17A-104 (2) v n
� D
M 3 r OZ m
(%j ° g --iS
n
�o
J, �• o 0
a
Z ^� m
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 q Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
h Garage
1. Location Lot No.
2. Owner's name Address 4r D G E- �-
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
Estimated cost:-
The undersignedf/eertifies that the abov tatcme is are a to the best of his, her
knowledge d belief.
Sign tune of respon" ble app,lcant
Remarks
t
.,a
r
4
i
s
e`
` �
8
86611 TIC
�, 00 �, � ,
a{
f
e
s�
�4
t-
a
�: �� <�.+�:�' � °� i >"".✓�
t
yf. fir`
elf
07/23/98 1:11:13 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: DECEMBER 31, 1993
PARCEL ID: 17A-104-001 310 BRIDGE RD Living Units: 1 Class: 101 Card #: 1 of: 1
CURRENT OWNER/ADDRESS LAND DATA: Zoning: URA Neighborhood ID: 15.00
TYPE SIZE INFLUENCE FACTOR(s) LAND VALUE
SHAW HARRIET E PRIME SITE 14,475 SF 43,980
SF ASSESSMENT INFORMATION:
310 BRIDGE RD SF
FLORENCE MA 01062 AC PRIOR CURRENT
AC
AC LAND 37,200 44,000
AC BUILDING 66,400 60,400
AC TOTAL 103,600 104,400
AC
MRA ESTIMATE 107,715
Deed Book: 1159 TOTAL ACREAGE: 0.332 TOTAL LAND VALUE: 44,000 COST ESTIMATE 102100
Deed Page: 381 MARKET ESTIMATE 104,,400
Deed Date:
ASSESSMENT BASED ON: MKT APPRCH
ADDITION DATA
Partial Completion/New Construction: Y
Lower Level First Floor Second Floor Third Floor Area Value
SALES DATA:
Date Type Price Validity is Frame 156 6,600
Is Frame 32 1,400
Frame Garage 280 5,300
DWELLING DATA:
Style: CAPE
Story Height: 1.0
Attic: PART FINISH DWELLING COMPUTATIONS:
Basement: FULL
rrxr
Total Bedrooms: 2 Base Price: 62,590 �
Total Fixtures: 5 Plumbing Adjustment: 0
Full Baths: 1 Heat/Cent A/C Adj. : 0 �C— �
Half Baths: 0 Basement Adjustment: 0
Year Built: 1945 Exterior Trim: 0
Basement Garage (# Cars) 0 Finished Bsmt Living Area: 0 20 FrG j
Exterior Walls: ALUM/VINYL Bsmt Recreation Area: 3,550 W
Unfinished Area: 0 Unfinished Area: 0 �
Ground Floor Area: 720 Basement Garage 0 13
Total Living Area: 1052 Fireplaces: 3,510
Finished Basement Living Area: 0 Additions: 13,300 i a
Basement Recreation Area: 359 SUBTOTAL 82,950 14
Masonry Fireplace Stacks/Openings: 1 / 1 Grade Factor (X) 1.00 12 1Fr
Metal Fireplace Stacks: 0 C & D Factor (X) 1.00
Heat/Central A/C: BASIC Replacement Cost New: 82,950 --
Heating System: HOT WATER Percent Good: 70
Fuel Type: OIL Market Adjustment: 0
Quality Grade: C RCNLD Residence: 58,100 30
Cond/Desirability/Utility: AV
OUTBUILDING DATA: PERMIT DATA rJ
Type Qty Yr Sizel Size2 Grd Cond Value Date # Purpose Price
24 FA/1Fr
NOTES:
Total OBY Value:
1Fr 4
•� Crz a azi un
� JUL 2 31998 � � �ant t�.
is • Mass itchnsctts
DEPARTMENT OF BUILDING INSPECTIONS
._m.,.�..,.. 212 Main Street • Municipal Building S��S
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFI'IDAVTT
(hcenseeJpermittee)
with a principal place of business/residence at:
U �c `D� Td (phone#) e�`7
(street/city/state/a p)
do hereby certify, under the pains and penalties of pegury, that:
O I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contract o listed below who have the following worker's compensation policies:
G
-ci
(Name of Contractor) (I-nsurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (lnsuiancz- arnpany/Policy Number) (Expiation Date)
(Name of Contractor) ansurancc- Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additdoml sheet ifneccasary to inc}ude kdloi m oa pertaining to all ooatrac,.ors)
( ) I am a sole proprietor and have no one working for me.
