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28-046 Northampton, MA Property Detail rage of Brick Trim: 0 X 0 Lower I st Story 2nd Story 3rd S� Stone Trim: 0 X 0 10ne Story Frame Remodeling Data: IFrame Garage Year Remodeled: 2005 Kitchen Remodeled (Y/N): Bath Remodeled (Y/N): Land Data Outbuilding Info Square Foot Type Utilities Type F Q Value no Prime information yp Qty 0�07� Site 10,097 83,350 T e Year Size 1 Size2 Grd RP2 0 1986 L`.—J 512 ©I Acreage Type 1 S 1 1980 = 64 ©� Street/ R11 Road Type Acres Value no no information information Sales Info F Permit Info Date Type jValidity 05/03/2004 Land+Bldg 115,000�� Date Permit # Price Purpc 0$/01/1996 Land +Bldg 89,000 �� 09/20/2004 325 14,500 NEW SIDIN //8804 Land +Bldg 95,000 http://www.northamptonassessor.us/noho/propertydetaii.php?map_no=28 -046-001&pagec... 4/28/2009 Northampton, MA Property Detail Page 1 of 2 City of Northampton., MA: Residential Property Record G New Search Property Ty Classification Code Reference Card 1 of 1 Parcel - Location - Zoning - Assessment Map-Block-Lot: 28 -046-001 Zoning: Assessm Location: 77 CAHILLANE TERR Neigborhood: 1 Land: #Living Units: 1 Deed Book: 7785 Buildin Class: R-101 Deed Page: 118 Total: Dwelling Information C Building Sketch Style: Ranch Year Built: 1967 Story Height: 1 Attic: None Basement: None Total Rooms: 5 Bedrooms: 3 Full Baths: 1 Half Baths: 0 Exterior Walls: Alum/Vinyl 40 12 Unfinished Area: 0 Ground Floor Area: 1000 Total Living Area: 1000 25 o0 25 25 30 25 Finished Basement Living 0 X 0 Area: Basement Recreation Area: 0 X 0 40 12 Woodburning Fireplace 0/ 0 Stacks/Openings: Metal Fireplace 0/0 Stacks/Openings: Heat/Central A/C: Basic Heating System: Warm Air Fuel Type: Gas Quality Grade: C- Physical Condition: Average Interior/Exterior: Same Condition/Desirability/Utility: AV Addition Information: Vacant/Dwell/Oby Status: Dwelling Additional Features: http://www.northamptonassessor.us/noho/propertydetail.php?map_no=28 -046-001&pagec... 4/28/2009 42 94.57 29 -308 29 -308J0. 100 8 -049 103 ^^ 197.3 29 -309 100 3 67.3 28 -048 4 8 28 -0481 .09193.44 100 029 -310 3 29 -11705. 126.7 29 =117131 .2 4; 1 .4 199.34 . 12 $Q29 -1,18 29 -11678.03 �•� 28 -04710 29 -11884.5 -� 59.83 � 157.9 O ui Iwo q- 7`97 cis 80 175 Z 101 $ -119 29 -119 80 29 -115 ' Od 28 -04, � 165.71 m I ..w# = 99.97�� Z 95. 17 175 a nn . _29 -120 29 -120 80 D Im 29 -114 � t HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CNM 108.3.4 to act as his/her construction supervisor. 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 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 hour) 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 understand the above. (Hom owner/resident's ignature requesting exemption) I wi cal to schedule all required building inspections necessary for the building permit i ed me. Date Address of work location 1 " The Commonwealth of Massachusetts Department of Industrial Accidents Jr Office of Im�estigations K 1. . 600 Washington Street nf' Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Le6ibly Name(Business/Organization/Individual): _ Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a with employer 4. E I am a general contractor and I �- have hired the sub-contractors b. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• E] Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp.insurance comp.insurance. required.] 5. F-1 We are a corporation and its 10.❑ Electrical.repairs or additions I am a homeowner doing all work officers have exercised their 11.0 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 13.❑ Other employees. [No workers' 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. 