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17C-246 (7) O O AFFECTED PREMISES: 81 NORTH MAIN STREET FLORENCE, MASSACHUSETTS 01062 KNOW ALL PERSONS BY THESE PRESENTS, THAT I, JANE H. KABAT of 884 Ryan Road, Florence, Hampshire County, Massachusetts for consideration paid, and in full consideration of TWO HUNDRED TWENTY EIGHT THOUSAND AND NO/100 ($228,000.00) DOLLARS grant to ANDREA D. HAIRSTON, PAN WELLAND and JAMES C. EMERY as Joint Tenants and not as Tenants in Common of 11 Arnold Avenue, Northampton, Hampshire County, Massachusetts with WARRANTY COVENANTS The land situated at 81 North Main Street, Florence, Hampshire County, Massachusetts, and being more particularly bounded and described on Exhibit "A" attached hereto and made a part hereof. Being the same premises conveyed to Harriet M. LaMontagne and Jane H. Kabat by deed of Harriet M. LaMontagne dated October 4, 1972 and recorded with the Hampshire County Registry of Deeds in Book 1664, Page 263. Said Harriet M. LaMontagne having died May 25, 1983 see M792 recorded in Book 2438, Page 12. WITNESS my hand and seal this 18th day of October, 2001. JANE H. RABAT COMMONWEALTH OF MASSACHUSETTS Hampshire, ss. October 18, 2001 Then personally appeared the above-named JANE H. KABAT and acknowledged the foregoing instrument to be her free act and ed before me, 0, � . KELLY A. RICHEY, Notary Public My Commission Expires: b November 25, 2005 4 - Planned Renovations 6 rooms Striping wallpaper, repairing plaster, painting �n Renovating Kitchen--first floor N" E C E V tearing down closet moving washer/drier hook-ups to cellar adding hookup for gas stove DEPT Of BUILDING INSPECTIONS Renovating Kitchen--second floor NOR1N,MF10N,MA 01060 going from closet to partial wall removing washer/drier hook ups adding hookup for gas stove �! OCT - 9 DEPT OF BUILDING INSP TIONS WRTHAMPTON,MA 060 z S t S 4-a-u s 4 d 1 C6&-Ct V 4CtPTO �� Boo °$ Gifu laf &Hart f jaillpflail a [44 AChtI4[II4 m DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 ' WORKER'S COMTENSATION INSURANCE A FF AVIT (li censer/pe r mi tt ec) with a principal place of businesshesidence at: (phone#) (s tTc,_-U6 ty(stafdzi p) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following workers colnpcnsauon coverage for my employees working on this job: (Insurance Company) (Policy Number) --_-- - (Expiration Daze) I am a sole proprietor, general contractor or omeowner ircie one) and have hired the contractors listed below who have the following wor e s compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) ., (Name of Contractor) (Insurance Company/Policy Number) (ExTiratioa Date) (Name of Contractor) (Insurance Compaiiy/Policy Numix-r) (ExTT Mbon Date) (Name of Contractor) (Insurance Com­l:�,_ny/Policy Number) (Expiration Date) (attadi acic!itionil s?iret irrecesury to i-tc�ude informifioa pertaining to a1]mc_..radon) O I am a sole proprietor and have no one wor�ig for me. ( ) I am a home owner performing all the work myself. NOTE:plt:aae be aware tl a µt lc hceneowners Wao ernploy pa om to d) ca-,-.=rioo or rtf air worse on a d%S'L n&of not meeo Haan Hiroo uuis is Audi the hotn of"mcr resides oe oa the greu xs appurten ti thccto uc oot Ec a-21ly ocasidacd to be catploycs under the wockcx'a c�rtpCrs cn Act(GLI52,ss l(5)�application by a homooancr for n Heroic oc p-rni may cvidcaoc the legal ctatiu of an employer under tho Woticce,Compeosatiou Act- I uuderz d thst a copy of this r txtemeut may bo forwarded to tbo De4xirtzm2 of Ir>dr�i al AeeidcofY Offioo of ln,urauce for the coverage vaificsiioo and that failure to accure covttago under suction 25A of MGL 152 can lead to the imposition of criminal pcnall:es ooasbt g of a fine of up to S 1,500.00 and/or imprisounxai of up to onc ytar and civil pmhl in the form of a Stop Wort Ordcr and a fine of S I OO.00 a day against me For dcprt Nu-m1 use°city permit Number gyp;{ Lot gnabirc of Liccnsc&Perautice e SECTION'.$ 3CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone Not A PP Iicable ❑ 9�Reiistered � Company Name Registration Number Address Expiration Date Telephone 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 affil will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ ` ViTtlan The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)famili and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner act: 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 them 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 buildinp, 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 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 a Local aw and State If Massachusetts General Laws Annotated. Homeowner Signature G U _ SECTION DESGRIPTIONiOF PROPOSED WORK3(check all applicable) �c. New House ❑ Addition ❑ Replacement Windows Alteration(sJ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work`' Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ 6a,'Ifi New h s nd or dition'to'existi hg:h'ddt ng lribbmpl=ete li6J4 ow 61Jlnk,: 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? d. Proposed Square footage of new construction. Dimensions 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 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 SECTION"7a °OWNEWAUTHORIZATION -TO BE COMPLETED WHEN OWNERS:AGENT`OR' RACTOR APPLIES FOR BUILDIN CQNTG PERMIT as Owner of the subject proper hereby authorize _____ — to ac my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 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. Print e Signature of Owner/Agent Date t . 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 o20 S ? Frontage 73 Setbacks Front Side L: R: L: R: Rear Building Height a Bldg. Square Footage % Open Space Footage 7/ % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW LIZ 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: l� u vv 1g i f Northampton - il ng Departmentu OCT — 9 2001 Main Street S Q�S615 oom 100 Wa erV ei v DEPT OF BUILDING INSPECTOWrthan pton, MA 01060 7woSetsof f. NORTNAhh 240 Fax 413-587-1272 PlotlSePl � ; Other Spe�f�r �� APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This sent be completedoff I ee ctio 1.1 Property Address: , �w I� Map Loth fin ' = a� �a•�.eitil,�Q. �— Q 1 (� 6 i;i__ Zon Overlay°Distri3ct ., , ,.. Elm St. District, CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: nd te,a.. ;�;rs ife n --11 14 r no d 4f /1 dr�i� •-� Na , (Print) Current Mailing Address: (> fQ Signature Telephone 413 , 6-96 . Z" -2 2.2 Authorized Agent: Name(Print) 4 Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Itern Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building d (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of _ Construction from 6 3. P1unnbing 6—.©D --_ - -` Building Permit Fee 4. Mechanical (HVAC) I 5. Fire Protection _ 6. Total = (l + 2 + 3 + 4 + 5) 'S- do Check Number Sd This Section For Official Use Only Building Permit Number Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2002-0389 APPLICANT/CONTACT PERSON HAIRSTON ANDREA ADDRESS/PHONE 11 ARNOLD AVE (413)586-2262 Q PROPERTY LOCATION 81 NORTH MAIN ST MAP 17C PARCEL 246 001 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 1 Tyneof Construction: REMOVE CLOSET FROM 1 ST&2ND FLR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN�ATION PRESENTED: Approved Denied PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan OR Special Permit and Site Plan Major Project: Site Plan OR Special Permit and 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 ission , Signature of Building O icial 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. 41-NORTH MAIN ST y BP-2002-0389 GIS# COMMONWEALTH OF MASSACHUSETTS Mpp:Block: 17C-246 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2002-0389 Project# JS-2002-0596 Est. Cost: $9500.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(ss . ft.): 20560.32 Owner: HAIRSTON ANDREA zoning: URB Applicant: HAIRSTON ANDREA AT. 81 NORTH MAIN ST Applicant Address: Phone: Insurance: 11 ARNOLD AVE (413) 586-2262 (� NORTHAMPTON MAO 1060 ISSUED ON.•10 1191010:00:00 TOPERFORM THE FOLLOWING WORK.-REMOVE CLOSET FROM 1ST & 2ND FLR 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 Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/19/010:00:00 311 $50.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo