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36-127 (3) a vai O .. t ..� Z M M Z N Z � Cr7 O rn rZ7 re Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. (� S '�`(y -1 Alterations NORTHAMPTON, MASS. \Aj1\jV-, (�7 19 L Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage ct' Lot No.Location 71 6rj�5 r Cs;,�,Je r r1 2. Owner's name (,qA r t-�flw)14 l Address ;x 7Jr!�'c- 5 iL%° G,N2C� 3. Builder's name � �� � / Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire E'Vt No.of cars Size 9. Garage 10. Method of heating 11. Distance to lot lines (�� 7 33 12. Type of roof 13. Siding house 14. Estimated cost:- C)Q The undersigned certifies that the above statements are we to the best of his, he, knowledge and belief. Signature of responsible app,icant Remarks �� (1_ __�I)Ot,"C Ati o ()k S 04�11Ml lob lO �t y i � • ,Q -� �iiasartrituartle Ole .aa O RTMENT OF BUILDIIG INSPECTIONS ain Strect ' Municipal Building ' INSPECTOR $n c�D P g rthampton, Mass. 01060 v HOMEOWNER LICENSE EXEMPTION qq DATE: ( Please Print) - � � B JOB LOCATION:— =� i� / (Map) ( Parcel) /1 ( Subdivision) HOMEOWNER: /�(�rr L 'IM 0i L,5i o1-?f (Y ,kSiL� CYIde , i��oP&.Uce MIS (Name & Address) y(5 S7g6L(fa1 , q13 51�;g 4176 X51 (Home hone) (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 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 underr, the buildinq 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 and Local Zoning Laws , and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE G /�n�• BUILDING. PEIMIT c $ 6 'g� �i �asaschtuctta U LJ Of DEP T ENT OF BUILDrNG INSPECTIONS ' DEPT OF BUILDING INSPFfT,,2V iin Street • Municipal Building INSPECTOR A 01060 Northampton, MA 01060 y Applicant Information Name— — -&1�� �------------------ — Location -&(1 (;&ok5je City I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. Company Name ------------------- -- Address City-- --------------- Phone#-------- Insurance Co.-------_----_—Policy#------ --_ Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pairs and penalties of perjury that the information provided above is true and correct. Signature Date 6 Print Name r � Z— Phone Q3 58'6 c/(-/ Official Use Only-,..Do not write in this area to be completed by city or town official City or Town PermiVLicense41 ❑ B-IdinSDept ❑LiensixK Bond Check if immediate response is required Contact Person 0 Phone# Q Health Dept. 14 THIS PLAT NOT FOR RECORDING PURPOSES B V-.541 o, PG.&3 PL,(3K. �9� PG.IZI G T r O� J 0 oT 2 b y 26,,544 S.f �O /-*ZT1 +1 � M 0 /,o O " TO!EASTHAMP-r0N 5A141 NG5 BA►.1%4 LAWYERS TITLE IA45.CO. I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER Z 5 O 1 DATED: 11 - ) 8 -97 NOTE THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT ilk OF QORTHAM PTONJ MASS . wKw J. LmmE SR i346p5 U I E L. A R Y A E 5 E M'E D I S O K 51�* SUit SCAL.E : lt1=40 Richard J.La Sr.,Registered Professional Land Surveyor ng Street,Northampton, Massachusetts 01060 •sdl}ljoyina Bul;uoib }laujad algaollddv aay;o pua slljoM ollgnd ;o juaLutiudaQ 'uolsslwauoo uol}aarw438uo0 'y11a01.1 +o paeoa ayl uao.Jl s;lw-j;34 pa.jlnbad 11a ululgo pua s}uaauajlnbaj Buluoz lla,'illiM Aidwoo of uapsnq n4uoatldda u8 0w01104 i*ou saop 3lwjad Buluoz a jo ao anssl :310N �. HUDLLYNO.Ts s,LLlvolrIaav �, :ssyQ •a6paTM z4.OUX Xw 10 4seq aq4 o4 a4e-znooe pue an. sr ura-Taq pauTequoo uor4PUrzo3ur aq4 4eg4 .�3r4.zao Xga.zaq I :uorgeor3r4.zaO • £T uorq.eoor 51- aVM-Ton) �TTTa sxooa butpvoa 30, sao>zdg bui3(.112c 3c # �6u-r�_Fd pa.�cd� l �S 5PTq snurur ease lo—I) :aoedS uado% hoc)) o6elool aaenbS 6p19 0 jg6ioq 6uippq C2 , Q91 .lea.l - S/ L S :q :a q& :-j opis - r 4 F 4uujj - sMoegjaS oQ l �o a ooi a6e)uoij z< azis 101 I 6uiu0Z A8 posodoad 6uIIsix3 1 paainbaN :7IIVC3:77Yd.,a 5u-pT?n8 oqp dq -- 'IT P"TTT9 oq c�l mcaT00 rruy •xor.LYjVWo.IKI .10 xovrI o-L Hna QrglNHa rva Kyo L-rmrzd •zO 'QS. cjjjoo SS .Lsaw NojzvN iojml TIC' • T T :uogeool pue adA;'azis aquosap'S3,k 31 ON �S3A d4ladoid 9y1 joj papuajui suMs jo suo4jppe jo o;sa6uego pasodoid Aue aiaLo ajy :uogeool pue adl4'azis aquosap'S3,k Al ON S3A dgjadoid aq; uo;sixe subis Aue oQ 'o l. , 0 1999 Fi 1 e No.jd Elec ;_.... ...._. ZONING PERMIT APPLICATION (§10 . 2)- e:ns PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant. ( AlT j� ►�'{ 1 �( Address: CR31 f7�1 t � E'd-C I-C � it Telephone: �,� Y `�` i�� 2. Owner of Property: kAtt- Address: '5A"e c Telephone: 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: y�� Parcel Id: Zoning Map# 1° Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5� Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): a X t$'_TnVC l rstltAC y �v 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/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 YES IF YES: enter Book Page and/or ocument# Does the site contain a brook body of water d V 9, y er 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) File#BP-1999-1084 APPLICANT/CONTACT PERSON LAMPIASI MATT&LISA ADDRESS/PHONE 271 BROOKSIDE CIR 586-4421 PROPERTY LOCATION 271 BROOKSIDE CIR MAP 36 PARCEL 127 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Fi ed out Fee Paid Typeof Construction: CONSTRUCT 10 X 18 REAR PORCH New Construction Non Structural interior renovations Addition to Existing Accesso Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THVDLLOWING 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: y Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commissio -d 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. 271 BROOKSIDE CIR BP-1999-1084 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36- 127 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:alteration-addition BUILDING PERMIT Permit# BP-1999-1084 Project# JS-1999-1809 Est.Cost:$1500.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sg.ft.): 26528.04 Owner: LAMPIASI MATT&LISA Zoning:URA Applicant:_ AT• 271 BROOKSIDE CIR Applicant Address: Phone: Insurance: ISSUED ON:6/18/1999 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 10 X 18 REAR PORCH 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 6/18/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo