23D-050 (8) BP-2005-0670
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Category: BUILDING PERMIT
Permit# BP-2005-0670
Project# JS-2005-0907
Est.Cost: $2000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 25003.44 Owner: KLEMER KATHERINE
Zoning: URB Applicant: KLEMER KATHERINE
AT: 89 RIVERSIDE DR
Applicant Address: Phone: Insurance:
89 RIVERSIDE DR (413) 584-4133 O
FLORENCEMA01062 ISSUED ON:12/17/04 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT 12 X 12 DECK & NEW EXTERIOR
DOOR OFF BEDROOM
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:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 12/17/04 0:00:00 5320 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2005-0670
APPLICANT/CONTACT PERSON KLEMER KATHERINE
ADDRESS/PHONE 89 RIVERSIDE DR FLORENCE (413)584-4133 ()
PROPERTY LOCATION 89 RIVERSIDE DR
MAP 23D PARCEL 050 001 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 ,30iO cLrO
Typeof Construction: CONSTRUCT 12 X 12 DECK&NEW EXTERIOR DOOR OFF BEDROOM
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 FOLLOWING 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: §
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 Commission
/4 •o
Signature of Building 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.
•
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
_- ''1 Room 100 Water/Well Availability
�� �," l �_- -n� rthampton, MA 01060 Two Sets of Structural Plans
r- phone 4 -587-1240 Fax 413-587-1272 Plot/Site Plans
5 2004 Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: /�
Map Lot 6V Unit
�✓ � I r2 � IVY. • i � _ ���,,,JJJ���
l�t ..t,c � 7� Lr
Zone Overlay District
1.0
((�j�L� Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: ,�
`e t"-t- �L l r- get 1-A\re- �S►Z �r, ` 1 breA4,cf_
Name(Flint) Current Mailing Address:
/‘;fri(-2 < 5N4'-9 1.
•
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
elt,' c;
2. Electrical (b)h Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection _
6. Total=(1 +2+3+4+5) gt?,()('C/ 4(2Check Number p20
This Section For Official Use Only
Date
Building Permit Number. Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
L
l
Section 4. ZONING All Informatibn Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size �� <G irtejOa 3 _ ��
Frontage 1 7 tilit•il
+
Setbacks Front I
Side L: R: L: 4# . T_I . ..•
•
Rear
Building Height , - j •
t/ Bldg. Square Footage fjT, i % / 9(it
Open Space Footage %
(Lot area minus bldg&paved 1 1 i 1 1 ', i
parking)
#of Parking Spaces
Fill: ' I i I ,_
(volume&Location)
—
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW 931 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW ♦�4 YES 0
IF YES: enter Book ' Page and/or Document#'
B. Does the site contain a brook, body of water or wetlands? NO (a DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission? '
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO ►
IF YES, describe size, type and location: i
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO ):EZ
IF YES, describe size, type and location: ' I
E. Will the construction activity disturb(clearing,grading,e cavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q . NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
_f .
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition n . Replacement Windows Alteration(s) n Roofing n
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [ID] Decks [ ° Siding[I]] Other
/tzA/
Brief Description of Pro used C? •
Work: -'v lec L r ic.- c '/me, a z C) 02
Alteration of existing bedroom //Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa:I New-fio�ise andioc addtt o�;ta exrstinc hor smgr coiiiptete.the;fc$11 t
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. Masscheck 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
SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT,OR CONTRACTOR APPLIES FOR BUILDING PERMIT
,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
,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.
