29-494 (6) Vt � ' >
's tTf m
_., 3 O D
z _ -q O R 'C s S
W
rn
rn
"7
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
i
NORTHAMPTON, MASS. 19 Additions
Repair
' APPLICATION FOR PERMIT TO ALTER
Garage
✓i. Location ` Lot No.
,J n
�. Owne,s name Address j
3. Builder's name Address
Mass.Construction Supervisor 5 ices No. Expiration Date
C4.�Addition f VV l 7� 5 Y
✓/Alteration
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
./4. Estimated cost:- 711 0
The undersigned certifies that the above statements are we to the best of his.
1 /knowledge and belief.
V ,
Sig t re of responsible appicant
Remarks
a G (�zf r of 'Nart11ally Mall
lXieo.ecyurrll.
D:EPA TMENT OF BUILDMIG INSPECTIONS -
INSPECTOR DEPT OF BUILDING Ian i,: ;112 lain Street ' Municipal Building '
NORTHA;IP.Otd,MA 01660 -- 'Northninpton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
( Please Print )
DATE:
JOB LOCATION:
(Map), arcel ) ( Subdivision)
HOMEOWNER:
(Name & rest )
S a
( Home Phone) (Work Phone )
The current exemptio 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 resided or intends to reside, on which there i-s, 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' bukldihi
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.
i 9 -
HOMEOWNER SIGNATURE ,
BUILDING. PE1:2MIT # .T�i
� t •
• a� ��a 'a4'° c c o
a Do
o i°3 'AX 0 ? " �b o o Ea a 3
(� �0�7D y m 3 o a a CNO ca o
YrI t�a w E•y E 'o pC > aoi .� °o
a = 2 g .°' .5 c c°� d=S ro d N O v 3 9 a a -
!'�ll 0-4 00 _ _ 0 N Q.o ° o° o Hs x c Ew a
00 k 0 U m u O C M N
E � y @ „� °c
°
m
o Q O,`UO
F. c c c � m
ed
ono
1)' � � x b° �o '� �s_sue° :. o �a F >,° C��e o •�s Z > E-� � o c C �
/J N ^
0 Q >Z= :0: 0 . d >W �3 c o m W
9. ° ° m a iz 8 O Qm ceE;p v=° d 0.Uw 7
w y 4 W
VksNga E„a �$ vxi�p7on � = T �i o. ' Es .�o 'oc � oW. = cam =n V=°
�.� E °.�_� H.o �Y �" o Eye "v a O—° o u ms'•y z A
w o L x L o a o W y E o vWi.°o m y s $ U.5
�3 U o
�� '¢ eb �•5 3 � � � U Q ai U
- A ,"3
CJ R ai L, y CY
V 1 O oo`o a
t .0
elk
E
L o
in N
10 U m y E ` � � � # Q '� Qn
N 3 •�Y°o b p R O y
ara
03 a Q U z
W N u CIO
F^ �•°Q m G m 0-4
C E O
tE EX
3 q s ❑ C w Lv o
o c o aka' o = y ❑ �° _ .� E- �_ 3 _°_?"' K K
7E Fr V Cw/I ❑ d I m CG K K
O w C y G' ' C ` fi ce 3;fl ^= c w ^ r,
� .O O N ot
1 y° c �o"v� � � Z K .. K N
3 _"k m v m U s(-. a p, « O y N
co O �U„ (�1 O x O.'O�•' ctl £ 9 w
us � .c E �V 3 ds mx E o°oc°
I Eya�io � 5= V a3 E aEs =s ao
V / �X�.. r� u c•° d eEa 2H.N o: '. K K
J2U x K
Womy� ° w a F"v °
E,$ O q 3 . E F" U ° aid N x ^ell
� W r °.°. K
.� � �� �.or Fy xoko � � vrx
og
c 8�.y_� Z E �.r Z C�L] E y z 83 u Wa c
m co R k w = I N .'L"'9 o A 5+ = d (..., O 0 9 W K K K K
E ro ° c i E A vxi O 3 3 ° �a x 3 ���ooN
� aga �p
_ oo v �n
4L vc a `O
t
J� OCT
_DEPT Of BUILDING AS r �q
NORTH V, A
4PTOtd �, . ° °�' Q, y
Cl Cl 7Z
{` W
� Q
v� Ca k O v
;L4 En
i
x
Ct)
a? 0 �-° o ci
ft ca O O to L
y_,, O o �
O b
p O
O C5 o I ', o
rA
• 4� 0 `"
3 '3 o '°
o 'm a) any 3
cri .4
W1_ p `�j
ob
i-4
Ti b
p
rn
r� N O b�A c �En O
to
•b � "O
A �'' O c� v 3 w o z u .°
4Ctu1 IPJ.
m 5 0 D P TMENT OF BUILDING INSPECTIONS
� 12 X1'J.ain Street a Municipal Building
%` i:;v Northampton, Mass.' 01060
pEP�of Mcca
N R'S COYIPENSATION INSURANCE AFFIDAVIT
s - -
with a principal place of business/residence- at:
(phone#)
(sucWcity/stalrhip)
do hereby certify, under the pains and penalties of penury, that.
( ) I am an employer providing the follo'%v-ing worker's compensation coverage for my
employees working on this job:
('==cc Company) (Policy Number) (Expiration Datt)
( ) I ail 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) aasur,nc-- Company/Policy Number) (Expiration Date)
(Name of Contrctor) (Ins -uc-- Companv/pok—,,Numbs) (Expiration Due)
(Name of Coun-actor) Qn_suraa� Compauy/Poky Numb°) (Etipiration Date)
(Name of Contractor) (Insurance Compauy/policy Nusl-s) (Expiration Date)
(arisch additio"r5oct ifnccra.uy to 66u&is ,=,.t oa pertai-nng to.11 ooa!r G n)
( ) I am a sole proprietor and have no one working for me.
--�-S am a home owner performing all the work myself.
NOTE:please be imam tbA v;! lo bomcoAmm wtio ca ploy peezoas to do iriee •o= coo=uetioa'or rcpaa work oo a dwdling of
not more thaw throe turns is Wb"the bomoowoc rcxuln cc oa tb s groum6 appurtcoaa tbarto arc oot Ccoa%lly aoasidcad to be
cmploym under tba wockcr'x oomposaiioo Act(GL152,=1(5)),.WU....by a bomcow.�r far a Game oc permk may cvidcnoc tbe
lepl sums of as ea,ployac uodortbe Workce&Cocapem+tion Act-
1 undast sad dut a copy of"ant®mt may be foc•ward.d to,the D"rbncod of Iad.a trill A.6d 02500 of Ico—ra dw
covmge vcciScation and that failure to soa covcrs under section 25A of MOL 151.1ad to the impoaii -of aim;m pxalaa i
oonsistass of a fine»fttp to Sl 30000 andlor imlxisoomaII of to one yev and cn7 pcml�ia in the form of a Stop Wor1c Order snd a ,
fiae of5100.00 a day-ipiasi ma
. _ . ' Focdcpatimadslvieoatx •
Pc,:mitNumbcr
Lbt.
Si 't3oe .
oa 5 %9b
/ DEPT OF Bu tkl! INS
q NORTHAWTON MA
f
M
� I
7
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 co7== to be filled in
by the Building D. artment
Required
Existing Proposed By Zoning
Lot size CP
Frontage
Setbacks 6 o
- side L: R: L:—� : 6 T 2
- rear
t'o0 -41 �o
Building height i&= 60 b 36
Bldg Square footage / Q �� �- ��{ h2
%Open Space: � �
/' 'J4
G
i�idy
&paved parking)
# of -Parking spaces
#- of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true a d accurate to the best of my kn wedge.
D20B APPLICANT'S SIGNATURE
NOTE: 1 uanc of --zoning permit does not relieve an plio n s urden to comply wltl) oil
zoning requir @manta and obtain all required permits f m th card of Health. Conserv+stion
Commission, Department of Publio Works and other applioab a permit granting authorities.
FILE #
r
n
File No.
DEPT 01 BUILDING INSPECTIONS
N0RTHAk1FTaro 9R7�T� PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ��l� N IQ
Y4 tj
Address: V-157 RkgI&A.) Telephone: �V-Q.3c9pl
2. Owner of Property:°111 fQL>/g�
Address: 7/,5- 1C�114A .�J _Telephone:
3. Status of Applicant: �ner -ontract P rch.,:f::r-Le see
Other(explain):
4. Job Location:
Parcel Id: Zoning Map#_ d Parcel# District(s): &2A
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ��
6. Description of Proposed Use/Work/Pro'ect/Occupatiop: (Use additional sheets'f necessary):
.Shea -- A10 '/ 'c rr�t�, . e �Lvnitt Ai
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 Ha^a Specl I Par .itA1nrinnrn1=;nd;ng ,ftr iaiucu fG/u �;';@ JI`te?
NO DON'T KNOW YES
IF YES,date Issued:
IF YES: Was the p rmit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or ument#
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-2000-0377
APPLICANT/CONTACT PERSON RYAN KEVIN J&LORRAINE A
ADDRESS/PHONE 415 RYAN RD 584-0322
PROPERTY LOCATION 415 RYAN RD
MAP 29 PARCEL 494 ZONE URA
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: REPLACE EXISTING SHED W/10 X 14
New Construction
Non Structural interior renovations
Addition to Existinc
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
T hOLLOWING 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
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co Sion
/0 /F7
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.
M�
415 RYAN RD BP-2000-0377
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-494 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: she BUILDING PERMIT
Permit# BP-2000-0377
Project# JS-2000-0603
Est.Cost: $2000.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 20168.28 Owner: RYAN KEVIN J&LORRAINE A
Zoning:URA Applicant:_
AT: 415 RYAN RD
Applicant Address: Phone: Insurance:
ISSUED ON.io/o7/I999 o:oo:oo
TO PERFORM THE FOLLOWING WORK.-REPLACE EXISTING SHED W/ 10 X 14
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 10/07/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo