29-349 ' t
f /� __ .._. _.. .,
� � !# ♦ � r� !! ..
i
�� 7
t �
t
SL
Is
N L
tee ",;p� .� i ✓
, ,�"✓`r�r' ?�s Wit,✓,1 ,�,.+,.� K� ;�;�� �s.r,�.ts3� ���,11'�s�
i
i
?� sr'-s
N Z 4 x
Nj
i
il •�"�"°.°°�,-.fir«' a_�,•'',/.,t"`�'',..j"..�( ,�+ .�x��;�y.,�.� ,;� .r,�r„6',�..r�,��''
{
i
ii��ff���'yy��.. Q� [j �Afryf �j `A,A��Ay lMf e�1�AyA�n� 11:19
� •• • DDC: JJ J) OR /6511/039 01/2212E
Being the same premises conveyed to the Grantor by deed of Raymond
Tomasauckas and Ginette Tomasaukas dated August 8, 1983 and recorded in
Hampshire County Registry of Deeds at Book 2376, Page 99. For Title also see
corrected Judgment of Divorce Nisi of Diane Worsnop and Lon R. Worsnop (Hampshire
Probate Court docket number 87D0466D1) as recorded in Hampshire County Registry
of Deeds in Book 5511, Page 148.
Executed as a sealed instrument this J�Aday of Jpnuary, 2002
DIANNE S. LAKE
THE COMMONWEALTH OF MASSACHUSETTS
Hampshire, ss. January 18, 2002
Then personally appeared the above-named DIANNE S. LAKE and
acknowledged the foregoing instrument to be her free act and deed, before me
n
r
Sean T. Sullivan
My commission expires: September 19, 2008
t
` vRI Jy
ATTEST: iYMSHIU, iWv1VTElL
M L. uoNaM
Doc: 992242153 OR /6511/0258 01/22/240211-.19
KNOW ALL MEN BY THESE PRESENTS
Affected Premises: 56 Austin Circle
Northampton, MA
1, DIANNE S. LAKE, AKA DIANE S. LAKE, AKA DIANNE S. WORSNOP, AKA DIANE
WORSNOP, of 56 Austin Circle, Northampton, Massachusetts,
for consideration paid, of One ($1.00) Dollar
grant to DIANNE S. LAKE and DENNIS C. LAKE, SR., husband and wife, as tenants
by the entirety, of 56 Austin Circle, Northampton, Massachusetts,
with Quitclaim covenants
the land with the buildings thereon, in Northampton, Hampshire County,
Massachusetts, being known and designated as Lot#85 (Eighty-Five) on a plan of lots
called "West Farms Estates, Section 4", owned by Edbert Homes, Inc., surveyed by
Albert E. Nichols &Assoc., Inc., recorded in Hampshire County Registry of Deeds in
Book of Plans 74, Page 46, and being more particularly bounded and described as
follows:
Bounded SOUTHEASTERLY by Austin Circle, as shown on said plan, One Hundred
(100) feet;
NORTHEASTERLY by Lot#84 (Eighty-Four) as shown on said plan, One Hundred
Forty-Two and Seventy-Four One Hundredths (142.74) feet;
NORTHWESTERLY by land of the City of Northampton as shown on said plan One
Hundred and Four One Hundredths (100.04) feet; and
SOUTHWESTERLY by Lot#86 (Eighty-Six) as shown on said plan One Hundred Forty
and Six One Hundredths (140.06) feet.
SUBJECT to an easement granted to New England Telephone and Telegraph Co. by
instrument dated November 4, 1969, recorded in said Registry of Deeds in Book 1562,
Page 373.
SUBJECT to restrictive covenants as set forth in instrument dated September 12, 1969,
recorded in said Registry in Book 1560, Page 181, as amended by instrument dated
March 10,1970, recorded in said Registry in Book 1568, Page 328, and to restrictive
covenants as set forth in instrument dated October 28, 1960, recorded in said Registry
in Book 1339, Page 8.
co, PAGE 02
THIS PLAT NOT FOR RE COMING PURPOSES X11, GS/1 ass
/oo.ay'
*gO 5
a
0
0
I O.
t
All �s
Z 8'
AU5771N cJRc4�
Tb� �ASTI�`/f/yl�T"A/b SAY/N43 A�I9N�' � CORM ON VY�A1-7�' �N47 7"Y7"i.X .INZ.�O.
I FAY REPORT THAT 1 HAVE VWANO THE PFapM AND BASED ON OOSYM MOI�AT1OK ALL UWANT&&M��TS
AND MALOINGS ARE LOCATED ON THE{iAO M AS SFKJ1Md ANTS THAT THE PAJW4S APE EKTMY%WHN THE LOT LINES.I RJF1Tr"
R.PORr THAT THE �NOT LOCATED IN A 8000 PRONE AREA AS SMOG ON FEDEROL DWRAMM MAPS FOR
NuMup
DATED: NOTLL:
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES
SURVEYOR: NOT CONSTITUTE A PRC PITY SURVEY.