(LAn -- K 1�w�fir
Print Name
/Z/6/G y
Signature of Owner/Agent Date l
•
SECTION 8-CONSTRUCTION SERVICES t
8.1 Licensed Construction Supervisor: Not Applicable f
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9 Registered Home lmprove'ment,Contractor. .' nw ,.; , � - Not Applicable
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 affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes 0 No 0
11..-Tha ie O ner Exe hp> o`
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 a
ndLocal Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature �-'�
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�tiw•rnr t� oy Criiii2 pf Parilluilipton • 1
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P e �7:saltrhrtt r(ta' ___I8 �:�7 . -•
DEPARTMENT OP 13UILDr).G INSPECTIONS 4
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212 Main Street ' Municipal Building \;t4w\•
Northampton, Macs. 01060 r'-
WORKER'S COM:PENSA`IION C SURANCE API'wAVIT
I, -- - - --- - —--
(li cccux/pc.rwi ttcc)
will a principal place of business/residence at:
(phoncr')
(sa .t/ci ty/statcfa p)
do hereby certify, under the pa hs. and penalties of perjury, that
( ) I am an employer providing the following worker's compensation coverage for m
employees worming on this job:
(Iasulan=Company) (Polio:: Nu_rnbcr) (E epirvon Dace)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below wbo have the foilowin2 worker's caconen_taiion policies:
(Name of Cot tcior) (Insurance Coi piify PGUc{ NU.SIm_C) (p ruuoa l)inc)
(Name of Conrzaor) (lnswr2.nc: Compan',vPotic- Nurnc-cr) (Ex-piraiion Date) •
•
Mime of Connacior) (IDsuranca Compare}'/Folic}' Nastier) (Expirtioa Date)
(Name of Contractor) (Insurance Comrzuy/Policy Nttmly r) (Ex�ir.lion Date) .
(auacti z.d.istiocct exdifnccaar-to mcuci iafortn... on pctn:nin6 to.0 c.-,-r--_=ora) -
•
( )) --- a sole proprietor and have no one woridng for me.
(, I atn,a home owner erforming all the work myself.
P � y
NOTE:plow be cwzrc tl-i'."leek licancoweera wbo craplay pezors to dn r,fr-•,.,n c_:-..:r-ioo c tray it work c on.dwinnz of
ant most th_n 1-,-"E.,toils in which the bo.noowoc maid=or ca the croupc13 ca.r=tbec'.o a-c ooc C C 11y peed_.-cai to be
eitployc-s ttrv`c the..-cc-1lfi r7r--_+ion Act(G1.1152ss 1(5)).c^pliattiop by.boo fc a liege or p,...,urt t>_y evideoce the
1eya1 Et.aem of e_e ea;tioy.r under tlto W on x't Coe:pom+lion Au_
I uodcst.>nd tha a copy of thir aatcmcm may b.for-.crded to tbo Dryarrcmcct of 1.,A,,,,id Accid,cctli o{Go.of bau+oo for th.
covc.sc vcif atioo o_-td th1 Eiltac to saauc`covcro.cc',net.--yoctioo 25A of MOL 152 ran led to tbo i•,,1ico of cimioal p'Tt'ltic
eoosi ajzza of a roe of up to S I}00-00■ndlor imp-iso5 of up to ooc yt_.r end d.i1 pr.atics in the form of a Stop Work Ord=and.
fire o(S 100.00.oily.&-lin1t the
For dcput use only -
Permit itttmtxs
� Z�� 6�f Lot
S i lure of L ice nscc/Pc t-m.j cc -- -) A•
sot1AMpi,
.0) 9' Crx ofNorthampton •
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va tie
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' '$ " DEPARTMENT OF BUILDING INSPECTIONS =z
INSPECTOR '212 Main Street • Municipal Building '`any=-5 s ,.-
Northampton,MA 01060 .
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HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sup,_: ,'i sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and r'egulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
R sonotube holes (before pour). a rough building inspection (before work is
concealed). insulation inspection (if required) and a final building inspection.;The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
- permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, (e- 1I'- .v-( —2_- _I�`(:vim-ey understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date I:216; 16 9
Address of work
location Se l R-tv 5 t iJ e-- b c.
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NORTHAMPTON 584 5480
rr:ICF QUANIfY sizr X LrNG-11- CO5f5 NOTE
$ 20.19 18 2x10 12 $ 363.42 PT JOISTS
$ 26.69 10 2X12 12 $ 266.90 PT BEAM
$ -
$ 35.19 6 6X6 12 $ 211.14 SUPPORT POSTS
$ -
$ 14.39 27 5/4X6 12 $ 388.53 CEDAR DECKING
(S 1,229.99 (SUB TOTAL
$ 39.95 6 4X4 8 $ 239.70 CEDAR SELECT POST
> $ 19.19 8 4X4 8 $ 153.52 CEDAR KNOTY POST
$ 47.29 6 4X4 8 $ 283.74 MAHOGANY POSTS
I$ 1,383.51 ISUB TOTAL
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10/31/02 1:07:44 PM •
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
PARCEL ID: 23D-050-001 00089 RIVERSIDE DR PLOT: LIVING UNITS: 2 CLASS: R - 104 CARD #: 1 OF 1
CURRENT OWNER/ADDRESS ZONING: URB NEIGHBORHOOD ID: 6.00 FINAL VALUE FLAG: MARKET VALUE
FLYNN VIRGINIA M LAND DATA
- ASSESSMENT INFORMATION -
89 RIVERSIDE DR TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 13000 41,600 PRIOR COST CURRENT
FLORENCE MA 01062 RESIDUAL 11985 1,800
LAND 43,400 43,400
BLDG 84,400 103,200 114,700
TOTAL 134,700 146,600 158,100
DEED BOOK: 1039
DEED PAGE: 440 SALES INFORMATION
DEED DATE: TOTAL ACREAGE: 0.574 TOTAL LAND VALUE: 43,400
LAST UPDATE/COST: 20001108 DATE TYPE PRICE VALIDITY
LAST UPDATE/COST: 20001108
X DATE: ADDITION DATA
Lower Level First Floor Second Floor Third Floor Area
DATA COLLECTION INFORMATION
A is Frame 168
ENTRANCE CODE: UNOCCUPIED B is Frame 205
INFORMATION SOURCE: C Bsmnt Unfsh Frame Bay 55
DATA COLLECTOR: SS D Bsmnt Unfsh Frame Bay 60
DATE: 19991113 E Opn Frm Prch Opn Frm Prch 156
F is Frame 48
DWELLING INFORMATION G Opn Frm Prch 120
H
STYLE: CVNTL
YEAR BUILT: 1900
STORY HEIGHT: 2.00
ATTIC: UNFINISHED
Basement: FULL
TOTAL ROOMS: 10
TOTAL BEDROOMS: 4
FULL BATHS: 2 ADDITIONAL DWELLING INFORMATION
Half Baths: 14
BASEMENT GARAGE(#CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: FRAME BRICK TRIM: X 12 1Fr
UNFINISHED AREA: STONE TRIM: X
GROUND FLOOR AREA:
TOTAL LIVING AREA: 1964 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED: M 14 4 10
MASONARY FIREPLACE STACKS/OPENINGS: /
METAL FIREPLACES: KITCHEN REMOD(Y/N) 12 12 12 oFP 12
HEAT/CENTRAL A/C: BASIC BATH REMODEL (Y/N) 1Fr
HEATING SYSTEM: STEAM 19
FUEL TYPE: OIL
QUALITY GRADE: C+ PHYSICAL CONDITION AVERAGE COND/DESIRABILITY/UTILITY AV INTERIOR/EXTERIOR SAME 6 4
7
OUTBUILDINGS & YARD ITEMS PERMIT DATA 7 5
13
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE
RG1 1 1945 1 624 C A 12
6 FrB/B
26
NOTES:
'13
19
A/2F�/B
7 1 11
6 FrB/B 5
OF8J FP
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
BUILDING LOCATION ACCURACY IS NOT GUARANTEED
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TO: GMAC MORTGAGE CORPORATION &
CONNECTICUT ATTORNEYS TITLE INSURNACE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 2 5 0 1 6 7
—NOTE—
SURVEYOR � � , THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
/ZN OF �s —MORTGAGE LOAN INSPECTION PLAT—
, T� Sic • NORTIIAMPTON, MASSACHUSETTS
RANDALL yes PREPARED FOR
E. PETER K. FLYNN
°u IZER
f35032 / SCALE: 1 "=40' JANUARY 16, 2003
( e •
'"� suRVC HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET — HADLEY — MASSACHUSETTS