23A-001 41 MEADOW ST BP-20030605
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A-001 CITY OF NORTHAMPTON
Lot: -001
Permit: Bu i l d i n_g
Category: BUILDING PERMIT
Permit# BP-2003-0605
Project# JS-2003-1002
Est.Cost:$45000.00
Fee: S175.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Craig Marney 057159
Lot Size(sq.ft.): 23740.20 Owner: STROM CHRISTOPHER G&ANNE K
Zoning: URD Applicant: Craig Marney
AT: 41 MEADOW S-i_
Applicant Address: Phone: Insurance:
P 0 Box 128 (413) 586-5512
LEEDSMA01053 ISSUED ON:1/3/03 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 1ST FLR, ELIM MUDROOM,
ENLARGE DECK (2 FAMILY TO 1)
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:1/20 3 H.-,-h Rough / f41! _i&
AA House# Foundation:HI1-vrs O t v_`g
-1 Driveway Final: 7
Final:7 d 9 '3 Final:
'a/ 3 1� Rough Frame:0k
Gas: Fire Department Fireplace/Chimney:
Ruugii. Oii: insulation:
Final: Smoke: Final:Q K q't'9'd3'1Z
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO OF
ANY OF ITS RULES AND REGULATIONS.
-.0--Zfere
Certificate of Occu.anc si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 113/03 0:00:00 3320 $175.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
a1 ,
4,0.7 v
SaleileiMMW BP-2003-0605
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Care2nrv: BUILDING PERMIT
Pennitu BP-2003-0605
Pruiect# JS-2003-1002
Est.Cost: $45000.00
Fee:$175,00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Gronp: . Craig Marney 057159
Lot Size(s4.ft.): 23740.20 Owner: STROM CHRISTOPHER(3&ANNE K
Zoning:URB Applicant: Craig Marney
AT: 41 MEADOW ST
Applicant Address: Phone: Insurance:
P 0 Box 128 (413) 586-5512
L E E D S M A 010 5 3 ISSUED ON:1/3/03 0:00:00
TO PERFORM THE FOLLOWING WORK:REMODEL 1ST FUR, ELIM MUDROOM,
ENLARGE DECK (2 FAMILY TO 1)
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 1/3/03 0:00:00 3320 $17500
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2003-0605
APPLICANT/CONTACT PERSON Craig Marney
ADDRESS/PHONE P O Box 128 (413)586-5512
PROPERTY LOCATION 41 MEADOW ST
MAP 23A PARCEL 001 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT.APPLICATION CHECKLIST
ENCLOSED REQUIRE]) DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 55,0 /i5
TvneofConstruction: REMODEL 1ST FLR,EI-IM MUDROOM,ENLARGE DECK(2 FAMILY TO 1)
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owned Statement or License 057159
3 sets of Plans/Plot Plan
THE P LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER s,,
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 Sire' Commission
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
• e
CAt4f Northampton
[:F hiding Department
, or? . -^ 212 Main Street {iTi`A ,�,a t "te+ r
- t
Room 100 'kkra�q/rri.•eea r=ai; .. _ .:.
Totiorthampton, MA 01060
'A i phone 413.5871.240 Fax 413.587.J272 er,c
et
Y _
APPLICATION TO.CONSTRUCT:ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
This 3e a mpt L '
1.1 ProoeAddress
y .
rty A
mfr 1`IPAdou ell Map £ ".s^
F/M'4+ds d/di Zone Da t r 4 erlay Distr _N.
rnelers
Elm St. District CB District-. '......�
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner� of Record:
! '76 t 4wrf Sort i" Ne"4h1 T4 'weir i 8/DNJ ..
Name(P Cu;rent MailinggA__ddress:
' ... /e'en) ..7J'6-079yr ......
/Tie - Telephone
Signature
2.2 Authorized Agent:
%i MAS � o e 44, , crete,ye.aort
Name(Prr4 Current Mailing Address:
'1'7/ (#:54.7) Set SS/a
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building S400600 (a) Building Permit Fee
2.
- Electrical . Sal to (I)) Estimated Total Cost of
1 r' .r Construction from(6)
3. Plumbing ,:iTh060. co Building Permit Fee
4 Mechanical (HVAC)
5. Fire Protection r W _
6- Total=(1 + 2+ 3 + 4 +5) Wow. DO Check Number {'�,3a"p 7 1--
This Section For Official Use Only
Building Permit Number:_ 1a0�7 Date Issued:
Signature:
Building Commissioner/inspector of Buildings Date,
•
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED E 0 LACK OF INFORMATION
dig
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Fron{
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage % J
Open Space Footage
(Lot area minus bldg&.paved
peeking)
#of Parking Spaces _
11.11.1111111
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Y DON'T KNOW YES_
IF YES, date issued: _.
IF YES: Was the permit recorded at the Registry of Deeds?
NO ... DONT KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO Y 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 i "
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:
.
1.
SECTIONS DESGBIPTION'[f)T+PROPOSED WORK(checkall applicable)..
New House ❑ Addition ❑ Replacement Windows Alteration(s) I Roofing ❑
Or Doors ❑
Accessory Bldg. 0 Demoiition(d'w/�_!/�L,�. New Signs [ ] Decks [ ] Siding( ] Other[ ]
Brief Description of Proposed Work:- .7-0._ Y
/
Ateration of existi edroom` Yes No Addingnew bedroom Yes No //
Attached Narrativek( / Renovating unfinished basement Yes Y No
Plans Attached Rout Sheet❑
lelfa rdt "Fid€oigadditiblict04ezistiitliaiSitlgatbill4W e"'kffibeftillOWi'ri :
a. Use of building:One Family Two Farm& 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
1. Is construction within 100 ftof 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
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT'SR
-CONTRACTOR'APPLIES FOR BUILDING PERMIT
I. /le . Sj b1rn , as Owner of the subject property
hereby authorize ___ Y _.„/270/ene __ _,,,,,,, _ to act on
my behalf, all matters/770h,.)ti e to work auth reed by this building permit application.
Y11. vL2. / -3-00,
Signature of Owner Date
I,__ /./{Wif nit' , as Owner/Authorized Agent
hereby deWdFe that the tatements 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.
a
J
400
Print Na ne
'f/7
Stgnatu of Own>.Agent Date
SECTION 8-:CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor:
Not Applicable ❑
Name of License Holder : (151-.) C t IA you / "gi
f/ License Nu bar
?OS /c?$ Leets M4.0103'3 ��10%
Address Expiration Date
(43
Signat re Tel phone
41.fftbilfferi i3tiTrovemanTiC6 t""h`::'
rw-�-° ^� ..- k" +'yk• -_ Not Applicable 0
gesis HA 01 agile?
N e / Registration Number
iPoNA•'v /1 . �� Hi O/OJ9 09
Address ) Expiration
Telephone 4sF�•SS/.Z
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 affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes r/ No 0
I Main s3/04,31- HT
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 he 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 General Laws Annotated.
Homeowner Signature
QtmapT oo,e•\
azia
4.
Bow`14,4 til g Ckrtg of Northampton t -`[
Bt'-Jf'�iJ� T St8 ftimackunt,.. ='�'2_.:
i s * *—
via. DEPARTMENT OP BUIWING INSPECTIONS =`.r`-
212 Main Street ' Municipal Building —_
Northampton, Mass. 01060 ., up s'
WORICER'S COMPENSATION INSURANCE AFFIDAVIT
I, dais.
..
(liccnscctlniaee)
with a principal place of business/residence at:
/ DM,; m 4L/4a 010'39 (pbcmeff)j4G'Y) 16-5-5 t'
(stredUcityts atrhip)
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Inswanct Corepwy) (Policy Number) (Expiration Date)
O 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/Petits Numhcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) .... (Expiration Date)
(Name of Contractor) (Insurance CortpanylPolcy Number) (Expiation Date)
(Name of Contractor) (Insurance C ompany/Policy Number) (Expiration Date)
@nth aMit;«d Mm if;Nasty to ioc.yde in&orwtion perttioing to all mmx+.on)
¢7) I and a sole proprietor and have no one working for me.
O I am a home owner performing all the work myself.
NOTE.piwe be more the»train,boosawttn wbomyloy photo to do mnvum•Mc,c..a mwim co moat unit.cn a chairing of
ax mac Mon Moo unity is*inch the h wwcr Imam cc m the 9MeM,WF+utmmltherm us a%rat titymmiderol to be
employers unla thewmkee ompesstim Act(GL152ya1C$)),appli['Moo by a homeowner for a looroe or pcnnia oNY.n&a the
legal nava of am employer mutt-dm Workeit Compo.tion A.A.
1 uvdnµa lNata copy of th mfmmt may he fotwwdmd to We Degcy,m-nt ofDolma-id Amidmff Office of buumx for the
towage wrifimuw iS Nat fate to ttturt m+mtgo trader totrim 2SAofMOL 152 an lad It be i•w^np+ca o,'<tvuinl pmaten
°omi p, of foe of up to SISoo.00 malice iU int t of up to oa}cm mnddvi pmtrut,btccoma oft.Stop WckONt and
fim or3100.Oo a day agziiw mac
..
For ckpuwettd too only
<C�� PermitNumber _._.
l
—1.4--. �' Li3re Mads_Lot d
t-w�'tiis S1Pumidce t,.
NOTE: PROPERTY LINES AS TAKEN FROM CITY OF
NORTHAMPTON ASSESSORS MAPS.
rwo,..,...
� w.
2003 0
1
-H
tri
N
N
• H /" M
\i
N BIT. = EL/Hi/PATE
i PARKING
/ �^ GARAGE I,,
/
II
/ / 2 STY.HOUW/F
R
II
lot
IFI
Iml
1 1
'"I I 99'± ---
I I
MEADOW STREET
- THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
•
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
I
TO THE FLORENCE SAVINGS BANK AND THE LAWYERS TITLE INSURANCE CORPORATION - ONLY
To my knowledge, information and belief, from information supplied to me, I hereby report that the premises have been examined and that
this inspection plot shows the improvement or improvements os located on the premises described, that the improvement or improvements
ore entirely within lot lines, that there are no encroachments upon the premises described by the improvement or improvem
adjoining premises, and that there are no easements of record affecting the tract shown hereon. except as shown. /:��OF
I further report that A PORTION OF the premises shown an this plan ABE located within a Flood Hazard Area (Zone A), �
and It oposers that the Improvements shown AEE_NO7 located within u Flood Hazard Area as shown on PAUL
Department of H.U.D. Federal Insurance Administration Maps, p R t
250167 0001 A IJ LO, 21FR A
CommunityNumber ) \ yg N0. 2BE96
_ APRIL 3. 1978 "'VVVfTFCCC!lI�CM�tt.AA�lllnnn K s-L�� "n' p!C Lod
Identification Dote ,p 1SR0.
�I UN06
HUNTLEY OWNER CHRISTOPHER G. STROM
& ANNE K. STROM
ALMER HUNTLEY, JR. & ASSOCIATES, INC. LOCATION 41 MEADOW STREET
Surveyors • Engineers • Landscape Architects NORTHAMPTON, MASSACHUSETTS
30 Industrial Drive East •-�-� --
Northampton, MA 01050 JOB NO. DATE SCALE
voice(413)584-7444 fax(413)586-9159 97-744 12/16/97_ 1"= 40'
-
•
. NOTE: PROPERTY LINES AS TAKEN FROM CITY OF
NORTHAMPTON ASSESSORS MAPS.
45 t
/5.
Ir.t 2003 '
-H
to
(0
ml
• /
H --
NO BIT.
PARKING ) - NEW K
DEC ,
/ i^ 1 GARAGE'i��'
/ � \—�-- 2ai- 2 - ENLA2&ED ENJT24
2 STY. W/F
HOUSE DECK •
I 3A _
II
lot
IF-I
H
99'± J.
.......--.. 1
MEADOW STREET
— THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
1
TO THE FLORENCE SAVINGS BANK AND THE LAWYERS TITLE INSURANCE CORPORATION — ONLY
To my knowledge, information and belief, from information supplied to me. I hereby report that the premises hove been examined and that
this inspection plat shows the improvement or improvements os located on the premises described, that the improvement or improvements
are entirely within lot lines, that there are no encroachments upon the premises described by the improvement or improvem
adjoining premises, and that there are no easements of record affecting the tract shown hereon. except as shown. r T6 Dp
I further report that A PORTION OF the premises shown on this plan AEE located within a Flood Hazard Area (Zone A)
and It apoeore that the Improvements shown AEL IOT located within a Flood Hazard Area as shown on �PAUI`D ��
Department of N.U.D. Federal Insurance Administration Maps, R 1
250167 0001 A r1 ^ LO 2004 A
CommunityNumber ...�/� \ N0. 2lER
Identification Dote APRIL 3, 1978 Cf TLa g,
P.LY.. Ret UN06.
`J
HUNTy E H •OWNER CHRISTOPHER G. STROM
Sc ANNE K. STROM
ALMER HUNTLEY, JR. & ASSOCIATES, INC. LOCATION 41 MEADOW STREET ---•
Surveyors • Engineers • Landscape Architects NORTHAMPTON, MASSACHUSETTS
30 Industrial Drive East •- -� -�.
Northampton, MA 01060 JOB NO. DATE SCALE
voice(413)584-7444 fax(413)586-9159 97-744 12/16/97 C 1 40'
_ _