MORTGAGE LOAN INSPECTION PLAT
NOR71W A! P7_61i, MA55-
oWNA12
11d"1od J�taeil"Im Aro+...lond um Surveyor
��o wr,�saw.Plorllwrivoon.rN�oEv�alceo
Quick Open Space Calculations Coverages
existing 960 H 0 X06
Lot area existing proposed existing 550 Yl�t1t�4
14140 1510 1678 existing
existing
Open Space 12630 12462 existing
total 1510
Open % 89.3% 88.1%
new 168
new
new
total 1678
t
R (riff af Nart 1jamp toil -
ae 9a3 a Etch nrctff
DEPARTMENT OF BUILDfl\1G INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSAITON INSURANCE AFFIDAVIT
(1i cctlscrJperml tt cc)
with a principal placc of business/residence at:
(phonei')
(strr°.t/ci ty/stair:/zi p)
do hereby certify, under the pans iand penalties of penury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on thus job:
(In_surancc aizipany) (Polio Number) (Expiration Dal--)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hued
the contractors listed below v'ho have the following worker's compensation policies:
(Name of Contmctor) (lnsuranc: Compan}'/Polio}' Number) (Expiraton Datc)
(Name of Contractor) (Inszuanc-, Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance. Comparey/Pobcy Numdxr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anarh additioml shcct if nocca.ary to ioc}udc illfoRn oo pertaining to all ooatr c ors)
(✓S I am a sole proprietor and have no one worldng for me.
( ) I am a home owner performing all the work myself.
NOTE:plow be awut th:<wtulo homeowncn who employ persom to do mx m+ca cr casrvetioo or repair worX on i dwelling of
no(more than throe units in which the bomoowncr residcs or oa the grounds appurtcruni thcctn art oo(grncrally oocmdcrcd to be
employcn under the worlds oempcmauca Act(GL152,n 1(5)�application by a homcowocr for a Ganz cc permit may cvidmoc the
Icgil etanre of an employee under dw Wock.or'a comp,.,�Ace.
I undczrtsnd tfiirt a oopy of this rhtcmmt m..y bo focvrnrded to tho Dcyertmcos of lodzrs:ri al Aeodca&Offioo of Inwnooa for the
eovcrsgc vcrificatioc and that Enure to&aut covc -gc under soaion 25A of MOL 152 can lord to the imposition of aimi[W pataltics
moaisting of a fine up to S 1500.00 and/or ivrpriscam=:ii of up to ooc ytar end civil pcnatUa in the form of a Shop Wode order and a
fim o(:S 100.00 a Ti1CCCnn1-'S'Cc&me
rrx drpi_�s1 rise only
Pcrmt Number ---_----
_ Lot n -
Stg-1 F'CL IIIIUCC-- ---1y3� --
t
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: L Dv/S �% �1�ld"V r6 j 4/ 11
License Number
4r
Address Expiration Date
2`J z.Y
Signatur Telephone
"., n I' bd=ll4 i , HB Not Applicable ❑
Go y/S s / 'o�j�� ' 'Y //;K6 /Z,
Company Name Registration Number
�'l`' •/�2 %%L a ,r l !-/� !/ /cam tai r!/.>..���..- _�/i1 j D z-g-Z—a j
Address cr - Expi ar tar tion Date
Telephone_ Z&S- 20 z£s
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...... ❑
t :� -
1W r 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
•
SECTION 5 DESCRIPTION OF PROPOSED�WORK(check alVa ) licable
New House ❑ Addition IR Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding[ ] Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes ✓No Adding new bedroom Yes ✓ No
Attached Narrative❑ Renovating unfinished basement Yes ✓ No
Plans Attached Roll ❑ - Sheet❑
6a If=N.e tiouse. `n a dditi'a z isti`n'" [ o" In' .com 'Lee heifol' awin
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 )< 2
e. Number of stories?
f. Method of heating? /v-✓q Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. /1/ Mascheck Energy Compliance form attached?
h. Type of construction iv 0 Cdr
i
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 N ��
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
Z iE as Owner of the subject property
hereby authorize to act on
my f, in all matters relativ o work authorized by this building permit application.
Signature o wner Date
/-pl a.., T(va+--r P y as 4tr/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.
%ci/S 17-7&,,70 rJ�+rc,- �
Print Name
Signature of /A n tate
•
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
t. Ll This column to be filled in by
Of I (� Building Department
Lot Size 1ve- ,)o' tZ U
fd
Frontage
7
Setbacks Front 2
Side L:-T(-' R: L: R: f s
Rear /O A
Building Height / —3
Bldg. Square Footage y Q
Open Space Footage i /o
(Lot area minus bldg&paved G f 1, j
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW _ YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does,the site contain a brook, body of watE;r or wetlands? NO DON'T KNOW
YES
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
IF YES, describe size, type and location:.
D. Are ere any proposed changes to or additions of signs intended for the property ?YES
Nc
IF YES, describe size, type and location:
r .
JOE
r
City of Northampton
Bui ding Department
212 Main Street
Room 100 �� ��� `�c „ l WWI
North mj ton, M,A'&1, 62"—� e
phone 413-5 7-1240 Fax 413-587.1272
17
APPLICATION TO CONSTRUCT, Al.TLRj REPAIR, RENOVATE Qht DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
Thrs setron o`be co4n �eted�y�offr e
1.1 Property Address: 3 Y s$ � 3
its Two t!i � Mp � eLot � Uru
r, s
r
�
�Elm'St.District CB T)istrrct '
SECTION 2- PROPERTY OWNERS 1P/AUTHORIZED AGENT
2.1 Owner of Record:
1,ex K G. .y
Na N Current Mailing Address:
Telephone
Signatur
2.2 Authorized Agent:
�i d�,. Tlo.i-+ r /�? •/mac+ ,r �l_�/ L,a/���.r,-. a a.-�y i Y,r C'/CMG
Name(Print) Current Mailing Address:
Signature Telephone
SECTIO - ESTIMATED CONSTR 'CTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building �, �� (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing � Building Permit Fee
N
4. Mechanical (HVAC) ,m
5. Fire Protection
6. Total =(1 + 2 + 3_+ 4 + 5) Check Number
This Section For Official Use[Only
'
Building Permit Number` Date Issued:
Signature:
Building Commissioner/hispector of Buildings Date
File#BP-2009-0293
APPLICANT/CONTACT PERS N LOUIS MONTGOMERY
ADDRESS/PHONE PO BOX 951 WILLIAMSBURG (413)268-2028 Q
PROPERTY LOCATION 56 AUSTIN CIR
MAP 29 PARCEL 349 001 ZONE URA JwW
HIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT 8 X 21 FRONT PORCH
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
Building Plans Included:
Owner/Statement or License 013471
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION I AS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED
pproved Additional p rmits 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 B Dard 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 Official Date
Note:Issuance of a Zoning per 't 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 ti.ose applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
��� �' � a i a a�� � " '':gyp r.�w a�t ��� ��wt�af,a�x c �'�' ,� � �ti �s��`,� � � �s�
t`-"A- ?" i h f{`, a,� f£',.;"`Yq.0 ,� k5Y El '1
�� � •nee��
�'::
� ,
"�
�., i'r
is 3:
�q�^�A%
�xT�.
42
k ,,.
n
4�
s3a.`
�-;ill-•
4��
�.
''
2 ,
W.S._
3��_�
0, e
� S
7 . s x 5
OTa
410 '* , la t * y-;
Pf
°
0191 r ' €R
Xm x y�
it
? r r
.
e
�e
F
rsa_n `x;•: ,r�r� .�,�''..�°� .y.`�f < �tl���.�r"�;se� �,.-rta."'�.. ?� f
^.���
sy:c
�.r'''te` � �t r ., t�, •:. �' t'� :'#:.� ....� i�, #.'?ri '� � �^ w ,� r`i' m s�;„� 4 M ���'*��' %`
z
� �, .s ,*� �,., � � �k��•,� yea,�f'��k A`.��� �2 C�
.r: ���t� r € � k '� 'fir'�� ."�`,:.k�4� � '"'?ya�se.2", '•r i`iF ,��.�' ' x �'a �r x5 x�}, £n - .F � �". .w.+,�•`�� � f �. �r
Y
�q
'2 "n,
. ".w.>s-:r e`t b•* a sr'` 5 a t _ r a # A.n #a S+
E i s a e j .},,r #�'. s *r
3�
d '„ Y ,s * ✓ u c `4v t �k#g ;
:tip t
F � �` � t �
st a 5� P�` Y ,s
r,°
t=
x
gn
56 AUSTINT CIR BP-2009-0293
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-349 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:- .]BUILDING PERMIT"
Permit# BP-2009-0293
Project# JS-2009-000387
Est. Cost: $8000.00
Fee: $55.00 PERMISSION IS IIEREBY GRANTED TO:
Const.Ciass: Contractor: License:
Use Group: LOUIS MONTGOMERY 013471
Lot Size(sq. ft.): 14157.00 Owner: LAKE DIANNE S&DENNIS C
AT. 56 AUSTIN'IN' QiR __
Applicant Address: Phone: Insurance:
PO BOX 951 (413) 268-2028-0
WILLIAMSBURGMA01096 ISSUED ON.911912008 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 8 X 21 FRONT PORCH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plun iAng Inspector of Wiring D.P.W. Building Inspector
Undergrou,:d: Service: Meter: �t o 1. .K �' � 09 If v
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final: �-
Rough Frame: 06'�-�Q •a�-ryg"���=pro
Gas: Fire Department Fireplace/Chimney:
Rough: Oil_: Insulation: /
Final: Smoke: Final: (/J JC /I-/'T- 0�-Ze4l'7
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate Of Occupancy Signature:
FeeTvpe• Date Paid: Amount:
Building 9/19/2008 0:00:00 $55.00748
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo