17C-025 (2) -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
TO: FLORENCE SAVINGS BANK &
LAWYERS TITLE INSURNACE CORPORATION
A,
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
SURVEYOR: '
OF A14SS�CyG
RAND ALL s�
u IZER ti
135032
SUR14VA
-NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
-MORTGAGE LOAN INSPECTION PLAT-
NORTHAMPTON, MASSACHUSETTS
PREPARED FOR
MICHAEL B. & THERESA M. FLYNN
SCALE: 1 "=30 '
OCTOBER 24 , 2002
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
ENERGY CONSERVATION APPLICATtC*4 FORM FOR
LOW-RISE RESIDENTIAL NEW CONSTRUCTION AND ADDITIONS
780 �-,MR Appendix d{efl tive
�pliC.trf t�.ame: `_ _ Sate fddress:
P.pphicknt Address: City/To vn: _---
_ Use Group:
_.. Da?e of Aoph;ator,:
cFn��r,,,,ii��r_r��nt
U Prascriptive PackaE-e ('_imiiec to 1- or 2- farnily woad tzme t)uiidings hea?t-1 with fossil filets only)
Pac�.a�e (A throw+ KK tmrn Table J5.2. 1b) r-ieating Dtrgree Cjays (HDD,�,) from Table J5.2 la:
For itorns a. throun i.. fill in alt vaiues tiv, apply from Table J5-2)
a. Gross Wit-H nre_- sq. f7 f. Wall R_Vafum R
b. Glaring Areal c.y. tw 2. Fi.^..^.; :rniL:a: n'
C. GLe2ing Cl 00 x b�a) h. RZISernent wall
d G:a7ino !I-vat_. ��- �IaU �DrimP[8r K
e- C:a ting Ft-va}uc P �. Hca'ing AFUE
Perrbrm2nce- `Manual Trade OrH� (Limited to'wood or metal framed building, only)
Girncte Zoe tfrcrm Frgurr j6.2.2) ❑ Zone 12 ❑ Zone 1; ❑ Ze'a
Attach Track-O,",r Kltw)s`ec'f,om Apper,dji'4 1,(and R•vxC Trop-Gr t r;s,ne°'. it appliczb cj
�vtAS.chsCk Softwart
Arach Carnpitance Pepo4 2nd fnspec7ion Checklist prin,ouls.
iJ Syrians Analysis 0-P u Renewable �ncr_piy So -rc s
Attach Mass Registered Amnitect or Enginw°.r Ana!ysis
541 + I'4 ALTERNATIVE FOR ADDITIONS ONLY-
a. Gross Waft { C.Fiiinv F,t ea S . " ' ��q . . a - sq.ti. c- Glazing fl (ICY x b,-a) 10,
j ADDITION with 8fa2;ng% (c.)up to 4-C rnay use 780 CMR Table J1 1.2.3.1 below:
Minimum R Valucs
Fe&-stration Coilirg WzI( I Root Bastr*wnt Ya11 ; S1ab Perimr:er, Dsp<
0.39 R-37 R-13 ' R-19 R-10 i R•10.4 ft.
❑ "SUNFJOF✓" adCition (o^reEtor than 40%gia2inE•to wall and cci;I , gross areb)
Attach 'Consumer lntonTation Form" from 780 CM-R Appnd-ir B.
vfrival's t.`ame: O$`cial"s Signature'
AppticLtron Approved Denied rl Date oi.°..00'o='a 1;Denial: 2 2bd
�vaSv `vi ucniai: (prvv'cic addiiionai details as ne-ceded on back side)
I1nsr�:-r�i;tn-
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G by of Nart4amptan
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DEPARTMENT OF BUILDING INSPECTIONS J=
INSPECTOR 212 Main Street • Municipal Building '>o
Northampton, MA 01060
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HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as has/her construction sup,,:..,i s. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be, a one-dr wo
ami y
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-b-uil ing department foi 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 fegulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfiIl),
sonotube holes (before pour). a rouzh 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
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
------ - issued-to me
Date
Address of work
location
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� A f �t�asatcrfirctrlle'
I W -
j d DEPARTMEI rT OP BUILDr>\,C INSPPCTiol.'s -
212 Alain Strcet ' Municipal Building
Northampton, Mass. 01000
«GM'G-:Z'S CONIPENSATZO_N MSURA-NCF- :'+I'I°II�r1.�77'
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(Il cttlsxlpclm�tteO)
\1111 th a principal place of businessfresidence at -- -
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(MT t/city/statctap)
do hereby certify, under the.pains and penalties of perJury, hat
I am an employer providing the followinp-v,ork&s comocasabor. cove,,^c for in) `
employees NvorlDng on tit's job:
°ZvriCln 'r�rne�ircy� �
iQnsur-n=Corr v) (Policy Nt>_ bco �,pirz or,Dzs)
s r et r er aorior homeowner (ci c:e one) and b2 't hired
the co ow o "'t the 0000 ing worttef's comoen_t2tion pokles.-
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ONBill: Oi Cont^eior) (Insurzncz Companypi o6ci NluS h-::) (Y p iJ:eon Date)
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(Namc of Contractor) QttsJrazcc ComoanvlpoUn. `uMc_r) (-Da Dirtion Date)
(Na-me of Coatr2mo,) (Las ranee COmpan)-/Police Nasb:r) (Expimaoo Daic)
(Name of Contractor) (Tnsutanc= CompaOy/Poticy Numbzx) (Expiration Data).
(aaad toc:il dc�.ifacea_-}-w c�cv ia(onna�oa pctaiaias w.11 eoe-saa) -
{ ) I.am_a sole pfopnetor and bave no one worL-ing for me-
( ) I atn..a home owner perform'mg all the Nvork myself.
NOTE_pl==be.wart ifi*.v+-�'lc hnmw.aacra.�bo az�loy pc`saa%to ct� - �-- cs.•r�oo c rgair+a'orx to a d..�r�:^�of
oot morn this t-nr_t-'rr 1b..bomw rt do or oa the p-oun6 zpp :tbeco io-x V=--Uy oc-c--.6-a1 w be
a>ployc tnCc he —Ld
ca=p _.,-c.A=(GUI 52-=1(5)j zppti=.i=by.hommava fw a Gam=or p==h r=7 c-idm-cc LL`
lcsa c. su of.n c=Ployx uo&,dro Wocfdr Cooap<m+iion At f- '
[yodczz�d tb.d a of tbi+rat, ma tae f---d-d to the
O°py Y Dtpaztimma of IndazriiJ Acodeal.:(Offish of Ir:=u'+ooe for t6a
oovease vcirt=tioa sad th1 L-.d— %action 25 A of 1.SOL 152 c.Ied to the=p=kioa of cimiail peailSie
—a%isi=s of a r%ac or up to s i 3oo.00.rdfc c 6rpr6o=oc=or up to ooc yt_r=d c%il pcoafio is do form of.Stop Work Ord--and a
j f=of S 10D.00 a dzy tai=C
//fJ j �Or.�s++aaxv UK only -
i -J�° I�CTIII7t
Lot
St�=bmu c of =cn-s lPcariu= e r
SECTION 8-CONSTRUCTION SERVICES "I
8.1 Licensed Construction Supervisort1 /J Not Applicable ❑
Name of License Holder: G rc,.(I, GS o9 C)0
License Number
I r.4„ GP g bu I o
Address
�— Expiration Date
7e 47
Signature Telephone
9 Rem ie m pr a ntra Not Applicable ❑
Comnany Name Reg stration um ber
Address Expiration Date
Telephone L4 13'oZ 4 7-7OM 7
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....... I/ 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 1083.5.1.
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 buildine permit.
As acting Construction Supervisor your presence on the fob 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
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SECTION 5-DESCRIPTION OF PROPOSED WORK(check•all-aoplicable)
New House Addition Replacement Windows Alteration(s) [Roofing
�-�, Or Doors 0 Ef
Accessory Bldg. ❑ Demolition UA New Signs [0] Decks [M Siding M26'
2 Other[E]
Brief Description of Proposed
Work:_Slccin� 4J),+tc:VA 0^ I t X a L I`' l oor' E'1;0 ve�.
Alteration of existing bedroom V111,
Yes No Adding new bedroom Yes No /
Attached Narrative Renovating unfinished basement Yes V No
Plans Attached Roll -Sheet
s`a-��e'ii �o%�se ��so cii#>_a�� exls�llc�fii�i�slna��ortr> ret�tare<r a[fin�a:
a. Use of building:One Family�� Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms a-
c. Is there a garage attached? JV D
d. Proposed Square footage of new construction._ �'�6Sc, Dimensions
e. Number of stories?
f. Method of heating? U I L Fireplace or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction L v*A t eye-};o"Ci
i, Is construction within 100 ft.of wetlands? Yes V No. Is construction within 100 yr. floodplain Yes ✓ No
j. Depth of basement or cellar floor below finished grade g 'r;:` /
k. Will building conform to the Building and Zoning regulations? '✓ Yes No.
1. Septic Tank City Sewer_ Private well City water Supply
SECTION 7a OWNER AUTHORIZATION-'TO'BE COMPLETED,WHEN
OWNERS AGENTTOR CONTPAC TO,
R=APPLIES FOR BUI[:DING PERMIT '
I, r&.0Z �ioa/7 as Owner of the subject
property
hereby authorize (� I�o,- S V' S 0 vt
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date / 0
I, v r�i �# as Owner/Authorized
Agent hereb lare 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.
GrCN
Print Name
l, l6 -
Signature of O e gent Date
Section 4. ZONING All Informati6n 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
i
Frontage
Setbacks Front :�
Side L:'L1 R:`= 'L:5=17F R:r ,
Rear �� `�
Building Height
Bldg.Square Footage i ; %
Open Space Footage %
(Lot area minus bldg&paved rrs T
parking),
#of Parking Spaces
Fill:
volume*Location)
A. Has a Special Perm it/Variance/Findin 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 Re 'stry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter Books Page; E 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 0 NO
s i
IF YES, describe size, type and location: j
D. Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,ecaation,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.
-Ciyof Northampton
Buildiog Department „
21 Main Street
Roo` 100
� \r) Nora mpto MA 01060 _
�..
h 4-� �r�7 40 Fax 413-587-1272
4.
APPLIC56'1 `4'TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION.1 -SITE INFORMATION
This section to be cort�Qleted by offcce
1.1 Property Address:
P Lo rC he M a• zoae Ovecla Dastnct
Elm Dwn;a 4-21%,3"
tU n � _ CB Drstnct
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT--
2.1 Owner of Record:
��„ � � a �C� Nh �sye• ��crc-AC-C. O62
Name(Print) Current MailingA-daress:
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address: 010-3-7
/3 -a5 7 -Zoe -7
Signature Telephone
SECTION 3-ESTIMATED`CONSTRUCTION`COSTS
Item . Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building a .7 L� (a)Building':Permit Fee
2. Electrical :(b)Estimated.Total Cost of
b Ov) Construction from 6
3. Plumbing Building PerTnit.Fee<
4. Mechanical(HVAC)
5.Fire Protection
6. Total=0 +2+3+4+5) Check Number Q r
This Section For Official Use Onl
Building Permit Num r.
be ` Issued:
Signature:
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Building<Comm issioner/Inspector of Buildings Date
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File#BP-2006-0174
APPLICANT/CGNTACT PERSON CRAIG HALL
ADDRESS/PHONE 14 KENNETH RD EASTHAMPTON (413)297-7047
PROPERTY LOCATION 9 KING AVE
MAP 17C PARCEL 025 001 ZONE URB
THIS 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: CONSTR 11 X 26 2ND FLR BEDROOM ADDITION
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 080061
3 sets of Plans/Plot Plan
THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF 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 Commis
Signature of Building Official 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.
9 KING AVE BP-2006-0174
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block: 17C-025 CITY OF NORTHAMPTON
Lot: -001
Permit: BUlld[M y
Category BUILDING PERMIT
Permit# BP-2006-0174
Proiect# JS-2006-0264
Est. Cost: $28700.00
Fee: $143.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: CRAIG HALL 080061
Lot Size(sq.ft.): 7753.68 Owner: FLYNN MICHAEL B&THERESA M
Annli.-ant; CRAIG HA_L_L__
AT: 9 KING AVE
Applicant Address: Phone: Insurance:
14 KENNETH RD (413) 297-7047 `VC
EASTHAMPTONMA01027 ISSUED ON.813012005 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 11 X 26 2ND FLR BEDROOM
ADDITION
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 Fival:
Final: Final:
4/,Z W
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: vii:
Final: Smoke: Final: 6 k
THIS PERMIT MAYBE REVOKED BY THE C. Y OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULAT NS.
Si
Certificate of Occupancy natur;�:___. —__-
FeeType: Date Paid: Amount:
Building 8/30/2005 0:00:00 $143.50
\.212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Conunissioner-Anthony Patillo