�T am a home owner performing all the work myself.
NOTE:please be aware that while homcowvcra who cmplay patens to do ma i„�comstr=on or repair work on a dwelling of
not more than throe units m which the homoown raiders or on the grounds appurtenant thm-do are not gwerally 000sidered to be
employen under the workcs's oompcnsation Act(GL152,=1(5)),application by a homeowner for a Uccrose cc permit may evidence the
legal rube of an employer under the Wocicees Compemaiion AcL
I understand that a oopy of thin datemcrd may be forwarded to the Dvpex�of Indrutr iel Aocidemt>'O$oc of lan anco for the
coverage vaificadoo and that failure to seine coverage undo'section 25A of MGL 152 can lead to the imposition of criminal penalties
ooasistiug of a fine of up to S 1,500.00 and/or imprison of tip to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against tae.
l Far uao antY
/ permit Number
t„fap# Lot#
_S- I Signature of Li (�
t
10. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thi.a ool== to be f!ZSed in
by the R ild-mg nepartment
Pro Required
Existing posed; By Zoning
Lot size
Frontage $,J� ` ,�'
Setbacks rS
side L: R: L: R: � `
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking;
# of "Parking spaces
t of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
ij true and accurate to the best of my knowled e.
D E.� APPLICANT's SIGNATURE
NO ; Ime nos of a zoning permit does not relieve an applionnVe burden to oomply witty �pli
zonj'n" g Iremants and obtain all required permits from the Board of Health. Conservation
Cdfnmission. Department of Publio Works and other appiioable permit granting authorities.
FILE #
I n�
L JUL 2 31t 998
gEPT i t File No Of 9 A-)
ZONING PERMIT APPLICATION (§I0 . 2)
PLEAS9 TYPE OR P T ALIT FORMATION
t , r
`'I Name of APP lic
�d8ress: r /�� rt' Telephone:
2. Owner ofOroperty: �S Yet
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): /
4. Job Location:
Parcel Id: Zoning Map# f Parcel# /'�Y" District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
j `
5. Existing Use of Structure/Property 1 F T/
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW �� 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#
9. Does the site contain a brook, body of water or wetlands? NO �,� 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:
(FORM CONTINUES ON OTHER SIDE)
Department: Reference No: BP-1999-0085
...................................
Building, Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
shed REC-1999-000141
....................................................................................
Paid By: Paid..i.n.Full..On:
flarrict Shaw Thu Jul 23,1998
............... .........................................................................
.. . ...... ......
Received By: Ch.eck.No:.......... ........
Linda Lapointe 1103
.........................................................................................
.....................•..••............
DEPARTMENT'S COPY Amount.- $20.00
...........................
I)EIIARTMENT Fl.LE COPY 310 BRIDGE RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0085 $20.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
1414 17A 104 001 310 BRIDGE RD URA 14461.92
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
City: State: Zip Code: Phone:
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0125 shed $1,900.00
Description of Work:
8' X 12' shed
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature:
File#BP-1999-0085
APPLICANT/CONTACT PERSON Harriet Shaw
ADDRESS/PHONE 310 Bridge Road (413)584-09810
PROPERTY LOCATION 310 BRIDGE RD
MAP 17A PARCEL 104 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
Type of Construction:
New Construction 75 5),
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan ✓
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved 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
Well Water Potability Board of Health
Permit from Conservation ission
Signature of Building Ufficial 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.