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17A-278 (6)
05/08/01 1:59:51 PM RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 199 PARCEL ID: 17A-278-001 00055 OAK ST PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1 CURRENT OWNER/ADDRESS ZONING: URB NEIGHBORHOOD ID: 5.00 FINAL VALUE FLAG: MARKET VALUE DILLARD SHANNON COKER & LAND DATA - ASSESSMENT INFORMATION - JOHN W DILLARD 55 OAK ST TYPE SIZE INFLUENCE FACTORS LAND VALUE 520 PRIOR COST CURRENT PRIME SITE 12247 FLORENCE MA 01062 LAND 44,500 44 500 BLDG 80,500 104,400 107,466 TOTAL 130,000 148,900 151,900 DEED BOOK: 5970 SALES INFORMATION DEED PAGE: 311 TOTAL ACREAGE: 0.281 TOTAL LAND VALUE: 44,500 DEED DATE: 20000629 DATE TYPE PRICE VALIDITY LAST UPDATE/COST: 20010508 20000629 LAND + BLD 171,000 0 LAST UPDATE/COST: 20010508 19931101 LAND + BLD 125,450 0 ADDITION DATA X DATE: Lower Level First Floor Second Floor Third Floor Area DATA COLLECTION INFORMATION 208 A 1s Frame ENTRANCE CODE: UNOCCUPIED B INFORMATION SOURCE: C DATA COLLECTOR: AD D DATE: 19991030 E F DWELLING INFORMATION G H STYLE: RANCH YEAR BUILT• 1969 STORY HEIGHT: 1.00 ATTIC: NONE Basement: FULL TOTAL ROOMS: 6 TOTAL BEDROOMS: 3 FULL BATHS: 2 ADDITIONAL DWELLING INFORMATION 13 Half Baths: BASEMENT GARAGE(#CARS) ADDITIONAL FIXTURES: EXTERIOR WALLS: FRAME BRICK TRIM: X UNFINISHED AREA: STONE TRIM: X GROUND FLOOR AREA: 1140 REMODELING DATA 16 1Fr TOTAL LIVING AREA: 1348 FINISHED BASEMENT LIVING AREA: X BASEMENT RECREATION AREA: X 312 YEAR REMODELED: MASONARY FIREPLACE STACKS/OPENINGS: 1 / 1 KITCHEN REMOD(Y/N) METAL FIREPLACES: HEAT/CENTRAL A/C: BASIC BATH REMODEL (Y/N) HEATING SYSTEM: ELETRIC 38 FUEL TYPE: ELECTRIC QUALITY GRADE: C+ PHYSICAL CONDITION AVERAGE COND/DESIRABILITY/UTILITY GD INTERIOR/EXTERIOR SAME OUTBUILDINGS & YARD ITEMS PERMIT DATA TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE RS1 1 1969 1 48 C A RG1 1 1979 1 440 C A 30 1Fr/s NOTES: r ok�- i I �oZx$ x l;L- vof�Nce, - RIM -)0151' r r B E�r�► /Z��- C-voJ S P 45�, Air �DnTIN S FDV r INFj5 F AND AND PIL-R >'Jt'R C � x-n ►z i 2x F-A 15T"IN 61 LEDC �-1 0 0 '�, F F�X15T'IN6U�LD INGS �� K rf`,. �L,�REIJC coo PRO P05 � D EcK �S or 37,5 r :Lo, V _211 V L�L/r �J L C . r . � d �assacknactta m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT 14 tQ D—i 41—A of LD (licensedpermittee) with a principal place of business/residence av — ' 5') O'l iL Log `ru-�—L I41A ei(,% (phone#) `fl (street/city/statt:l�p} do hereby certify, under the pains and penalties of pedury, that: ( ) 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 contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insura.nce Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Poky Number) (Expiration Date) (Name of Contractor) (Insurance Conq=y/Policy Number) (Expiration Date) (attach additional shed if necessary to include information paujaing to an ooatadots) V,am a sole proprietor and have no one working for me. am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ persons to do mmtca=r'0 or err repair work on a dwelling of not more than throe units is wbich the homeowner•resides oc on the Uva ds appttrtaaent thereto are not eeaeralty ooaridercd to be employers under the worker's compcns4on Act(GL152,ss 1(5)),aWlicatiou by a hotnoownir for a Uccose or permit may evidence the legal slatuo of an employer under the Workees C.ompaxmt.ion Act I understand that a copy of this statement may be forwarded to the Depdrwu l of Industrial Accidw&Offioe of Irnuraaoe for the eovatV verification and that failure to swim ooverago under section 25A of MGL 152 can lead to the imposition of mminal penalties eomistiug of a fine tf up to$1,500.00=Nor iVrisowacrt of tip to one year and civil penxWa in the form of a Stop Worst Otda and it ' fim of 3100.00 a dray against tno. For dq»rtm�trio only Permit Number Map# Lot 4 : Si of Licensee/Permittee Date vt i 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder License Number I Address Expiration Date Signature Telephone Not Applicable ❑ Company Name Registration Number Address Expiration Date Telephone SECTI+f N 14; WORKERS ,COMPENSATION INSIIRANCE4AFFIDAVIT.(M L x;c: 1, 2,&�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 arA State of Massachusetts General Laws Annotated. Homeowner Signature ' ble New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ 1 T Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [V]� Siding[ ] Other [ ] Brief Description of Proposed Work: b U)L.b ja X ;L-4 , DEZ-K I Alteration of existing bedroom Yes L/ No Adding new bedroom Yes ✓ No Attached Narrative❑ Renovating unfinished basement Yes _-- /VIN o Plans Attached Roll ❑ - Sheet❑ , "64' 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? ff�� d. Proposed Square footage of new construction. Dimensions /2= 2-`I" e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Mascheck 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 SEC1'jQN37 ' o ► >cs � � "C�t�TRA©CT�7t AlOPN I LIES oI W t M'� l�lNG PERMIT. I, e t w �I LL Q as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, �J b H N LI_ i2 n 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. J 9 1 &Z-AtZD Print Name yy ,, � A �6 Signature of Owner/Agent Date 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 ©� N 6' c tfA N 4 C �&ZT-6 Frontage NL Lti ry 7 S Setbacks Front Side L: R:_e L: R:-iPL /J`s i V rtly `C Rear 1 " - � LJO 5--) Building Height ,f �� 3S 1) c>c�"> PA ;L 3L Bldg. Square Footage �3 6 17 % 16, 3C, �-o Y juST Open Space Footage _ % '1 '7 fa� 7 L 1 3-f 4(Lot area minus bldg&paved . r j� / parking) f UP�Set,' L #of Parking Spaces 12 Fill: 1C volume&Location) A. 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 # B. 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: 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: e t-. ._. y�� .. .. �,� � r rr E ity of Northampton uilding Department MAY -~ g 212 Main Street Room 100 " No hampton, MA 01060 D dOOf RT 87.1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION I_SITE;INFORMATCON This sects ntfo bye=co pet"'d y office 1.1 Property Address: Map: �ot tJrt -ty- Zoine ;� r — - Eim SECTION 2-(PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Cur ent Mailing Address: yy ,, �REtic MIA. �J Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 1- CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Cffioial Use Only completed by ermit applicant 1. Building �QQ ('a)Building Permit Fee 2. Electrical (b) Estimated Total"Cost pf Construction from;; 6 3. Plumbing Building Permit Fee 4, Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 +3 +4 + 5) Check Number'' This Secthnh l:or Official Use Only Building Permit Number: Date Issued: Signature: Building'Commissioner/inspector of Buildings Date BP-2001-0896 CIS#: COMMONWEALTH OF MASSACHUSETTS z CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2001-0896 Proiect# JS-2001-1569 Est.Cost: $1000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq. ft.): 12240.36 Owner: DILLARD JOHN Zoning:URB Applicant: DILLARD JOHN AT: 55 OAK ST Applicant Address: Phone: Insurance: 55 OAK ST (413) 596-9595 O FLORENCEMA01062 ISSUED ON:519101 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 22 DECK POST THIS CARD SO IT IS VISIBLE FROM THE S'T'REET 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: r 1 THIS PERMIT MAY BE REVOKED BY T CI )FN T O V OLATION OF ANY OF ITS RULES AND REGULAT O Certificate of Occupancv Si natu e. Fee Type: Recei ` Noi Datp aid: Check No: Amount: Building 5/9/01 0:00:00 1741 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo