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23D-145 (3) 15 WINSLOW AVE BP-1999-0916 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23D- 145 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: shed BUILDING PERMIT Permit# BP-1999-0916 Project# JS-1999-1577 Est.Cost: $575.00 Fee: $20.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 1 6639.9 2 Owner: PORTER CRAIG A Zoning:URB Applicant:_ AT: 15 WINSLOW AVE Applicant Address: Phone: Insurance: ISSUED ON:5/7/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:8 X 10 SHED 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 giznature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/6/1999 0:00:00 $20.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-1999-0916 APPLICANT/CONTACT PERSON PORTER CRAIG A ADDRESS/PHONE 11 WINSLOW AVE 584-8878 PROPERTY LOCATION 15 WINSLOW AVE MAP 23D PARCEL 145 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filledn out Fee Paid / l Typeof Construction: 8 X 10 SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 se f Plans/Plot Plan T FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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 �?. �r Well Water Potability Board of Health Permit from Conservation ommission .....--- 4... .. e-C ....ct,_e'W __c-1/Z7_____ Signature of Buildi fficial 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. M U 19a9 t , , Ini • File No. 3,91?- 9/ i DEPTOF,,B,W !G INSPECTIONS ' C. 7', ,; ,, l'::A.°1G6Q ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ( xii 6 0 E4. Address: // (AY/Y25Ga,� 1 e Telephone: 5---W ri7 2. Owner of Property: Ce/0/6 ge76-4 Address: // G/(,h a/Ar L Telephone: 5 7 _ r.47 7 F 3. Status of Applicant: /Owner Contract Purchaser Lessee Other(explain): 4. Job Location: /jz2eazazzi,......74 - Parcel Id: Zoning Map# 08)) Parcel# 1145 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT 5. Existing Use of Structure/Property //7COYYi6.— 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • ,,Ct QC V O 1 /TB S T©/0i4E S 6-12 exit) i i/I I/ 6901, sc ' o r ->' fIYu i UEL— 6'(001,0 ep (3) VxV.r10 Re s-sele6- rt - o ,9a 7. Attached Plans: V 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 PermitNariance/Finding ever been issued for/on`thee site? NO DON'T KNOW YES I IF YES,date issued: iqq0 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW i 1 YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO 7 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) 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 column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size /63 6 qO / , � Ye g� Frontage g Q � ° 7J /� 1a8 — derma,► 2 Pt Setbacks - frnnt /5 LO - side L:o20 R&' 7 L:90 R: c O /5- - rear Ec9 r 10 171 0?0 • Building height c O Bldg Square footage / 7 c / 3 6 0 3o 0 Y114>` %Open Space: (Lot area minus bldg YN &paved parking) 50 # of Parking Spaces of Loading Docks Fill: volume -& location) 13 . Certification: I hereby certify that the infor tion contained herein G is true and accurate to the best of my knowle g . DATE: j ' - qq APPLICANT's SIGNATURE 6't NOTE: Issuanoe of a zoning permit does not relieve an applioa is burden to comply with all zoning requirements and obtain all required permits from the oard of Health. Conservation Commission, Department of Public Works and other applioable permit granting authorities. FILE # ,t,,fi.': R 11 Vil D .,,, ill g"..t - JLriTIJ Cr #L1 of NortIiantptott ►_ . 1,Qurai OF r M FE r ,,,Fu EPARTMENT OP BUILDING INSPECTIONS = - INSPECTOR Y 212 Main Street • Municipal Building �,4—S • Northampton,MA 01060 sta Applicant Information' / Name—5./�/Q/h ✓Off% ---------------- Location /,S" 6/'V/l/ISGId.V A ' ----------_— City LZ)eT/T V/`I' /— ------------- — VI am a homeowner performing all work myself El I am a sole proprietor and have no one working in any capacity wft-A=d1C.iN4:.4k4k4.-4.ak"1ihit:auviiii.`1I d1-tiL'A,9b!jibh' ,`' 'itaie5-` .,':.4..viwyw1ice,ivC w'4.r. oxk,v,:.`. ❑ I am an employer providing workers' compensation for my employees working on this job. Company Name---- ------- --------- —_ Address ------------- ----------- --- City -- Phone# Insurance Co._---- Policy#-- --- — ,41-:o.46-[••nick-e.0 :'i!:',7ir33s,'.:Y.4,?.:?bt'C.`,:o.-w.-gi Nit' .'tiekti v'Y.'?:.".prArnAm 3 iT' AS.4sN;fF»a.av:eefAr:TMmitmlt4s:L'i",a,#a{d:tvtii:.:,,4�.'+w?w4-42.;. Company Name Address City Phone# Insurance Co. Policy# 04yu,..-:,..rtc oyw43,444 .,I:xvC,:4X010.1 1-ou ilutY:xwtx_,ticlic. /f4Zr.:uf-.4.Y.Te-.:.5;0:i..K:^y'..is .:bWitrf-Wei:74a.•1,1•4*ve,V1,s•-:•,•;: Failure to secure coverage as required under Section 25 A of tv1GL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby certify er the pai d penalties of perjury that the information provided above is true and correct. Signature ..141.7 //el Date 5 - / Print Name 6/ /6 / T'FifL Phone# 6 O Y rf7? Official Use Only Do not write in this area to be completed by city or town official City or Town Permit/License# ❑ Building Dept El Lrensing Bond Check if immediate response is required Contact Person ❑Selectmen Dept. Phone# 0 Health Dept. aV vo -v C el r______16 ni til cto O. ro 7. ..„ 7, . XI ,� t— -sz �m7atE DO .„ D cn O zo m ,..... cu._ 7.1 o t�7 et Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations el NORTHAMPTON, MASS. 19 Additions .. APPLICATION FOR PERMIT TO ALTER Repar ' Garage 1. Location /5 t1.hr2 5 C el /GG Lot No 2. Owner's name C'4/6 . i TEle Address /y /�//$cl4„..t..J !/1 3. Builder's name , ',t'/mC- Address Mass.Construction Supervisor's License No. Expiration Date L-d �5"�Addition X 10 I9'I//9/ 8!Q to i Piz ' -,4-I93 J Nit-D 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the lire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house �, 4r-Estimated cost.- 5'7S ., 00 The undersigned certifies that the above statements are true to the best of knowledge lieL-e7 //�'� (/ Signature of responsible app.icant Remarks VJ �: % , ?".0. 1;r i m 3 mg. L Crz#�r of Northampton t2P1 _ $:1 RY Iry ems%t.Iceti ry .G�ill.A4 _ i i StixsrxctlusctIs __(_ DEPT OF BUI_mt49 INSPECTIO4�lC —`' — y 7��pp A�A� 9 Cf�UEPARTMENT OF BUILDING INSPECTIONS NORTf77'tt.i�'t0I1 MA 01060. , -�:i INSPECTOR 212 Main Street Municipal Building ' Northampton, Mass. 01060 '" ` ` HOMEOWNER LICENSE EXEMPTION _ a (Please Print) DATE; J l --if JOB LOCATION: ���/� ���66 (Parcel) (Subdivision) HOMEOWNER ( e & Add ess) Ji M,11,iSGobi / f&- zT•Vifr refik (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 . ' • 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 buildinq permit: As acting Construction Supervisor your presence on the, job site will be required from time to time, during and upon completipn' 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 4:7 1, BUILDING PERMIT # . 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