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.Lie. #: 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. Zeby ce ti under the pains and Mia f perjury that the information provided ab ve is Mue and correct. re: Date: Ph one#: Officio is nly. Do not;,write in this area,to be completed by city or town officiaL Citv 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 License Number Address Expiration Date Signature Telephone 9 Rectistered Home,lmproyLementContractor 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...... ❑ 11. -;..Home Owner,�gelrrip�ionl 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 Budding 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. /he undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of orthampton Ordinances, Sta a Local Zoning Laws and State of assachusetts General Laws Annotated. Homeowner Signature „"' R SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable New House F-1 Addition Replacement Windows Alteration(s) El Roofing Or Doors ED Accessory Bldg. Demolition ED New Signs [CI] Decks [M Siding[0] Other[C{} Brief Description of Proposed Work: VV + I-o ff.V — o A Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.If New house and or addition4o existing housing complete the follow ng 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 1, as Owner of the subject proporty hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature-of-_Owner - -_---_---—_---------- -- _- -- Date 1, , 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 C q1 a, oi Signaturepf Own `/Agent DR Or Section 4. ZONING Alt 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 LotSize __.._ `.. ....__._..,_........ Frontage Setbacks Front _ -- Side L ..._..,.. R: ._..__ L. ,_ R Rear _,w Building Height ° ° "" Bldg.Square Footage % _.. ,.....__. Open Space Footage (Lot area minus bldg&paved a• ,wx�� parking) #of Parking Spaces Fill: (volume&Location) A. Has a S e at Permit/Variance/Finding ever been issued for/on the site? NO Uk DONT KNOW 0 YES 0 IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book Page nd/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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, c atiorr, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO ITl IF YES, then a Northampton Storm Water Management Permit from the DPW is required. w b k epaen 1D t use only —'' c,City of Northampton Status of mut Bta dil g Department Caib1✓�rt/Oriu ay P prtt a Rm 1 \ 212-Main Street S ereSepIOA�ra abtlity r �Room 100 etI �ttal�tlY{y L Po� Z Northatnpton;�MA 01060 Twa c#Strtictura>Plans phone 413-587,1240 Fax 413-587-1272 Piot/Site Pl its .gag. APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION' This section to be completed by office 1.1 PropertyAddress: Map. Lot Unit 4- � Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owjner/yoff oz of o l it A tZZ- Name(Prim Current Mailing Address: J Telephone Signature 2.2 th rized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com feted by ermit applicant 1. Building j J- 0 'L,,i�h I AXL S (a) Building Permit Fee 2. Electrical l `3 �/ (b) Estimated Total Cost of Construction!from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number This Section For Official Use Only Date Building Permit Number._ Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2009-0882 APPLICANT/CONTACT PERSON BRYDA JAMES M ADDRESS/PHONE 77 CAHILLANE TERR FLORENCE (413)584-6286 Q PROPERTY LOCATION 77 CAHILLANE TERR MAP 28 PARCEL 046 001 ZONE SR(100)//WSP II THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinjz Permit Filled out i Fee Paid Typeof Construction: ERECT 10 X 18 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 INFO ATION 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 Demolition Delay l� �C�� Signature of Building Official Da 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 Flealth,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. 101 - BP-2009-0882 GIs#: COMMONWEALTH OF MASSACHUSETTS sk:28-- 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-2009-0882 Project# JS-2009-001292 Est.Cost: $3500.00 Fee: $36.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sa. ft.): 10105.92 Owner: BRYDA JAMES M Zoning: SR(100)HWSP II Applicant: BRYDA JAMES M AT. 77 CAHILLANE TERR Applicant Address: Phone: Insurance: 77 CAHILLANE TERR (413)584-6286 O FLORENCEMA01062 ISSUED ON.51412009 0':00:00 TO PERFORM THE FOLLOWING WORK:ERECT 10 X 18 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 5/4/2009 0:00:00 $36.002029 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo