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12C-067 (4) i -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED 7S ��o� �2c>S�•�c��- 3�2 i Q i= S^ a � TO: FLORENCE SAVINGS BANK & TICOR TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE 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 # 250167 _ -NOTE- SURVEYOR: '� - � THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY ,,tk OF -MORTGAGE LOAN INSPECTION -PLAT- NORTHAMPTON, MASSACHUSETTS z W4DALL PREPARED FOR IZE. ti MARGARET HARRINGTON #35032 SCALE: I "=30 ' JULY 31 , 1997 SURV HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS ��, I d t 1t -2o t✓ t//e-7 �Q� OA If j Of —� F `E (rite of �,Tcr#llaliiptoil - DEPARTMENT OP BUILDRZG INSPECT101,S _ 212 Main Street ' TLunicipal Building Nrorthampton, Mass. 01060 WOIUCEIZ'S C0KPLNSA n0N LNSURA_NCE AFFMAVIT 0.1=scrJperinittcc) with a pi-incipaI place of business/residence at: 3 c=c ►rt�)t �. �c� W m 6( g ,6 (P'I o n c (StTcet/ci ty/stale/Zi P) do hereby certif)-, under the pairLs and penalties of perjury, that ( ) I am an employer providing the following worker's comocns7Lor, coverage for Im, eluployces worl.,Ing on tills job (Ibsur Cors=Y) (PcLic: Nu-mbcr) — (T :pirtio, Datc) O I am a sole proprietor, general contractor or homeowner (circie one) and have hired ' the contractors 115ed be104v Who have the following workers comnen-,,,,non policies: (Nnm: of Ca:=Cior) (Insumnc: CoInpan)'/PG6c-., Nur7lkr) (i=xairUA::on Date) (Name of Con[Tacior) -- (lasarancc Comoaav/Poticv Nuab�r) (-L\Pu uon Date) (Name of Conrracto;) (Insurance Compan)•/PoUq Numbu) (Expiration Date) (T`Mc of Contractor) (Insurance Company/Pohc-y Numbs) (E-xpimuon DatL) (enadt ad�i;;oc,1 c'xd ifnc ,:y to a, u6c inforcv�ioo pcstn.inia6 to.L oca�,—r...o-�) f I am a sole proprietor and have no one worL-ing for me. ( ) I am a home owner performing all the work myself. NOTE:plc be na arc t4,,.u{ Jo hcc�-- +vcrs ubo employ pcio=to 63 r.- +�,�v,�ca�,-,:c� 4 tt-�a, u W orx o•�c d..c11= of ¢ot a�occ tJ�.n L!—tmi'u in%'',nc the krocnooµocr rraido oc oa the pouf,zppurtcnarn tbcc T ax Ce 211V m=e d--ad to be catploye�tine's t_hc wtxi;d:a�,�— Iioa Act(GL152S 1(5)�rppbca-Uon try a homcowncr fait L=--v a permit r> y the Ic&il ctntu<of an a`eployx under dh Wockolr Coa,poma Aec 1 undcrvt. d dl i a oopy of tbi,cz,t m..y bo focw,,ied W tbo Doparc—, of 1,,d,,✓id Ac &,o&Offioo of L--woo for th. covcnsc va-IGctioc-nd tht L kxt to coauc oovcraSc to dcr soc7.ioa 25A of h(GL 152 can lad to tlx impaa 00 of crimia+l P-16a ooali-,a g of a floc of up to S I X00.00.ro/cx tea!of up to one year aril p,,ltio in be form of a Stop Work Ordcr and a fim of S 100.00 c d_y c£ainzt me i For&P,: y PCTMt NuI)bcr _ I.ot ' - St�natum of Licr�>_sccJPcrnuttcc �e S:�CTION� .:CONSfiRU�TION:SERVICES � ,-� 3. -Ucen Not Applicable ❑ 4a u i n 12 l rye C� l+i Number CCQ-3 13 007 Address Expiration Date ;�Q -zl Signature Telephone � ffi",� _ Not Applic le MTeratio N e r to cf"X Expir Date ( Telephon D!b 5',ECTI "N €1-WORKERV.QOMPENSATICIN Milt tANCE A FIDAVIT(KG1 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...... ❑ 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 '724:�44 !?,-,eUz4e, I . . 1 ble New House ❑ Addition 0 Replacement Windows Alterations) ❑ Roofing ( Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] DecktX Siding[ ] Other [ ] Brief Description of Proposed Work: 1,V1P ♦ RE KC10F 1400SC 121)D 1A /,:.2 G-oe.nd le::cl Jed- ' -k.a ('e A r Alteration of existing bedroom Yes No Adding new bedroom Yes ^No Attached Narrative❑ Renovating unfinished basement _Yes No Plans Attached Roll ❑ - Sheet❑ 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. Mascheck Energy Compliance form attached? 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 si;CTI©N 7a •OWN AAUTNClI I2ATIO[V -TO BE COMPLETfl) WHEN WENT AGt R C I�ITIl 1 1C III,ARPLIE 1+1!I ;B IL15 p0mi7 as Owner of the subject property hereby authorize ° ► v, 0 to act on my behalf, in all matters relative to work authorized by this building permit application. Signature ner Date here4X41 as Owner/A horized A dec e t hat 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 ) 7 Signa re of Date Owner/ gent 4 ' Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning . This column to be filled in by Building Department Lot Size Z 3 /� 0 2 34 Frontage q (-3 ( .3 Setbacks Front 3'7 / -3-7 -j 0 Side L:'U, R: R 1 L: R:_ oq I I Rear -- z lO 3 b Building Height g f—t Bldg. Square Footage >Sj 17 % Open Space Footage % (Lot area minus bldg&paved 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_X 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 water or wetlands? NO X 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 there any proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: it 1 1111 t City of Northampton Building Department o =� 212 Main Street Room 100 Northampton, MA 01060 ne 413-587-1240 Fax 413-587.1272 ATI$N 0 CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-IMTE INFORMATION 1.1 Property Address: z ftl Z 3 t�3ry l d S'� 1 �Lk tn� i strt near 49 P" l� n y. Eli+h 44 4 11 SECT , ,IONI,2 PROP,ERTY:OWNE$itfflP/APTHORIZED AGENT 2.1 Owner of Record: ff1m�d S'h^ect n 7 Name(PrinLV Current Mailing Address: elephone _q %nature 8� J 9-1110 2.2 jAuthorized Agent: l 0 r h C) P,tent /0 C), �o x 5/�L ZVi /✓h f&r' 14 Name(Pri t) Current Mailing Address: Xv�2 cP (92 76'7 9 Signs ure Telephone SEGTIO; 71,MATCD, CT 10N C STS' Item Estimated Cost(Dollars)to be Official Use pn,ly completed by ermit applicant 1. Building °K (a)Building Perrnit Fee av 36'OOZD' 2. Electrical �- (b) Estimated Totai Cyst of Cgitstruction fr'orn 6) , 3. Plumbing �" Building Kermit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4+ 5) Q °-� Cheek Number ,) This Section]Far Official Use Only Building Permit Number: bate Issued: Bi ii ng Co nmiWmerAnspector'of Bu�ltlir gs I� to File#BP-2001-0064 APPLICANT/CONTACT PERSON HARRINGTON MARGARET L ADDRESS/PHONE 23 HAROLD ST (413)584-9940 Q PROPERTY LOCATION 23 HAROLD ST MAP 12C PARCEL 067 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 12 X 12 DECK STRIP&SHINGLE HOUSE New Construction Non Structural interior renovations A_ddition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: proved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS 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 Co ssion Permit from CB Architecture Committee Signature of Building O cial 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. '� * - �� . r�>�:. �,k• 23 HAROLD ST BP-2001-0064 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 12C-067 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Deck Addition BUILDING PERMIT Permit# BP-2001-0064 Project# JS-2001-0106 Est.Cost:$4300.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO Const.Class: Contractor: License: Use Group: Lot Size(sg.ft.): 10193.04 Owner: HARRINGTON MARGARET L Zoning:URA Applicant: HARRINGTON MARGARET L AT. 23 HAROLD ST Applicant Address: Phone: Insurance: 23 HAROLD ST (413) 584-9940 FLORENCEMA01062 ISSUED ON.7120100 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 12 X 12 DECK, STRIP & SHINGLE HOUSE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: jJK G -a-C/ THIS PERMIT MAY BE REVOKED BY THE CITY OF NORT YUPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Oc u anc sj Hato - Fee T e: Receipt No: Date Paid: Check No: Amount: Building 7/20/00 0:00:00 702 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo