29-389 -ONorlitampton, MA Property Detail Page 1 of 2
City of Northampton, MA: Residential Property Record Caret
New Search Properh,Type Classification Code Reference Card I of 1
Parcel-Location-Zoning-Assessment
Map-Block-Lot: 29-389-001 Zoning: URA Assessment:
Location: 61 BROOKWOOD DR Neigborhood: I Land: 69,900
#Living Units: 1 Deed Book: 3917 Building: 81,500
Class: R-101 Deed Page: 228 Total: 151,400
Dwelling Information Building Sketch
Style: Ranch
Year Built: 1972
Story Height: I
Attic: None
Basement: Full
Total Rooms: 5 Desc
Bedrooms: 3 A:1 FA
Full Baths: 1 864:
Half Baths: 0
Exterior Walls: AlumNinyl 36
Unfinished Area: 0
Ground Floor Area: 864
Total Living Area: 864
Finished Basement Living 0 X 0
Area: 24 1 FrlB 24
Basement Recreation ea: 0 X 0 86d
Woodburning Fireplac 0/0
Stacks/Openings:
Metal Fireplace 0/0
Stacks/Openings: 36
Heat/Central A/C: Basic
Heating System: Electric,
Fuel Type: F�lectric
Quality Grade: / X C
Physical Condition: p te
Interior/Exterior: e
Condition/Desirability/Utility: T —
Vacant/Dwell/Oby Status: Dwelling
Additional Features:
Brick Trim: 0 X 0
Stone Trim: 0 X 0 Addition Information:
Remodeling Data:
Year Remodeled: () Lower l st Story 2nd Story 3rd Story Area
Kitchen Remodeled(Y/N): Basement One Story Frame 864
Bath Remodeled(Y/N):
Land Data Outbuilding Info
Square Foot Type
�l��r-1 Utilities
http://www.northamptonassessor.us/noho/propertydetail.php?map_no=29 -3 89-001&pagecar... 7/13/06
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, DEPARTMENT OF BUILDIN G INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060
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HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 1083.4 to
act as i:is/her construction sup<::-.,Ssor. 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 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
t
I, understand the above.
(Home owner/resi is signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date 7::: / �—' A O e
Addrass of work w location v P7 C, C
A-�° -�°y� (rLI��7 17� �,TQZ"flji3111pf011
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DEPARTMENT OP BUILDI 10 INSPECTIONS
i
212 Main Strcct Nfunicipal Building
Northampton, MaGs. 01060
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W O RTC,lZ'S C O\TP EN S A nO N LEI S URAN CE Al, , A VII
(Iitx-ns�lperm)titx)
a prLtcipal place of busintss/residencc 2t:
(Phone'.)
(sII>wtldty/slalda p)
do hereby cerdi--, under thc.pa;nt and pen2lties of per3ury; :hat
i
( ) I am an employer providing the following worker's comacnsado, cove Sc for Intl
eroployces worlang on this job:
!, (1nsuvan= Corm=.) (Poticr Nu_aZo-c -- (Expiration DaLC)
O I am a sole proprietor, geoeral cooa-actor or homeowner (cic;e one) and have hirea
the contra ors listed below wbo have the following worker's com on policies:
(i+BMc Of Con—Inaor) (InR!rail t„- Coinpan)./Pl obci NrUM-t--) (ExD-In'luon bate)
i
j
i
(Name of Conmaor) (Li surancc- Compaa aP01Ci NLLm6cr) (Li-Dir,uon Date)
(Name of Connaclor) Cuisurdnc—c ComT=)-/PoU- Number) (Expir boo Datc)
(Vame of Contractor) (lasuraacc Compaay/Policy Numba) (Ea�irdon Date).
(aIIsCh:du�oc�.l e>ca.irnocc ry to ax_'u�Az inrorm�aoo pert=j=jjjQ to.0 ooa,-=,o:
am a sole proprietor and bave no one wonting for me.
(.�I am-a home owner performing all Zbe,work myself.
NOTE:plc_sc be ewvc thx:-jijJ hcmeovam v bo ccnplvy per%o to cio rcpau Wore w.d--11 of
a0e moee than thr _—As in the bca)cc-•oa'r=z d=oc oa the p-ouzi6 zgpurLcas tbcro e r noc C^-s--Uy oca:d-rttd to he
�pioyez ur,,c O=zp t ca pc(G L!52sa 1(5)'�.:pplicarioa try a bomcoava fl=c Gez=or pamit rzy cv;dmoc tL-
Ic�I cttli<of e,p c�loyar under drip Wor�,orr C•ompem-.iioa Ac_
I t?naa-a-ad dLd a-off of chi-cucao-,a may bo for dod to Lb.Dcp-,m of Lod-=id tcadrmf OILo.or Gs�+�for th.
eovcrx c rcrirclioo and tlu L-iltac to under section 25A of MGL 151 C=1=6 to the= .,aioa of c-imiaa!penalties
ooaniscix of a fine orup to SI 00.00 anscx of up to ooc yvr end ci%il p=atio in t5c form of a Stop Worn;Ord=and a
r=0(5100.00 a d--y tpiaa me 7
1/ For ec�nm u,o only
�✓ l%�-IG�1G�
�r permit NLLmbcr
f j C:Xi%L-v' 1.fap° Lot K :
Sit�a.1curr of LicJPc urz
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9: ernste ed #orttelmpioemer� onracok . . ry 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...... ❑
r0en '
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
ff Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
V `
Homeowner Signature
SECTION 5-DESCRIPTION OF F ROPOSED'WORK check all applicable
New House ❑ Addit on ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. W Dem lition ❑ New Signs [0] Decks [M Siding BMI Other[CI]
Brief Description of Proposed
Work: SW t-L
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
`
sa if err�n'•ck`lOa'e";� %R�d".�ai. ios60 o�"'c* 1nc:rfi"w«o.^'�=" �*�xaru"�
isrn4� onrple a allavuixg:
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;=OWNERAUTHORIZATION-TO BE COMPLETED ;WHEN
OWNERS-AGENT'O R'CONTRACTORAPL?LIESFOR:BUILiJI PERMIT
r
as Owner of the subject
property
hereby authorize
to act on my behalf,iU all matters relative to work authorized by this building permit application.
Signature of Owner Date
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.
Print Name
L / l
Signature of Owner/Agent V L� Date =r42 fl C1
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column tghe filled in by
Building Depaittient
Lot Size
Frontage
Setbacks Front
Side L:' R:'' L:' R:—
Rear '
Building Height
Bldg. Square Footage l %
Open Space Footage %
(Lot area minus bldg&paved
parking)
3
#of Parking Spaces
Fill: i
volume&Location)i
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW ® YES 0
IF YES, date issued:; !
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Paget and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 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
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 Q
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
/'IN NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
27 ,
jorthaton,rthampton apartment L hl Street
100 MA 01060
Phone4" ax 413-587-1272 _ b
A� AT I N TRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1_-;SITE INFORMATIO
s Thhs secUorf to becompleted bit office
1.1 PropertV Address:
fP i-�9R o o 441,0o,� .D/p, t
at ^ c
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��` � d}a�erl�ay Dis#nct
Zone
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to 6C C�, ��� �Elm��f�lstril�ct �� CBttlistrtct
SECTION 2-'PROPERTY OWNE SHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3--:ESTIMATED CONS RUCTION COSTS 7-
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
✓ 1. Building C/ (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
This Section For Official Use Only
Date.c
Building Permit'Number Issued:
Signature:
Building Com issioner/Inspectorof Buildings Date
M0 0 f8l r-
G G1
ec,l� a
V .
File#BP-2007-0058
APPLICANT/CONTACT PERSON POULIN RICHARD J&MARIE A
ADDRESS/PHONE FLORENCE
PROPERTY LOCATION 61 BROOKWOOD DR
MAP 29 PARCEL 389 001 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction: ERECT 8 X 8 SHED
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
INFORMATION 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
Signature of Building" 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.
BP-2007-0058
GIs#: COMMONWEALTH OF MASSACHUSETTS
'" CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2007-0058
Project# JS-2007-0089
Est.Cost: $599.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sa. ft.): 14853.96 Owner: POULIN RICHARD J&MARIE A
Zoning.URA Applicant: POULIN RICHARD J & MARIE A
AT. 61 BROOKWOOD DR
Applicant Address: Phone: Insurance:
FLORENCEMA01062 ISSUED ON.7/27/2006 0:00.00
TO PERFORM THE FOLLOWING WORK.-ERECT 8 X 8 SHED
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 7/27/2006 0:00:00 $25.00102142
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo