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17C-169 3 09� O OD y Ci> Cit 46 W N -L O CO 00 -1 O Cn 4 W ol 1Y� � ecA jr,L - 4j W C W u � .o d y a R P� OD .S SJ.c off c u y% _ X G X�d Sfr9�n O ro-d s i a N L .J � W 6t1 A O �i y co W� N m '—c � � N Z m � m Z m N o hF:7 N W 0 m D A G N m 0 'N CA 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 QUAN ITEM PRICE 0 MBAR 31998 3 4 5 6 7 8 c J 9 r I 10 12 \ - 13 14 f I( TOTAL CABINETS 15 TOTAL TOPS TOTAL APPLIANCES 16 = � � TAX P TOTAL CONTRACT 17 THIS KITCHEN ESPECIALLY DESIGNED FOR: 18 - a 1� L ER $C 1t HaivDC�D ccAsirrETxY 19 DESIGN DATE REVISED SCALE NUMBER U. > o rn o m 3 o O r � Z m O r Z Q > 1 � m O •� � t�=7 C 7C a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair j 1 / Garage `- A 1. Location 31 f-i €E- f )C/ ZJ e 6 Lot No. 2. Owners name jo /1 4/7 -F4.,,7 f- got Address J� 4h s f �'li�l.�ci /`f4 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition �5 Alteration U�►�1U h�kti£n l< �� g/6j, [ Ujc£�/3fL'z�:^� GAS /�uc±'�; / �� l� �� 7- ,J-7 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- -4Ja o-v The undersigned certifies that the above statements are true to the best of his, her knowledge an ief., l Signature of responsible app.icant Remarks t'O _._ . . CrTf� of 'Wart4aill fan L e MAR 3 X998lasasrEtasrlle m DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street e Municipal Building >= Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licenserJpermitzee) with a principal place of business/residence at: (phone#) (strce-Ucitylstatelap) do hereby certify, tender the pains and penalties of pegJury, 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) XI 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 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 additioml shod ifnocen ry to inchide informalioa pertaining to all oodrtradon) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whdo homcow=3 who employ pemm to do m&m1Maac construction or repair work on a dwelliag of not more than throe units in which the homeowner,sides or on the grounds appurtenant thereto are not gcocralty considered to be emPloY'aa under the woke' 0Qmp=Aticn Ad(GL152,ss 1(5)�application by a homeowner for a license or permit may evidence the legal statna of an employer under the Wor$ z Compomation Ace I uade:ataad that a Dopy of thin ziaiemear may be fotwecded to the Depertnscoa of Dial Accidea&Office of Iaszuwnce for the ooverago verification and that failure to soatre coverage under soctoa 25A of MOL 152 can lead to the imposition of auumal penalties °fig of a fine of up to S1,500-00 an&or impziso�t of up to one year and civil penalties in the form of a Stop Work order and a find of 5100.00 a day against mc. F For d use only ,- Permit Number r' i �''' "/ C.. tL Map# —Lot# x Signabim of LiaensedPermittee �z of 'Norti7amptall s. G MAR 3 1998 DEPARTMENT OF BUILDING INSPECTIONS _ a INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: f�j (Please Print) JOB LOCATION• / rAy / a 7,,&- (Map)_ (Parcel ( Subdivision) HOMEOWNER: JA4 64d" (Name & Address 411 �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. -r HOMEOWNER SIGNATURE ,, f� e ice_ BUILDING PERMIT # 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 V IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This COlumm to be filled in by the Building Department I Required I Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paced parkingi # of -Parking spaces i # 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 know . I DATE: -/ /y� APPLICANT's SIGNATURE' )-9� ' NOTE. Issuance of a zoning permit does not relieve an applicant's burden to oomply Wit4-all zoning requirements and obtain all required permits from the Board of Health. Conservation Cornmisslon, Department of Publio Works and other applioable permit granting authorities. FILE # � ` 1 �� ' �8K � /^`~ ~� ` - ` FiIe No � ^� �� =~ « �r�� ~ �� PLEASE =E OR PRINT ALL -INFORMATION l. Name of Applicant: Add _ ----' - Property: Address:- 39 -k4 'PX2Ef Telephone: 3. Status mYApplicant: J��_Ovvner Contract Purchaser Lessee Other(explain): 4. Job Location: - Parcel Id: Zoning K8up District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5� Existing Use of Structure/Property ' S. additional sheets if necessary): elsvzv';4ft-e�4-4-fl) C/o's t I -k 24 7. Attached Plans: Sketch Plan 3boP|un Enginaered/8urveyadP|ans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8 Has o Special Permit/Jahanoe/F{nding ever been issued for/on the site? NO DON'T KNOW YES IF YES,date issued: |FYES: Was the permit recorded ot the Registry ofDeeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document A. Does the site contain m brook, body of water orwetlands? NO DON'T KNOW YE 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 I 963263 C� 1 MpR 3 �qq� � p► AP 'LICAIV'P/C( �� ACT PERSON: Ir. ADDRESS/PHONEq PROPERTY LOTION: MAP /20, PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FH,T,FD MIT Fpe Paid lffijildin2 Permit Filled out Ud -Remodeling Tnterinr,,, V THE OWING 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 Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health ell Water Potability-Bd Health Permit m Conservation ssion Signature of Building Inspector Date NOTE:Issuanoa of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commisslon, Department of Publio Works and other applicable permit granting authorltles. { i f 1 r�3 , f� /t/y'� .i' [ate E�?f"✓ �cY ✓`r- Crl Al yl C � ✓ I 1 t? J d S' $�' 4 q``/ — te.1 f p�° -may C"Ityr of Northampton REQUIRED INSPECTIONS L Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* 1330 Office of the Building Inspector No. Zoning Form No. 963263 Date 3/3/98 Fee$40.00 Check# 1075 Page, 17C Parcel 169 Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERA- M *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Pamela Roach before Building Inspections expand bahtroom& bedroom,remove wall,move other, has permission to add closets Inspection on Site—Foundations situated on 36 High street Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish 5- ` 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, 1 /� P g :Whin Rou Maintenance and Inspection of Buildings in the City of Northampton. Inspection o g Sh Any violation of any of the terms above noted is an immediate revocation f�''` Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,ifnot started. ' Jr Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return ,,V,, Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish e'6t Smoke Detectors(Fire Department) Other THIS CARD MUST BE.. Sp IN A CONSPICUOUS PLACE ON PREMISES Certificate of Occupancy _ ,� Building Inspector