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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS._ -=`-�=�""'� �'�-� 19 l Additions
APPLICATION FO PERMIT TO ALTER Repair
Garage
1. Location A/ Lot No.
i,- 'Owner's name `.�Zy%!5- SAS - dress z �4Z/L7 Le, )IIZ
3. Builder's name aLni- 1?y G�! `" 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:- 1//Y''
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
8 f res n
p si !e app ican!
Signature o o
Remarks ��
pQ�(NAMM,p e
Y M ' L
L/1 4
'DEPARTMENT OF BUILDINIG INSPECTIONS
t
INSPECTOR OEFi t�E c�' 77 212 Alain Street Municipal Building '%�M
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
�i (Please Print)
DATE:
JOB LOCATION• / _ ✓"`
(Map) (Parcel) (�.bdiv�i/sJio �`�x�n) p �
HOMEOWNER:
(Name & Ad ess )
(Home Phone) Phone )
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 . CMR780 Section 109. 1 . 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
1 G neral Laws Annotated.
OMEOWNER SIGNATURE
BUILDING PERMIT
{
08/25/98 12:24:31 PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: DECEMBER 31, 1993 ,
PARCEL ID: 05 -017-001 141 AUDUBON RD Living Units: 1 Class: 101 Card #: 1 of: 1
CURRENT OWNER/ADDRESS LAND DATA: Zoning: RR Neighborhood ID: 2.00
TYPE SIZE INFLUENCE FACTOR(s) LAND VALUE
BURROWS DANIEL J & PHILIP E PRIME SITE 27,836 SF 39,390
SF ASSESSMENT INFORMATION:
47 STAGE RD SF
WILLIAMSBURG MA 01096 AC PRIOR CURRENT
AC
AC LAND 36,200 39,400
AC BUILDING 94,600 88,300
AC TOTAL 130,800 127,700
AC
MRA ESTIMATE 136,598
Deed Book: 2524 TOTAL ACREAGE: 0.639 TOTAL LAND VALUE: 39,400 COST ESTIMATE 127,700
Deed Page: 336 MARKET ESTIMATE 116,800
Deed Date:
ASSESSMENT BASED ON: COST APPRCH
Partial Completion/New Construction: Y ADDITION DATA
SALES DATA: Lower Level First Floor Second Floor Third Floor Area Value
Date Type Price Validity is Frame 156 6,600
9709 LAND & BLDG 145,000 0 Frame Garage 420 7,400
Conc Patio 168 600
Frm Utlt Bld 60 600
Frame Bay 10 400
Frame Bay 10 400
DWELLING DATA: Frame Bay 10 400
Style: RANCH �
Story Height: 1.0 / [�
Attic: NONE DWELLING COMPUTATIONS: T
Basement: FULL
Total Bedrooms: 3 Base Price: 74,690
Total Fixtures: 7 Plumbing Adjustment: 1,560
Full Baths: 1 Heat/Cent A/C Adj.: 0
Half Baths: 1 Basement Adjustment: 0
Year Built: 1964 Exterior Trim: 0
Basement Garage (# Cars) 0 Finished Bsmt Living Area: 0 14 5
Exterior Walls: FRAME Bsmt Recreation Area: 0
Unfinished Area: 0 Unfinished Area: 0
Ground Floor Area: 1144 Basement Garage 0 M2 1Fr 0 CPat 12
Total Living Area: 1330 Fireplaces: 5,270 FrU
Finished Basement Living Area: 0 Additions: 16,400
Basement Recreation Area: 0 SUBTOTAL 97,920
Masonry Fireplace Stacks/Openings: 1 / 2 Grade Factor (x) 1.10
Metal Fireplace Stacks: 0 C & D Factor (X) 1.00 44 15
Heat/Central A/C: BASIC Replacement Cost New: 107,710
Heating System: ELECTRIC Percent Good: 82
Fuel Type: ELECTRIC Market Adjustment: 0
Quality Grade: C+ RCNLD Residence: 88,300
Cond/Desirability/Utility: GD
OUTBUILDING DATA: PERMIT DATA 26 iFr
Type Qty Yr Sizel Size2 Grd Cond Value Date # Purpose Price FrG 28
NOTES:
Total OBY Value:
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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.
This —7== to be filled in
by tha Btxi.ldiny Department
Required I
Existing Proposed By Zoning
Lot size �jG/��
Frontage
Setbacks ® G
- side L: R: L: R:_
- rear
/D
Building height o?�
Bldg Square footage /9 .2 ?
%Open Space: �ti
Lot area minus bldg
&paved parking!
# of Parking Spaces
f of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: APPLICANT's SIGNATURE
NOTE: Issuano® of a zoning permit does not relieve an applicant's burden to oompty wit4 X11
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, department of Publio Works and other applioabla permit granting authorities.
FILE #
nn m
d,3j Fi 1 e No �j Q�J'P ( /
t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: � zlz f ;ewx& 1�S Telephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purr.-haser Lessee
Other(explain):
4. Job Location:
Parcel ld: Zoning Map# Parcel#_1 9 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property .S F11
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)
File#BP-1999-0231
APPLICANT/CONTACT PERSON Jane Stasz
ADDRESS/PHONE 141 Audubon Rd (413)586-5156 O
PROPERTY LOCATION 141 AUDUBON RD
MAP 05 PARCEL 017 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSD REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny,Permit Fi e d out
Fee Paid � �
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessojy Structure
Buildiny Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan ✓
THE T, OWING 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
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co s 'on
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.
Department: Reference No: B.P-1999-0231
........................••.........
Building,Electrical & Mechanical Permits
.........Type: Receipt No.-
shed Rl C-1999-000509
.........................................................................................
Paid By: Pa.idi'n"Fu"1'10"n
....'lane.Stasz................................................................... Wed Aug 26,1998
....... .........
Received By: '&h-e-c-k—No—:...................
Linda Lapointe 334
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: $20.00
---------- ................
DEPARTMENTFILE COPY 141AUDUBON"
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-1999-0231 $20.00
GIS Mai) Block: Lot: Address: Zoning: Use Group: Lot Size:
77 05 017 001 141 AUDUBON RD RR 27834.84
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-1999-0436 shed $975.00
Description of Work:
8'X 10' SHED
GeoTIVISO 1997 Des Lauriers&Associates,Inc. Signature: