505.48 Owner: BARANOWSKI JAMES J & SHARON L GUYOTT Zoning: Applicant: RICHARD DENNO AT: 72 AUTUMN DR Applicant Address: Phone: Insurance: 551 FLORENCE RD (413) 584 -0852 FLORENCEMA01062 ISSUED ON:11/9/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:ADD 14 X 30 TO EXISTING ATT GARAGE, EXTEND ADDITION 12', ENCLOSE PORCH 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 11/9/2012 0:00:00 $177.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner