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17C-002 (6) I y �a > o M X v -o m 3 0 0 � N > to O z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel. o� Alterations NORTHAMPTON, MASS. y I�l 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair L, Garage 1. Location 7 ' � r3+ �''t: Lot No. 2. Owner's name �' S C x t ,• ;`„Cyr-,!r,. Address '-/,/o °{. 3. Builder's name d?=r f Address r ' Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration t )r , •" 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 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his. I knowledge d belief. Sig aiurt responsible app,ieont Remarks 4 O4't�Nf'T u( 1 r (Lx $ a to - 2 Asssacaasrtta F,tl�jplD�¢d DEPARTMENT OF BUILDWG INSPECTIONS S9 ti 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 "WORI{EWS COMPENSATION INSURANCE AFFIDAVIT tense-Jpermittee) with a principal place of business/residence at: -A �'1 & •' "14 MO( (phone#)_ (st ceucity/stafdzip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor homeown cle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) ' (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sbcct if necenaty to iachsde information pertaining to an correctors) ( ) I am a sole proprietor and have no one working for me. I am a home owner performing all the work myself. NOTF—pl=wbeaw=dtxtwirilobomcow=3wboetnploypersowtocio.;,dm-n= construction or repair work on a dwelliag of not tore than throe units in wwcb the bomeowwe resided or on the grounds appurtenanithordo are not sraemily co=dcrod to be employers under the wod=a z compcasaiion Act(OL152,ss 1(5)),application by a homeowner for a license cc permit may evWwe the legal ctatva of an employer under the Walcoes Compamatioa AcL I understand that a copy of this statement may be farwrvdwd to the Depwtmm2 of Industrial Aeci4w&Offioo of Imucwce for the ooverage va ifieatim and that fadure to seam coverago under soction 25A of MOL 152 can lead to the imposition of or=md penalties oomis ag of a fine efup to$1.500.00 wNor i qui mmccd of tip to one yw sad civil p=&Wcs in the form of a Stop Wort[Order and a fine of$100.00 a day against ma rwrlr�w..+�'.•^'""" For deputaental—a+ty Permit Number _ of Date heap# Lot# a e Crzf� of wort 17ampfall � •�• � - NOV - 2 1999 _ DEPARTMENT OF BUILDING INSPECTIONS INSPE TO 212 Main Street • Municipal Building Northampton, Mass. 01060 . ••` DEPT Of BUILONG `mm HOMEOWNER LICENSE EXEI•IPTION ( Please Print ) DATE: JOB LOCATION: (Map) ( Parcel) ( subdivision/ HOMEOWNER: 1 (Name Add s ) 75 a�� (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 reside.-s" 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 . peklod shall not b.e - conside.red a -homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, thi Lt he/she -- shall. be responsible for all such work performed under the bukldiriq permit'. As acting Construction Supervisor your presence on the• j:ob 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 responsibi=lity 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. PEiUMIT # r.: r -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. LOCATION ACCURACY IS NOT GUARANTEED NO s rJ;x y' i� TO: SPRINGFIELD INSTITUTION FOR SAVINGS & FIRST AMERICAN TITLE INSURANCE 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 # 250156 _ -NOTE- SURVEYOR: <':• ,- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY OF A*a —MORTGAGE LOAN INSPECTION PLAT— X,, � NORTHAMPTON, MASSACHUSETTS RAN DIILL � PREPARED FOR IZ. H EDWARD B. SKROSKI 135032 SCALE: I "=40 ' JULY 6 , 1998 �'ti R oP HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET- — HADLEY — MASSACHUSETTS 5 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. Thin column to be filled i. by the Building Department Required Existing Proposed By Zoning Lot size Z.n' C1 C R Frontage ly 1r Setbacks - frnnt - side L: R: L: R: - rear Building height r Bldg Square footage , 5 %Open Space: (Lot area minus bldg &paved parking) # of -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 P DATE: APPLICANT's SIGNATURE " NOTE: Isaumnoe of a zoning permit does not relieve an app 'ioanr*` "rd to oomply wit" 4111 zoning requirements and obtain all required permits from he Bo rd of aalth. Conservation Commisalon, Department of f ublio Works and other applioablo p m granting authorities. FILE # NOV - 2 1999 ®� �� Electric,Plumbin Northam toA 1 Gas Inspections Fi 1 e No. MA 01060 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Vii° ' "`1 4c11 °YI Address: Cif .` >t ^ , Telephone: 2. Owner of Property: ' Er= ` Address: Telephone: 3. Status of Applicant: t Owner Contract Purchaser Lessee Other(explain): 4. Job Location: y & ALk Parcel Id: Zoning Map# �� Parcel# District(s):_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT,i 5. Existing Use of Structure/Property `' 6. Descnptipn of Proposed Use/WorkJProject/Occupation: (Use additional sheets jf necessary): Al eZ7 P2 r 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/oar'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) File#BP-2000-0475 \ APPLICANT/CONTACT PERSON MONTGOMERY JESSE ADDRESS/PHONE 46 OAK ST Jrd2—�tf�,2 PROPERTY LOCATION 46 OAK ST , MAP 17C PARCEL 002 ZONE URB THIS SECTION FOR OFFICIALi,USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled o Fee Paid /,6-- LTeof Construction: REBUILD&REPAIR 2 PORCHES SAME FOOTPRINT 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 LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Lo'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: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Co si / 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. a 46 OAK ST BP-2000-0475 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-002 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0475 Project# JS-2000-0825 Est.Cost: $1000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Sizes . ft. : 19602.00 Owner: MONTGOMERY JESSE Zoning: URB Applicant. AT. 46 OAK ST Applicant Address: Phone: Insurance: ISSUED ON:1119199 0:00:00 TO PERFORM THE FOLLOWING WORK.•REBUILD & REPAIR 2 PORCHES SAME FOOTPRINT 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 11/9/99 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo