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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. -5 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
P1 A -� S A Garage
1. Location
Lot No.
2. Owner's name DI AP t 'N, t i(-tl l3CID! 30 Address 1 H-A(L'� 3&Ni,, U;i
3. Builder's name 5i?�llg W. Address SAM`r-
Mass.Construction Supervisor's License No. : Expiration Date
4. Addition N ON
5. Alteration M6N<-
6. New Porch Cats 2.�[ WHOV,- NA—LI3
7. Is existing building to be demolished? Ib
8. Repair after the fire 141
9. Garage 10 ) No.of cars Size
10. Method of heating 9v )
11. Distance to lot lines ?OWI '��� 9(uom lloo- L i I li -ZO"-t Sale. - t�l`' l''az;� • asy- ' .
12. Type of roof q
13. Siding house
14. Estimated cost:- pUG1
The undersigned certifies that the above statements are true to the best of his, her
-k-powl ge nef.
Signature of responsible app,ica�t
t ff
Remarks
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9 - �. f�eiatccl♦nattla
4417
DEPARTMENT OF BmDrw INSPECTIONS -
INSPECTOR J1JN 2 4 11998 212 Main Street ' Municipal Building
Northampton, Muss. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE; J''V�•� �.� 111M
JOB LOCATION:
(Map) (Parcel ) (Subdivision)
HOMEOWNER: T� ``� JA . iZkCVu.l�t k1 04
(Name & Address ) >
l�JC1f1,`1 J�Pd� t„„t..l ,�V(�.�(,(`.;1�,`� �t�• �,�1u��. ���� / S`;41...�R��` �4a�� ��'���7.t�i
(Home Phone ) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or ttm (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 responsiblit-y
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
BUILDING PERMIT
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gcfin?iPT
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B. i8 AxssxCF riscUtf
DEPARTMENT OF BUILDIT(G INSPECTIONS
-gym
212 Main Street ' Municipal Building
Northampton, Macs_ 01050
WORKER'S COMPENSATION INSURANCE A t t A.VIT
(li tens:clpermi Ctcc)
with a principal place of business/resideoc.e at:
i,AV k FUA:ri.N QI�)(:OL
do hereby cerff},, under the pains grid penalties Of pcijl --,;, Llbm.
( } I aro an employer providing the f0110vnog v,,Olkells ( oOmpensnon coverage for my
employees on rills )ob:
(Lasur�c a ap--.2y) ('PoL cy
O I am a sole propriet(Dr, I;enerLIl contz-actor Or honlco-wner (c rcle out) and 'have hired
idle COIl'u` GW,-S liS:-d be--Iow who i? `,,, tht Tolovv?s. 'ti'/orkc 's Go!i?D,--asatloll pol!GIeS:
C_ 11TTI
�`t�IJ1C Oi l_Oi'u7.C10C) (I'1>l I<.�h_ COLM)J-Ul iPOI,IC) INUIIIL<:O 0i Date)
(Name of COnII2CIOT) (L-asAi nc- Cooipam-iPoGe; Nucnt-x--f) (-Exj)i Ioo Date)
(Name of Contractor) (LPSI rn 1G Compy/PoLcy Nlllu?r�r) (E-xPim000 Da-IL)
(r_(udi ''�Ilicc-i!a�.cct if rcoci.:y to lo-:J•x'c ci(c;;uoca yL•:n:rE to�U 2,c3:son)
O Z a sole proprietor anti have no one v.,orlaog for me.
( a home owner performing aH the work myself.
NOTE ple .se be a rl e[hxt w o bOm00%YD r]wbo employ per'-Q=en do ^� 1O6:or rtyx�wo k on I d welling of
noC moth than lhroo units in�xic11 ibc 000sidcrcd w be
w�,�waw IL..(iU OC OO t�10 ef9UD(3 IppllriCNIIt ih�LT 00��T11y
cmployrr�under tha wocic,ct'Y m Ad(GL152�a t(5)�npplicitioa lry a homcowrxs Cor a Gctux a pa-mit may cvidcnec t.bc
Iegal s:tatila of anclxployxuodetthn Wociee�a Coa=pmolLioaAe<
I uadazt gad[h>i a COYy a(tbi s ciii—,cat may bo forwcrdod to Lb-DcpeMm of 7nbllizi cv Amd-tl�OISoo of lmun one trot the
oovcragc vcrifiaaioo Acd that Gilutc to tca=covcr under soaiocn 15 dMOL 132 C to Lod to tbo oa oCmm n11 pcn+ltin
006 8 4A:Sf c orup to:51;300.06 KO&OC i npraom - 4?rup to.00e year end civil pcn?tlio in the form oCr<Slop WockOrdcr.ind a
fitio oCS100:00'a dty igaioA ma
. FoC 1�yni�t1f0 only
i pci mil Ntunbcr
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06/26/98 11:22:54 AM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: DECEMBER 31, 1993
PARCEL ID: 12C-092-001 7 MARY JANE LANE 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
NUTTELMAN DIANE M PRIME SITE 10,000 SF 43,000
SF ASSESSMENT INFORMATION:
7 MARY JANE LANE SF
FLORENCE MA 01062 AC PRIOR CURRENT
AC
AC LAND 35,000 43,000
AC BUILDING 72,000 74,500
AC TOTAL 107,000 117,500
AC
MRA ESTIMATE 116,121
Deed Book: 1520 TOTAL ACREAGE: 0.230 TOTAL LAND VALUE: 43,000 COST ESTIMATE 112,800
Deed Page: 689 MARKET ESTIMATE 117,500
Deed Date:
ASSESSMENT BASED ON: MKT APPRCH
Partial Completion/New Construction: Y ADDITION DATA
SALES DATA: Lower Level First Floor Second Floor Third Floor Area Value
Date Type Price Validity Opn Frm Prch 30 800
Enc Frm Prch 160 5,700
Canopy 80 600
Frame Garage 576 9,600
DWELLING DATA:
Style: RANCH
Story Height: 1.0
Attic: NONE DWELLING COMPUTATIONS:
Basement: FULL
Total Bedrooms: 3 Base Price: 67,390
Total Fixtures: 5 Plumbing Adjustment: 0
Full Baths: 1 Heat/Cent A/C Adj.: 0
Half Baths: 0 Basement Adjustment: 0
Year Built: 1966 Exterior Trim: 0
Basement Garage (# Cars) 0 Finished Bsmt Living Area: 0
Exterior Walls: FRAME Bsmt Recreation Area: 0
Unfinished Area: 0 Unfinished Area: 0
Ground Floor Area: 982 Basement Garage 0
Total Living Area: 982 Fireplaces: 0
Finished Basement Living Area: 0 Additions: 16,700 8 tpy
Basement Recreation Area: 0 SUBTOTAL 84,090 !] .� 10
Masonry Fireplace Stacks/Openings: 0 / 0 Grade Factor (X) 1.00 I C r
Metal Fireplace Stacks: 0 C & D Factor (X) 1.00 C
Heat/Central A/C: BASIC Replacement Cost New: 84,090 24 FrG
Heating System: WARM AIR Percent Good: 83 eFF
Fuel Type: GAS Market Adjustment: 0 16
Quality Grade: C RCNLD Residence: 69,800 24
Cond/Desirability/Utility: GD 29
OUTBUILDING DATA: PERMIT DATA 24 10
Type Qty Yr Sizel Size2 Grd Cond Value Date # Purpose Price
24
14
5
NOTES:
Total OBY Value:
9;
011-11- i'GAGE LOAN INSPECTION
I IIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOTS NOT CONSTITUTE A PROPERTY SURVEY
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MARY JANE LAUE7
'TO WE 2ACCOME WE A(;E a?-?- AND 111E AR-sT hmegI(, NTITLE Co_-OkiLY
To the best of my knowl edge,Information and belief,I hereby report that I have examined the Premises and that this inspection Plat shows III
improvement or improvements as located on die premisesdescribed,that die improvement or improvements are entirely within lot lines,d►:
there are no encroachments upon the premises described by die improvementor improvements of any adjoining premises,and that there at
no easements of record affecting die tract shown hereon,except as shown. � n—; '�-t,,
10. Do any signs exist 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 V
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Building Department
Required I
Existing Proposed By Zoning
Lot size
Frontage J
Setbacks - frnnt -3-13 1
i
- side L: R: L: 2r. R: �' l
- rear ff �o ,
1
Building height
Bldg Square footage c t g
%Open Space: o
(Lot area minus bldg " `� ✓/
' &paved parking) 1 �u �U
pf -Parking Spaces
#
'o, f Loading Docks �,4
Fill: N � ig
Avo1-ume -& location)
13 . Certification: I hereby certify that 'nformatio contained herein
is true and accurate to the best of y no e.
1 r
DATE: Jv- ,� I* APPLICANT's SIGNATU \,--
NOTE: Issunnoe of a zoning permit does not relieve an p lioant's burden to comply wltf�y�pll
zoning requirements and obtain all required permits ro the Board of Health, Conservtation
Commission, Department of Publio Works and other applioabla permit granting authorities.
FILE #
''
File No.99—W—1 4? i
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: `� �G � �-Y - Telephone:
2. Owner of Property: T)1fr'�-i u,"
Address: SA � t- Telephone: ►/►�
3. Status of Applicant: 'Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ��' � J Al
Parcel Id: Zoning Map# 12 Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S C P l �Y
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
-Pjv,t-r�
7. Attached Plans: Sketch Plan tz 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 lam/ 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)
Reference No: BP-1999-0018
Department: ...................................
Building, Electrical & Mechanical Permits
.-.......... •. - -.......
Fee Type: Receipt No:
Building-Renovation REC-1999-000025
................................•-•---•---------.....-----......-----..............--.... ......................................
Paid By: Paid in Full On:
John & Dianne Richardson Thu Jul 02,1998
......................................................................................... ......................................
Received By: Check No:
Linda Lapointe 1099
.......................•-----••-------......................................----......... ---------------------...........------
DEPARTMENT'S COPY Amount: $40.00
..........••.............•-
DEPARTMENT FILE COPY 7 MARY JANE LANE
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: Trackina No.: Fee:
02 Jul, 1998 BP-1999-0018 $40.00
GIS #: Man Block: Lot: Address: Zoning: Use Group: Lot Size:
881 12C 092 001 7 MARY JANE LANE URA 10018.8
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
City: State: Zip Code: Phone:
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0029 $1,000.00
Description of Work:
construct 10'x 8' deck over existing covered patio
GeoTMSQ 1997 Des Lauriers&Associates.Inc. C:an0t31rr.-
File#BP-1999-0018
APPLICANT/CONTACT PERSON John&Dianne Richardson
ADDRESS/PHONE 7 Mary Jane Lane (413)586-6585 ()
PROPERTY LOCATION 7 MARY JANE LANE
MAP 12C PARCEL 092 ZONE URA/WSP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid A
Type of Construction:
New Construction
Non Structural interior renovations �1J�
Addition to Existing
Accessorjy Structure
Building-Plans Included:
O cu ant Statement or License#
3 sets of Plans plo lan a i
THELLOWING 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 Connservatio ommission
�.�i=0 21z4 1,9 0
Signature of Buildi fficial 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.