35-109 (3) { �
1
809 RYAN RD SP-2000-0441
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:35-164 , CITY OF NORTHAMPTON
1&t:-001
Permit Buitdna
Ca orv:woorlstove BUILDING PERMIT
Permit# BP-2000-0441
ftect# JS-2000-0764
Est.Cost:$3500.00
F 25.00 PE"ISSIONIS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use GrouR
Lot Size(sc fL): 46173.60 , Owner' KENNEDY SC C3TT&S'TRAUSS SUZANNE
zanu :sR A,gp&ant;;
-
Applicant Address: Phone: Insurance:
ISWED ON.•lo/w999.o:00:o0
TO PERFORM THE FOLLOWING WORK.-INSTALL WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D:P.W. Inspector of Buildings
Underground: Service: Meter:
Footings.
Rough: Roughs House# Foundation:
Final; Final:
Rough Frame;
Gas Fire Department Fireplace/Chimney:
Rough: Ails insulation:
Final: Smoke: Final: 6
THIS PERMIT MAY BE REVOKED BY THE CI OF NORTEK , t QEN;VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of QccupAnc
xee
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 10/2611999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patllo
9110,41116`;- wAl
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23 CAHILLANE TERR BP-2000-0480
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35-109 CITY OF NORTHAMPTON
Lot:-001
Permit:. Building
Category:woodstove BUILDINIG PERMIT
permit 'BP-2000-0480.
Project# JS-2000-0831'
Est.Cost:
Fee:$25.00 PERMISSION IS HEREBY GRANTER TO
Const.Class: Contractor- Licenser
Use Group:
Lot Size(sg ft.) 10541.52 Owner: 3ACOBS PAUL D
Zoning:SR Apnlicant
AT. 23 CAFiILLANE TERR
A nb l icuntAddress: - Phone: Insurance:
ISSUED 0 N:II14f99 0:00:00'
TO PERFORM THE FOLLOWING WORK:INSTALL WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings "
Underground: Service: Meter:
Footings;
Rough: Rough House# Foundation:
Finale Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Roughs Oil, Insulation:
Final: Smoke: Final: 0 K. t -5
THIS PERMIT MAY BE REVOKED BY THE CITY OF ORT TON UPON VIOLAT N OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu nc Si nature:
Fee Tyne: Receipt No: DMte Paid: Check No: Amounts
Building 11/4!99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240;Fax:(413)587-1272
Building Commissioner Anthony Patillo
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
vr Location oZ3 Lot No.
Owners name k . d 4 G d -s Address 5a/►V,-Q--
3. Builder's name Address
Mass.Construction Supervisor's License No. , Expiration Date
L,.4-"Addition (2,c-'kc-k) IIC: �-�%S-f7i2 9 l✓4e'C.s
S. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
'f4. Estimated cost-
The undersigned certifies that the above statements are true to the best of his.
✓krr6wledge and belief. nn
-jD 17
eY,
Sig ure of responsible app" —WV
Remarks
t
e Cri# r !xf 'Warilralirpfa1Y ^
_4S _
malty DEPAft71dvMENT OF BUILDI?\G INSPECTIONS
INSPECTOR ' NOV 4 19N12 Mnin Street ' Municipal Building
No'thnmpton, Mass. 01060 +••�-
HOKEOWNER LICENSE EXEMPTION
(Please Print )
----'DATE: NO
JOB LOCATION-
I (Map) ( Parcel ) ( Subdivision )
(t/'90MEOWNER: u ( D. JaG
Pa O '5�' �3 Ca01ane- Ter-
(Name & Address )
( Home Phone) (Work Phone)
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- 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 i's, 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-ye ar . perlod shall not b.e -
considered a -homeowner. ' Such "homeowner" shall submit to tYhe Building
Official, on a form acceptable to the Building Official, that he/she
shall. be responsible for all such work performed under. the- bui°ldihi
permit.
As acting Construction Supervisor your presence oft the: job site
will be required from time to time, during and upon completioft' 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 responsibi:li*ty
for compliance with the State Building Code , City of .Northampton
Ordinances, State and Local Zoning Laws , and State of Massachusetts
General Laws Annotated.
uHOMEOWNER SIGNATURE D'
BUILDING. PEiZMIT ��s
Fi
c u. NOV 41999 fLY of NOrthan'Pt"
� ! _,. 3 �laalac�asctta
QEiR'7 Of GJfI DNG7 N!r 'D9PARIENT OF BUII.DWG INSPECTIONS
212 Meta Street a Municipal Building
Northampton, Mass. 01060
pokJ COMPENSATION INSURANCE AFFIDAVIT
(licensce/pernvttee)
with a principal place of business/residence at:
C I -GAP::„ No r-4",oXan / oloea. (phone#)
✓✓✓ (street/city/statrlup)
do hereby certify, under0e pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees worlang 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 Conlraactor) (Insurance Company/Policy Number) (E)piration Date)
(Name of Contractor) (Insivancc Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml shcct if neoeaary to include infccmation pertaining to all coatrsd )
( ) I am a sole proprietor and have no one woriang for me.
( ) I am a home owner performing all the work myself.
NOTE:please be ague that while homeowoen who employ pazoas to do m_idcn r.cocovction or repair work on a dwelling of
not moon than these units is which the homeowaer resides or oa the grounds appurtenant thereto are not gma+lly coaridcred to be
employers coder the worl='I compcasatim Act(GL152,u 1(5)).application by a honuownir for a licrase or pmdd may evidence the
legal dxbm of an employee under the Wadrees Compema loa Act
I understand that a copy of this etatcmcm may be forwwdd to the Deparemeot ofladuuOrid A dAwts`Office of Iawnaoe for the
coverage vcnficdm and that failure to socore coverage under section 25A of MOL 132 can lad to the imposition of mmuml,pmahics
oomisting of a fine orup to 31,500.00 atdla i¢apcisorm>wt of rip to am year and civil pcnaWcs in the form of a Stop Wok Order and a `
tine of 3100.00 a.day spied tna.
/
For deputafflMl U�y
✓/ n �o v r Permit Number Lot#
Meg#
j Signature Lixasee/Peaniace Law
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
IF YES,describe size,type and location:
11. ALL INFORMATION MOST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DOE TO
LACK OF INFORMATION.
This Cohn= to be filled in
by the Hnilding Department
,per \:Sf' Required
Existing Proposed By Zoning
S
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking
# of -Parking Spaces
# of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DJUE: L+ NO V /fl(� APPLICANT's SIGNATURE S. A:�
NOTE: Issuance of in zoning permit does not relieve an applioanY burden to oom Wit
zoning requirements and obtain all required PIY fa .gall
q permits from the Board of Health. Conservtation
Commission, Department of Publio Works and other appiioable permit granting authorities.
FILE #
/LjU NOV 4 1999 F]h
�/
`'j S
21 O
T� ° /,� ; File No. 7 )
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: f a .t ✓a c C)Ls
Address: aa3 Cayi I (gl1L Telephone: 581 036"
2. Owner of Property: S A '--�E
Address: / Telephone:
3. Status of Applicant: tl Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: S /
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Res 461n7Y a 01/641-P-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/ns,oe�fia•� e� 2 x-i 57`inq woo�s-f�
7. Attached Plans: Sketch Plan 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/Vadance/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#
9. Does the site contain a brook, body of water or wetlands? NO_,Z--' 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)
f
. 1
23 CAHILLANE TERR s BP-2000-0480
CIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35- 109 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:woodstove BUILDING PERMIT
Permit# BP-2000-0480
Project# JS-2000-0831
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq.ft.): 10541 .52 Owner: JACOBS PAUL D
Zoning: SR Applicant.
AT. 23 CAHILLANE TERR
Applicant Address: Phone: Insurance:
ISSUED ON:1114199 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
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:
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 11/4/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo