24C-151 -NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
F SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND 1S NOT TO BE RECORDED.
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O: SPRINGFIELD INSTITUTION FOR SAVINGS &
FIRST AMERICAN TITLE INSURANCE COMPANY
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL 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 #_. 2 5 n 167 _
SURVEYOR: 4�C' -L THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONS71TUTE A PROPERTY SURVEY
V.of -MORTGAGE LOAN INSPECTION PLAT- y
RJINEAt� NORTHAMPTON, MASSACHUSETTS
Im PREPARED FOR
jmm JOHN W. & BARBARA M. HIBBARD
SCALE: 1 "=30 ' AUGUST 10 , 1995
HAROLD L. EATON AND ASSOCIATES, INC.
REGiStt ED NROIFES 1UNAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: 1`�, (I��C (Z ��- L r,l� G — �-�-7 8 3
License Number
J ���(�iii lei �—�z f� �i a "` ��� s'3`ti p' ✓� I C) i(1 IF)17 O l
Addressn Expiration Date
Signature Telephone
9.Renistered dome Im or&ementContractor: Not Applicable ❑
Company�Name Registration Number
"1 t.� -��i i'4'cOt_ V t 4-t 7
Address Expiration Date
A-0 Telephone
SECTION 10'-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§26C(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 ermit.
Signed Affidavit Attached Yes....... No...... ❑
11. - Home Owner Exemation
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 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
Frontage
Setbacks Front
Side L: R: 4-1 L: 1-1 R:_ 41 i
Rear
4' `' "
Building Height Z2`' 22*,
Bldg. Square Footage % 1 Y Y t°l
Open Space Footage % p
(Lot area minus bldg&paved a' c.8 GO (t71C
arkin
#of Parking Spaces
Fill:
volume&Location
A. Has a Special, Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 0 YES
IF YES, date issued:'
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW 0 YES
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
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 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
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,ex vation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) 0 Roofing ❑
Or Doors
Accessory Bldg. W Demolition ❑ New Signs [O] Decks [p Siding[o] Other[0]
Brief Description of Proposed�7
Work: F e_p j�4 4 C" I S&I ta PR O'C' S TVA-)chi v2.F
Alteration of existing bedroom Yes ✓No Adding new bedroom Yes ✓ No
Attached Narrative Renovating unfinished basement Yes y-'No
Plans Attached Roll 619L
Ga. If New!rouse and or addition to existing housing, complete the following:
a. Use of building: One Family Two Family Other ty�� `C
b. Number of rooms in each family unit: Number of Bathrooms ��Q
c. Is there a garage attached?
d. Proposed Square footage of new construction. � Dimensio
e. Number of stories?
f. Method of heating? R aces 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 ands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement o ar floor below finished grade
k. Will buildin onform to the Building and Zoning regulations? Yes No.
I. is Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject
property
hereby authorize } 3 fEz (Z Wt LGis�
to act on my behalf, in all matters relative to work authorized by this building permit application.
ITY 0 Z O O 1 4—
Signature of Owner Date
I, -V ?j V. t.AJ—At L ,C 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.
107
Print Name
Signature of Owner/Agent Date
Departmotttiuse'o�ti .
City of Northampton Status o1 Perrnit:'
r Building Department Curb Cpt/Drtueway permit
— 82014 212 Main Street Sewer1SePticAvailability+
R ' `
� ' Room 100 Water/Well Availability _
Northampton, MA 01060 Twn:Sets of Structural.Plans,
413-587-1240 Fax 413-587-1272 P16t/8ite Plans
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
2 A vz- vU C T-u t {>'? . Map Lot Unit
l-, /\,A r Zone Overlay District
Elm St.District_ CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
n'1 I-; r--C,\4 Iy A S S 1E 2 2A Pt LA-%Svc a r-t t N �, iV c�-�-► �cr.,
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Aaent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 760 (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) 6 Lt Check Number
This Section For Official Use Only
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2014-1030 �f� � � �,(-�pn
(.w
N t y,
APPLICANT/CONTACT PERSON ROBERT WALKER ,a _ d
ADDRESS/PHONE 36 Service Center NORTHAMPTON (413)584-1224 "� n
PROPERTY LOCATION 29 ARLINGTON ST
MAP 24C PARCEL 151 001 ZONE URB(100Z �bAl— /
THIS SECTION FOR OFFICIAL USE ONLY: 210AIJ �
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out , ,�/1L •� �►
Fee Paid
Typeof Construction: REPLACE 20 X 25 DET GARAGE
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included:
Owner/Statement or License 034783
3 sets of Plans/Plot Plan
THE FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF¢ ATION PRESENTED:
L/' pproved 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
moliti n Delay
Sig re o'fE6i ldi g 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.
29 ARLINGTON ST BP-2014-1030
GIs#: COMMONWEALTH OF MASSACHUSETTS
MU:Block: 24C- 151 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-2014-1030
Project# JS-2014-001780
Est.Cost: $60500.00
Fee: $120.00 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROBERT WALKER 034783
Lot Size(sq.ft.): 8319.96 Owner: NASSER MERRY L
Zoning URB(100)/ Applicant: ROBERT WALKER
AT. 29 ARLINGTON ST
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTON MAO 1060 ISSUED ON.•51112014 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPLACE 20 X 25 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 5/1/2014 0:00:00 $120.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner