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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. r70 �/ Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location � � rte zi"c6t� ��- �✓z''IC- Lot No.
2. Owner's name / /7e"I".19--S C�1` a Address
3. Builder's name Address
Mass.Construction Supervisor's License No. ExpicWon Date/
4. Addition re,cin cy
/ r /�
5. Alteration (��� �� �.��rC�i Al
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
�Es6m)ted cost:
/ The undersigned certifies that the above statements are we to the best of h!
knowledge and be
Signature of responsible app,icant
Remarks
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a e JUN 819199 Crz�r >af Paz#I�ttnt���rT
fasaxcaasctfs
1UT OF B ILDNG ihl t�tte i$ EPARTMENT OF BUILDWG INSPECTIONS
. �31�RTNFt;��TQN lain 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORICEWS COMPENSATION INSURANCE AFFIDAVIT
(licen_scrlperinittee)
with a principal place of business/residence at:
(phone#) _
(stlret/city/stairiz�p) /
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Fxpirarion Dale)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors fisted below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date)
(Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date)
(Name of Contractor) (insurance Company/Poky Number) (Expiration Date)
(Name of Contractor) lrance Company/Policy Number) (Expiration Date)
(attach additio"zbod ifnoocrury to inchsde infacmiAoa pertaining to all ooatrocton)
( ) a sole proprietor and have no one working for me.
(� a home owner performing all the work myself.
NOTE:please be awue that vehilo homcowncra who crnplay pazom to do mxh3i-�cartry oa or repair work on a dNv irng of
not more than throe units in which the homeowner resides or oa tho grounds apps acs It tS=w me not gcacnlly comidcrcd to be
employers under the wodccr`s coaTcas4oa Ad(GL152,ss 1(5)j applicafion by a homeowner for a Uccn3c or prima may cvidcnoo the
legal'Ma-te of an omployec uoderttrn Workcez CompoowAion Act.
I undastaad that a copy of thin eiztemmt may be f sward d to tho Dtyartmcat of Industrial Aocida fY 0ffioo of Iaxrrwoe for the
oovaage verification and that fad=to eccure eoverago under suction 25A of MGL 152 can iced to tho imposition of criminal penalties
oomistimg of a fine of up to S 1,500.00 sndlor ixr>;xisonmtat of up to one year and civil pmaltie,is the form of a Stop Work Order and a
f uw o(3100.00 a dry agnimi mc.
For drp:ttm use 001Y
-ovrp Permit Number
. �-- Map# Lot#
Signature of Liocnsee/Pernut too
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-NOTE
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
-SAAJSLRIJED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
f Q I�DING LOCATION ACCURACY IS NOT GUARANTEED
f
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DEN O RTHAM SUtLDIMG INSP CT ONS
PTOp Mq 0 0
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TO: SOURCE ONE MORTGAGE SERVICES CORP. &
FIRST AMERICAN TITLE INSURANCE COMPANY.
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS. ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS .NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
-NOTE-
SURVEYOR: T T512� THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
OF #AS�1 -MORTGAGE LOAN INSPECTION PLAT-
c NORTHAMPTONt MASSACHUSETTS
RANDALL GNP PREPARED FOR
(Z. y ESTATE OF THEODORE REGAS
/35032 SCALE: 1 "=30 ' MARCH 6 , 1998
R- HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED . PROFESSIONAL- LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS
gNMtp
ANAllSEti t+l ltatlla
PARTMENT OF EUILDIhG INSPECTIONS _
INSPEC pENORTHAM D+py XNAPEA,'JtrS 12 illnin Street ' Municipal Building
010F0 Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
/ (Please Print )
DATE:
JOB LOCATION: -�� ��1'C� r Q�I c ✓� V
(Map) ( Parcel ) ( Subdivision)
HOMEOWNER: / /`2/) Yr - C !2 'i-
(Name & Address) _
(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.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
tlye
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JUN 81999
File No.
DEPT OF BUILDING I oiOStiNS
ING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR/PRINT ALL .INFMORATION
/
1. Name of Applicant: l Chin-'4 s l
Address: j/.5 �'f C I e L r eD k //-aty -6 Telephone: `1111
2. Owner of Property: /XallzA's C.C) ]`CC_
Address: =2elI--,tf4 f--r° L r-yg IC-. f, Y-e-, Telephone: 4/r--� ".Sr�`�- 7oz
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: L
Parcel Id: Zoning Map# ` Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 Departrnent Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNO!A: 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#
9. Does the site contain a brook, body of water or wetlands? NO 1' 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-1999-1059
APPLICANT/CONTACT PERSON COTE THOMAS
ADDRESS/PHONE 315 ACREBROOK DR . yy-70 7
PROPERTY LOCATION 315 ACREBROOK DR
MAP 29 PARCEL 299 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
lypeof Construction: INSTALL 16 X 32 ABOVE GROUND POOL 9 X12 DECK &6 X 12 DECK&INSTALL
SLIDING GLASS DOOR
New Construction
Non Structural interior renovations
Addition to Existing -
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
THrFL/CO3 WING A CTION HAS BEEN TAKEN ON THIS APPLICATION:
ovd 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 mmission
Signature of Buildin 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.
41
rAtREBROOK DR BP-1999-1059
G1S#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-299 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category;Above ground pool BUILDING PERMIT
Permit# BP-1999-1059
Proiect# JS-1999-1780
Est.Cost:$1700.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size sc. ft.): 10933.56 Owner: COTE THOMAS
Zoning:URA Applicant:_
AT. 315 ACREBROOK DR
Applicant Address: Phone: Insurance:
ISSUED ON:6/10/1999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 16 X 32 ABOVE GROUND POOL, 6 X12 DECK
& 6 X 12 DECK & INSTALL SLIDING GLASS DOOR
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 Sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/10/1999 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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Apo ss
tea• s-♦
File#BP-1999-1059
APPLICANT/CONTACT PERSON COTE THOMAS
ADDRESS/PHONE 315 ACREBROOK DR
PROPERTY LOCATION 315 ACREBROOK DR
MAP 29 PARCEL 299 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: INSTALL 16 X 32 DETACHED ABOVE GROUND POOL 6 X12 DECK &ATTACHED
12 X 12 DECK&INSTALL SLIDING GLASS DOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accesso Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
LZApproved 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
q} val^Board of Health Well Water Potability Board of Health
Permit from Conservatio ommission
Signature of Buildi 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.
315 ACREBROOK DR BP-1999-1059
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 29-299 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildina
Category_Above ground pool BUILDING PERMIT
Permit# BP-1999-1059
Proi ct# JS-1999-1780
Est.Cost:$1700.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq.ft.): 10933.56 Owner: COTE THOMAS
Zoning URA Applicant:_
AT:315 ACREBROOK DR
Applicant Address: Phone: Insurance: `
ISSUED ON:611011999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 16 X 32 DETACHED ABOVE GROUND POOL, 6
X12 DECK & ATTACHED 12 X 12 DECK & INSTALL SLIDING GLASS DOOR
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 Sip-nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/10/1999 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo