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12C-092 (6) 70 `v A. 3 o Z Z ti O Z --3 a A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5��'-�° �� Alterations a rNORTHAMPTON, MASS. �" �' 19 A—T Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 VA PCLJt SAN t t-M Lot No. 2. Owner's name 7 j c�r-z 2% Address w►I�SL"l '�� 1�1��amtx of J�Z 'TN f 0ZC"_L El. ' 3. Builder's name i 6001$(Ak P oL)�.S ( SPA S !�W C Address Mass.Construction Supervisor's License No. 111M Expiration DateT�1�1 4. Addition Pte- 2V� 5. Alteration Al /A 6. New Porch 7. Is existing building to be demolished? NI) 8. Repair after the fire 9. Garage t ' No.of cars —Size 10. Method of heating� 1 11. Distance to lot lines 12. Type of roof ►J 13. Siding house 14. Estimated cost"- 3A ao The undersigned certifies that the above statements are we o the best of his, her knowledge and belief. Sign Lure of responsible app.i nt Remarks Q)u q V" (Z e OIXJ&2�4 51 nj Z1V%A I �" V)44V . 6}p r , DEPARTMENT OF BUILOWG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORZCER`S COMPENSATION INSURANCE A I t AVTI' CA r-Y,_ (li crns�/�rmi tic:.) with a principal place of businesslresidence at: 11v11k 1� {i.✓._ � '�_. �� 1 � 'Unl! 1 UV 1 ` lt��b (. (pphooefr) do hereby certify, under the pains and pea2loes of perjury, Thai: O I am an employer providing the following v.,or'�_er's compensation cove aoe for my employees worling on this job: 7alcCp e olIlp2IIy (Policy Numlxr) (Fxpiration Date) ( I a roprietor, general contractor o homeopes(circle one) and have hired the contractors listed below who have the following wo compensation policies: (Name of Contractor) �I�C-- Corupany/pobcy Number) (Expirntion Date) (Name of Contractor) (Insurance Compaiy/Po+.icy Number) (Expiration Date) (Name of Contractor) (Lns.tranct- CompaM,/Policy Numbu) (E-,,p ration Dale) (Name of Contractor) (Insuranuv Company/Poky Numbu) (Expiration Date) (etiith additional cboci irnocc�ity to©c} do nformaZoo pert-' to all cxxi�-Con) ( ) 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 awruc thzl vihilo bomcov ncra vino employ pazona to don tat•• Dec oxar%c oa'or repair work on a d.4cll of not mote tb=a tbroo unity is which the bomoowncr rcridcs or oa the vv=dr zppurtcas tb,�arc oo(grnaruly eoc=6crcd to be cmploycn under tho%vc a cr's c,=paitnica/pct(GL152,ss 1(5)} applirstioa by a 6omcow=for a liccax tic permit may evidmoe the lops ctaara of as employee undertho wo,+ ,comp.m. on Ad. [undcntaad tht n Dopy olthu eatemmt m,ay be focvrarded to rho Dotw,m�mt of lndus7iel Aoadeofl'Otlioo of Ia�c.noe for the oovcragc vcx ificsdoa and that U%=to tcauc covcmV undo soclioa 25A of MoL 152 can 1«d to tbo imposition of crimiO4 pcaeld- oomistuxg of a-Enc bf up to S1,500.60 anNor unpraoc m of up to Dot ysar and civil pcmltics in the focm of a Stop Work Ordcr and a find of s1oo.00•day apainsl.m-- Signed this!! day o£ V VS 1997 For dqxftDce t—o-ty / Permit Numbcx loll" m2P4 Lot i! Sgna(urc of I:.icrmilicc 0�(1tAM p�O I of 'Nnrtila»>ptc z 9 � JL7asnscllusrfln DEPARTMENT OF BUILDING INSPECTIONS w iNSPECTOP 212 Main Street ' Municipal Building Northampton, Mass. 01060 " AU 1 1 2 1997 " HOMEOWNER LICENSE EXEMPTION ( Please Print) DATE: U.�.�i.G��--- � ,"I --U JOB LOCATION: ( arcel ) ( Subdivision ) HOMEOWNER: , 7 � � (Nam & Address ) ( Home Phone ) (Sgork Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) fami 1 ies 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 . . 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 SIGNA 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 IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colma to be filled in by the Baildi.ng Department Required Existing Proposed By Zoning Lot size }r Frontage i �� Setbacks - side L: R:—_ L: 21� R ,,�Z �S - rear Z` 30 Building height Bldg Square footage a 1-' � 3 ®� y � e %Open Space: / ` —�(Lot area minus bldg -71 3-30 5r � o��� ¢/� ✓ � &paved parking; 1 [� # Pf Parking spaces of Loading Docks Fill: -volume--& location) �. 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my know edge. 1 DATE: 1 1 9414 f0�— U APPLICANT's SIGNATU w ,J NOTE: Inaunni6e of a zoning ` g permit does not relieve an plioant's burden to comply witt�l,.all zoning requirements and obtain all required permits f the Board of Health, Con erwastion Commission, Department of Publio Works and other applionbla permit granting authorities. FILE # AU( File No. � ' . ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Jb t n Addressl Mu„A_, L�,(r�`� „ PL&Ltlll C- Telephone: (''I} 2. Owner of Property: )l UiNk l 4 Lo l, Address: s d1Me.- Telephone: 3. Status of Applicant: ZOwner Contract Purchaser Lessee Other(explain): 4. Job Location: 2 2Va12 ej/' -9 Parcel Id: Zoning Map# dC' Parcel# 7 0X District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMEN 5. Existing Use of Structure/Property51 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan f/ 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 Ifl DON'T KNOt/V 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 Do ent# 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) J, io FILE # ' APPLICANT/C1997 �� AUG I �NTACT � n PERSON: -- -- D : ADDRESS/PHONE: �� PROPERTY LOCATION: rJ ad g4._ ,?,, - a—f Of L.40 MAP A9(2 PARCEL: ZONE THIS SECTION FOR_OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLO ED REQUIRED DATE ZONING FORM FULED OUT ]Riiildin2 Permit Filled ntit RerrindplingTnterinr Additinn to Existing 7�,Ptq0fPlAn,,q ( 12n C� �- �- THE F LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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-Bd of Health Well Water Potability-Bd Health Permit from Conservat' Co n Signature of Building or Date NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities. " .9. City of Northampton REQUIRED INSPECTIONS . e BUILDING D1. Footings and Walls 2. Structural Components to Place* 3. Complete Building* No. 768 Office of the Building Inspector Zoning Form No. 962656 Date 8/14/97 Fee $20.00 Check# 538 Page, 12C Parcel 92 ,Zone URA/WSP Section 127 ❑ Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John & Diane Richardson before Building Inspections has permission to install 20' above ground pool Inspection on Site—Foundations situated on 7 Mary Jane Lane 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 Smoke Detectors(Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS LACE MISES Certificate of Occupancy _ '��� Building Inspector zoQS�1O�� City of Northampton REQUIRED INSPECTIONS a B V li�DING D EpARTMENrr 1. Footings and Walls 2. Structural Components in Place 3. Complete Building* No. 768 Office of the Building Inspector Zoning Form No. 962656 Dat:, 8/14/97 Fee $20.00 Check# 538 Page, 12C Parcel 92 ,Zone URA SP Section 127 ❑ Yes 0 No BUILDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT John & Diane Richardson before Building Inspections has permission to install 20' above ground pool Inspection on Site—Foundations situated on 7 Mary Jane Lane Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspec ion of Plumbing—Finish conform to the terns 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. Bu�lding Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs and woodstoves Smoke De,ectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS-PL- E MISES Certificate of Occupancy Building Inspector MORTGAGE LOAN INSPECTION TI HS PLAT IS FOR,IDENTIFICATION PURPOSES ONLY AND DOES LM CONSTITUTE A PROPERTY SURVEY 11997 m 1 00'x' 27r� sz t --Ial PORCI� D 4 sT,)KV a WIP NousE — la`t . I $IT I -DRIVE I I I 100- MARY JAMS LAIME7 7•o 11 I .0ACE ONE h/l k7rffAGE CORP_ AND 111E FIR-S7 htAER I CAN TME- CD--Oil.1 LY 1b the best of my knowledge,information and belief,I hereby report that I have examined the premises and that this inspection plat shows the improvement or improvements as located on the premises described,that the improvement or improvements are entirely within lot lines,that there are no encroachments upon the premises described by the improvementor improvements of any adjoining premises,and that there are no easements of record affecting the tract shown hereon,except as shown. I further report that the premises shown on this plan is not located within a Flood Hazard Area as shown on �y DAVID Department of I I.U.D.Federal Insurance Administration Ma 2501 -7 DD01 A � HuNtlD � Y. Community Number T s 035401��„ Identification Date APRIL 31 1978 P.LS. HUNTLEY ' OWNER ALICE T. D CONN01z ALAIER IiUNTLEY, JR. & ASSOCIATES, INC. --) �,1Hizy JANE LtjNl= Surveyors • Engineers • LandscapeArcli<llecls LOCATION WCFHA M P-TD M Mfg 30 Industrial Drive East Northampton,MA 01061 O1-09-9L 111=2Df vo1ce(413)584-7444 fax(413)586-9159 JOB NO. DATE SCALE