Loading...
28-030 (5) a z 7v '� µ V as 3 0 o m C: { > O I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. / �Q,2,- I 19 /0 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location to b R V 4- 10 i Lot No. 2. Owner's name ja�h.,�- ��r,no S���c,.� C..,/1-� Address___ k�" Rv�,, �tt� 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition } 5. Alteration r�14c le- 6. /()j jy S�e_tJ New Porch 7. Is existing building to be demolished? eS 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines �.5 12. Type of roof 13. Siding house 14. Estimated cost- /1 wd The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of res n.b a app-icant Remarks 81,998 Grit" a Wart4aillpt" � �lxsaxcEtttsctia DEPARTMENT OF BUILDrNG INSPECTIONS s 212 Main Street e Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT TO411rl l ctin/I C, A �rt C�Ao,, (Ii censeelpermi ttee) with a principal place of business/residence at: (phone') (street/city/stal�la P) do hereby certify, under the pains and penalties of per}ury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Carnpany) (Policy Number) J (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 Contractor) (Insurance Cornpany/Policy Number) (Expiration Date) (Name of Contractor) (Tnsu.rancc CompanyiPolicy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Pokcy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml sheet ifnecaa ry to inchrde informsIIoa percnining to eu o.dradm) L,)e e:f c- (� f7mara sole proprietorsand have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ pcz ow=to do ni irA.,azxr construction or repair work on a dwelling of not more than throe units in which the hornoowver resides or on the grounds appurtersant therdo are not generally ooasukrcd to be employers under the worker's ration Act(GL152,s 1(5)�application by a homeownir for a license or permit may-id—the legal etatua of an employer under tha Wocicoet Coorpomation AcL 1 undessiaad that a copy of this statrozmi may be forwarded to the Departmm of L duss el A=&a&Off oe of lanuance forth* coverage verification and that failure to&==coverage under section 25A of MOL 152 can lead to the imposition of Criminal pcaakic consisting of a fine of up to S1,500-00 and/or of up to one year and civil penalties in the form of a Stop Work Order and a firm of S 100.00 a day against me. f L f � For del rise—ly Permit Number Asap# Lot# of LiccnseeJPermittee e 04,E � •�.. - _._ -: s APR 8 1998 Vw . adsacltusrtta EPT_; DEPARTMENT OF BUILDNG INSPECTIONS INSPECTOP' �t `'" _. 212 Main Street ' Municipal Building Northampton, Mass. 01060 " HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: `1 JOB LOCATION: 3 (Map (Parcel)( / ( Subdivision) HOMEOWNER: �� (Name & Address ) ACS R„ 1- (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 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 and Local Zoning Laws, and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PERMIT # ti HO,O, O � f 81,998 f w 0 0 � o 4 O H O v i ., 51 - D Z aC TyigN t Vf f M -R(`FE P,ENC E 4/3 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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola= to be filled in by the Building Drpnrtment I (Required Existing Proposed By Zoning I Lot size - off, Lri`Z` G C'1bb� Frontage / y G41 Setbacks - frnnt - side L:c_R: L: Qy R: DD J C - rear / b Building height J 0 Bldg Square footage 's _ I j 7 b-r e y zl3yv l� � � t JyU=,�/� � � 7 %Open Space: Y& y4000 - (Lot area minus bldg &peved parking) # pf 'Parking spaces # 'of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: `l f 7 l J8- APPLICANT's SIGNATURE NOTE: Issumnoe of at zoning permit does not relieve an a lioant's burden to comply with all zoning requlrements and obtain all required permits fro the Board of Health. Conservation Commission. Department of Publio Works and other mpplioable permit granting authorities. FILE # t APR 81,998 )Ek L\ Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: _ r n r1 6-'nar,, Address: �, vc I�Ct - Telephone: S6 / 2. Owner of Property: es uL,-¢.-- Address: Telephone: 3. Status of Applicant: X Owner Contract Purchaser Lessee Other(explain): ��// 4. Job Location: �' �'� � %Jt /eeW Parcel Id: Zoning Map# Parcel# 0 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): CcT` rc r�T r� �Sinr f�jc C� t� ..i� jox/ / Iles 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/Vahance/Finding ever been issued for/on the site? NO DON'T KN0%A' YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO _ DON'T KNOW X YES IF YES: enter Book Page and/or Document# 9. 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: (FORM CONTINUES ON OTHER SIDE) + f _ FILE # 9 G ! i Ak 81998 a. APPLICANTANTACT PERSON: " I� FS`S(PHONE: PROPERTY LOCATION: a MAP C12Z PARCEL: Q ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Rnildin2 Permit Filled mit t✓' l Z610 " ✓ -e X10 V THE^LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedfbased 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: , Curb xCut from DPW Water Availability Sewer Availability Septic Approval-Bd of Hea h Well Water Potability-Bd Health �r s ti fission Signature of Building Inspector Date NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. `t City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Footings and Walls . Structural Components in Place* 3. Complete Building* No. 1446 Office of the Building Inspector Zoning Form No. 963389 Date 4/9/98 Fee$20.00 Check# 681 Page, 28 Parcel 30 ,Zone SR Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Joanne cannon & SHaron Carlson before Building Inspections has permission to replace 8' X 8' with 10' X 14' shed Inspection on Site—Foundations situated on 668 Ryan Road Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs and woodstoves Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUULAICEQ MISES Certificate of Occupancy Building Inspector