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Zoning Districts GI General Zoning Overlays
Northampton Assessors and Zoning Map
lodustrial M9
CB Central Business M Medical LL FFR Farms,Forests aad Riven ,xn\
GB vera
. GelBmmess SC Special Camemncy RI Rural Incentive 100 ?AO ;p/• 400 500 N p,apty s»omsnxon Map Sheet
fflr Highway Business RR Rural Resdential WP Watershed Protection Se FeCl n I
Neighborhood Bminen SR Suhurbav Residential 0 WSP Water Supply Protection f e mM»m _ vmm r x+me.r m
PV Planned Village URA Urban ResidevtialA Zo ing overlays ores rimposed over the Pm enon�Mm—hw en State Plane AD83 n 17 D
BP Business Parlc URB Urban ResidentielH atherd o-rets shown on the Zomng Map. )c <v.co 1 l"
Regulari0rufr an overlay d mitt supersede �aa These maps an nae uu—dfrrua nveyon«s and arcs eoncainarmn end discrepancies. — ,s
SI Speeivl Industrial URC Urban Residential C regulolione for the underlying district wh—there Parcel boundaries=vision da`e.01 J=uuy 2006 r e.
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m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building 'o
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE Ar, { AVIT
I, N-� ►� .
01, Z C..
(liceiLSer/per-mittee) -
"ith a principal place of business/resideuce at: /
4�4 . L¢�1, .�arJ (phone#) YI1' e/,
(strevt/ci ty/sta0zi P)
do hereby certify, under the pains and penalties of pegury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (F�cpiration Daze)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following workers compensation policies:
(Name of Contractor) (Insurance Company/Poky Number) (Expiration Date)
r.
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/policy Number) (Hxpiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(atlach additional sxet ifneocssary to include infbmu ioa pertaining w all ooutreriors)
I am a sole proprietor and have no one working for me.
Y am a home owner performing all the work myself.
NOTE:please be aware that while hCmcnw=3 wfio ctuploy pa:om to do mead= loc�oxzst�oa or repair work on a dwelling of
not nzocro than thine wait,in%161mch the hotnoowvcr rmd=or oa tb c grounds appttrtenaot tha-to ere not generally Does cicrcd to be
calploYers under the wort it's c caTcas4on Act(GL152,s 1(5)),application by a homcoavcr fora 1icca5c cc permit may evidence the
ltg:d etatus of an omployer under tho Workoet Compamatiou Ac<
I understand that a copy of this etalcmcut may bo forwwu to tho Dcpart,-rYa2 of Inda aid Ar6&o&Oflioo of Itnur-noo for tho
°overage verification and that failure to secure covecngo under soctioa 25A of MOIL 152 can lad to tha invositioa of crimilW pcaaltiea
oomistiag of a fine of up to S 1,500.00 andloe umPrisonmeai of up to one year and civil penalties in the focm of a Stop Work Otde�-and a
fin°of S 100.00 a day agnimt mc.
Foe dqurTrsr�al use Daly
Z '/` ..'L Permit Number
p{ Lot#
hue ofLiacnaee/Perm.ittee e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor" Not Applicable
Name of License Holder Ct • L O 13 444
License Number
Rts-corwIL Jeoa d ,a. loc r/`/Jp Lezdf X1/14. otoju 7. 2 4/• 2 0o7
Addr s Expiration Date
ature Telephone
Re ist red Nome"Im r. vemein n ra rF � EtMk � ..!. ._£,..._t Not Applicable ❑
/ 36677
Company Name Registration Number
-C,f clvlh �bw1 J !•0. �o�✓4��� _ L44 o/o 016r.7
Address Expiration Date
Telephone
0
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit. &//
Signed Affidavit Attached Yes....... No...... ❑ , i a.. �,- —
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.CMR 780, Sixth Edition Section 108.3.5.1.
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
SECTION 5- DESCRIPTION"OF PROPOSED WORK"(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alterations) Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: i°
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑- Sheet❑
6aalf>Newti"ousendor._xaticJition':f existin" tiousin co`m" le"tekthe followin"
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached? go l "t
d. Proposed Square footage of n w construction. 9 Dimensions 2. 3(�
e. Number of stories? 2-
f. Method of heating? F� �� Fireplaces or Woodstoves A/6 Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction U)3t'�J C_
i. Is construction within 100 ft. of wetlands? Yes ✓ No.. Its construction within 100 yr. floodplain Yes V""No
j. Depth of basement or cellar floor below finished grade /
k. Will building conform to the Building and Zoning regulations? ✓ Yes No _
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-.OWNER AUTHORIZATION -TO BE COMPLETED WHEN
_OWNERS.AGENT°OR°CONTRACTOR APPLIES FOR BUILDING PERMIT
J� M*z K 04fnuoL e L, -- as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
C !/ ' '7 _ / (o- O(o
Signature of Obiner Date
FI C14 Z. G as 89arw/Authorized Agent
hereby declare that the statemen s and information on the foregoing a plication are true and accurate, to the best of my
knowledge and belief.
Signed der the pai s and penalties of perjury.
Print
v� (l 2 - /� • 06
Sign, r of Qw wr/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
J A. Has a Special Permit/Variance/Finding/ever been issued for/on the site?
NO DON'T KNOW 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 Document #
B. Does the site contain a brook, body of water or wetlands? NO V 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:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are t re any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
City of Northampton
Building Department Gu /x
212 Main Street
Room 100 a e
Northampton, MA 01060 en`s
phone 413-587-1240 Fax 413-587-1272 Pfo ISite
Ofh�'er Spec�f�y .
[:_APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed by office ;
1.1 Property Address:
64 „�, Map k1mt
Zone Overlay Distract
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: 04 Name(( rint) Cuuoq Mailing Address: 06
Telephone I
Signature & q13 •tea�+r /S� -
2.2 Authorized Agent:
eKKt ff(,J. L tZ./j 4 . ;-.Z c a- L et Z4, 0(04-3
Name Print) y Current Mailing Address:
q/3 - ' 9L�z —
g ture Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building 3 s - (a) Building Permit Fee
ue•
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
Building Permit Number Date Issued:
Signature:
Building Comm issioner/lnspector of Buildings Date
File#BP-2006-0879
APPLICANT/CONTACT PERSON KENNETH LYNDS ✓� �i
ADDRESS/PHONE P O BOX 448 LEEDS (413)584-9282 �Q
PROPERTY LOCATION 116 STRAW AVE
MAP 17D PARCEL 055 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: CONSTRUCT ACCESSORY APARTMENT OVER EXISTING GARAGE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 013668
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
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 Commission Permit from CB Architecture Committee
Permit from Elm Street Co ion
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.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
116 STRAW AVE BP-2006-0879
GIs#: COMMONWEALTH OF MASSACHUSETTS
�. s CITY OF NORTHAMPTON
Lot:-00
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0879
Project# JS-2006-1352
Est. Cost: $38500.00
Fee: $192.50 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: KENNETH LYNDS 013668
Lot Size(sq. ft.): 8145.72 Owner: MEUNIER MARK
Zoning:URB Applicant: KENNETH LYNDS
AT. 116 STRAW AVE
Applicant Address: Phone: Insurance:
P O BOX 448 (413) 584-9282
LEEDSMA01053 ISSUED ON:311612006 0:00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT ACCESSORY APARTMENT OVER
EXISTING GARAGE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
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:
FeeType: Date Paid: Amount:
Building 3/16/2006 0:00:00 $192.503226
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
BP-2006-0879
116 STRAW AVE
GIs#: COMMONWEALTH OF MASSACHUSETTS
GIS#: ck: 17D-055 CITY OF NORTHAMPTON
Lot: -001
Permir Building
BUILDING PERMIT
Category:
Permit# BP-2006-0879
Project# JS-2006-1352
Est Cost $$38500.00
Fee:Cost:
O PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
COWL Class: 013668
Use Group:
KENNETH LYNDS
Lot Size(sg.ft.): 8145.72 owner: MFT IER MARK
Zoning: URB Applicant: KENNETH LYNDS
AT: 116 STRAW AVE Insurance:
Phone: -
Alicniit Address: (413) 584-9282
P O BOX 448
LEEDSMA01053 ISSUED ON:311612006 000:00
TO PERFORH THE, FOLLOWING WORK.-CONSTRUCT ACCESSORY APARTMENT OVER
EXISTING GARAGE.
POST THIS CARD SO IT IS VISIBLE FROM THE STREET_
Inspector of Plumbing Inspector of VY,Hug D.P.W.
Building Inspector
Underground: 41 g/ Meter:L nderground: �, D Footings:
`. /� / C[�� House# Foundation:
Rough:g
Rou Rough:ry{l
�.�% 1;'" d b Driveway Final:
Final:' (E Final: 7// 7/0(v l✓ Rough France: (�K a3
Fireplace/Chimney:
Gas: Fir e De artme tit G7
I Oil• —2— ce-04 Insulation: OK
Rough:
Final: QK 7-16-0(, —��tw
Final:"���� "� 1��inoke•
THIS PERMIT MAY BE REVOKED BY THE C TY OF NORTHAMPTON UPON VIOLATION OF'
ANY OF ITS RULL.S AND REGULA IONS.
�t t
Certificate of Occupancy
Signature_. --
FeeTVpe: Date Paid: Amount:
Building
3/16/20060:00:00 $192.503226
212 Main Street,Phone(113)58 7-12.40,Fax: (413)587-1272
Building Commissioner-Anthony Paiillo