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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No C I Alterations
NORTHAMPTON, MASS.
61h-L-1 9 1/ Additions
,—�
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location O ((/2 ✓` G � �'u Lot No.
2. Owner's name,/VIH r �n.� i 1k, 14e.Y �i LTtrl�24 Address 2 6 q it YA V It P(alte#te m4C.( 01062
3. Builder's name � Address_
Mass.Construction Supervisor's License No. xpiration Date
4. Addition
5. 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
14. Estimated cost:-
/
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signat of,-wonsible appicant
Remarks
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JUN 4 1998 9X5%xc4ttscl(a
m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building
Northamptou, Macs. 01060
WORICER'S COMPENSATION ZNSCIZA--NCE AZ+�IDAVIT
(li censcrJ permi lice}
with a principal plac of busioessJresidence at:
(phonefl}
do hereby certify, under the pains -rid p,enalhes ut ���ei ury
( ) I am an eL-mployef pm,"Iding the WIovnng wor'.�:e�s compC.ns:,t on coverage for my
employees wor�,-Ing on this job:
(In_szu .cc Coale".ay) (Policy t um er) CFir lion Date)
O I am a sole proprietor, general contractor or homeovrner (circle ode) and `nave hires?
the contractors lls±ed be lov,,v,rho it ve Llat I011ovi;l:g ClOCk—C 's colmpensanon pOl1C1eS:
(IIQCIIC of Coi,i1:?CIOCj (iSISl1��.!1C �,OI1lh:[;j'1110�IC!' �L1CilCCi) - �`�7LdROR D1tC)
---Mam(C of l_olgmclol) (lAS7!<nc- Compall)'[po!1cj Nlul-,tcr) (ESpLrmioa late)
(Name of Connector) (LIIS111-anC^ Compaq}-/Policy NumCr_r) �rP boo Date)
(Name of CouLT-ac(00 (Insur-alace Coamao)'NOGcy
O I am a sole propnetor and have no one wor�ang for me.
( I am a home owner performing all the work myself.
P �'lnlo bcm�.vcxr��vbo w da R,t.,.r,.Y ioo:or rcy��r work oa>d.vclling oC
NOTE lersc be atra-e ttul cmPtoy Pcrzoal 000sidcrcd to be
not mono than thruo unit+in Wbicb the bomoov acr t.d..a cn tbo noun b:ppuctca.a�tbado uc oo( ■�y ma d to b x)hc
cmployrrs under t6c wociccts oomp� lion Act(GL152 s 1(S)�aPGli°n°°1rY a bomcowocr far s Gc�zc«p Y
legal etatu,of an mployoe uade tho Woke'.Coat .lioa Act
i uadc ti .a d.,a copy of tAi.ctx m m y bo foc�vurdod to tba Dopnrin�coi a I.&,,tri Amy Otfioo of Lvucwon for the
cOW"Rc vcriEcd1oa and that Chums to c=uv covcmV uodcr soaioa 23it of MoL 132 c-A lrsd to tba'impomboa of cximin�l pcaalba
°O of a;fine of up to S1�00.00 andto<imptnoa�of up to.00c year iod avt�pc ?�a?a the form oCa Step WoikOrder.iad a '
film of 5100:00'a diy igatdst tric.� -
Fci dq,=tmcobd uwo-1y. .
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JUN 4 i r�g� DEPARTMENT OF BUILDING INSPECTIONS -
2
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE; �(,t�� �y,lgq .
JOB LOCATION: �9 ✓/z/
(Map) (Parcel ) ( Subdivision)
HOMEOWNER: A %A44J t4vilhd O. &N M 0-1061
6+
(Name & Add ess )
a I`� 574-6900 �/ S��-cool
( 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 res�Donsi.ble for all such work Uerformed 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 . a
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.
v
HOMEOWNER SIGNATURE
BUILDING PERMIT #
1
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
JUN 2 41998
25 _-
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T0: FLORENCE SAVINGS BANK &
LAWYERS TITLE INSURANCE CORPORATION
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BAS XISTING
MONUMENTATION ALL EASEMENTS. ENCROACHMENTS AND BUILDINGS CATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRE E LOT LINES,
EXCEPT AS NOTED. 1 FURTHER REPORT THAT THE PROPER S NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD IN -RA APS FOR
COMMUNITY # 250167
SURVEYOR: T' J" THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
OF --MORTGAGE LOAN INSPECTION PLAT-
L NORTHAMPTON, MASSACHUSETTS
ax PREPARED FOR
3 MARIA A. - & LAWRENCE F. YOUNG, •.,JR.
SCALE. I "=301 JULY 30 ,
HAROLD L EATON AND ASSOCIATES, IN
REGISTERED PROFESSIONAL LAND SURVEYORS
�• -1' � 235 RUSSELL STREET - HADLEY - MASSACHUSE;TT`-
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10. Do any signs exist on the property? YES NO
;x
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO t/
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colt to be f121ed in
by the Building Department
Required
Existing Proposed By Zoning
Lot size �•-7 JI 7 22J
Frontage 154
9-S' )1
Setbacks - frnnt `
a
- side L: R: LR:
- rear s-1 1
Building height
UU II J
Bldg Square footage ,j , ��
11714 y x Z,Z 17G=1 q
%Open Space: 149`ZgX 11.7.5241711 T I �7 y.5Ct F}.
(Lot area minus b t t 71 10 1410
&paired par rCZt]�'R 1 L X T I�f •�
# f Parking Spaces
f fof Loading Docks
Fill:
-{vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
.1
DATE: 7,41i q I APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burder#to oompty wit4,Apll
zoning requirements and obtain all required permits from the Board of Hfialth, Conservation
Commission. Department of Publio Works and other appiioable permit granting authoritjos.
FILE #
s
JUN 2 411998
File No. t� i
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:M►`( klue.` + 4(44 er
Address: 1&& P AV Telephone: '115 ;5 Z I-0 00'
2. Owner of Property: 1 L k at 1 } e4 f 1i n Aw,
Address: LGq 0AP oo. Telephone: ] s B y–G 4n a
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: '
Parcel Id: Zoning Map# Parcel# 9• District(s):.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UseM/ork/Project/Occupation: (Use additional sheets if necessary):
�IrP.W nial_����,#o 'P�.��� tiCi iwu r�11 SS��.a,pL z o�kb�4R1c w�wow,c�Md �deLk �n '!•hc l3hU�Y.�ilb.
j�C,dr.t,IC w►l� ��stiTpon k o w rlFh "Sonnalu4lkS; f4tAtck Ftaa(.So64S wi li be
jj,A%jff�W 4+ "Alt 13 RCA;Is U ib hi j 1he_ wak will ht, nonp 4 F4ey-1VAk awd W&Ak�xQj.
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. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW_-, _ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW i/"' YES
IF YES: enter Book ) Page and/or Document#
9. Does the site contain a brook, b //�i owater or wetlands? NO_ k—l' 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)
i FILE # 9 U�7
r r7
JUN 2 4 1998
APPLICANT/0ONTACT PERSON:
6,554�JIA RS '>HNE: �/^ f ,t
PROPERTY LO ATION:
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FIT T FT) OUT
Ruildin2 Permit Filled nut
< f l
_Remndpling Interior
Additi a , -
A rresmry Strnrtur e
TnClilded-
(�wnPr rrrrnant �tafrmPnt nr T,irence #
3 Set- nfPlans.fl'lntJi'lan —.
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
Approved as presentedfbased 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: § wIZONING 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
it from C nservation C ssion
Signature of Building Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all
_ zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Public Works and other applicable permit granting authorities.
Department: Reference No: BP-199 8-0092
..................................
Building,Electrical & Mechanical Permits
..........•..............................................................................
Fee Type: Receipt No:
Building- Renovation REC-1998-000101
.........................................................................................
......................................
Paid By: Paid in Full On:
Michael Bouley Tue Jun 30,1998
.........................................................................•...............
......................................
Received By: Check No:
Linda Lapointe 1257
..............................................•..........................................
......................................
DEPARTMENT'S COPY Amount: $40.00
...........................
DEPARTMENT FILE COPY 269 RYAN RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: 1jr1 Inspector: Tracking No.: Fee:
30 Jun, 1998 BP-1998-0092 963706 $40.00
GIS#: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
4867 29 142 001 269 RYAN RD URA 11717.64
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
City: State: Zip Code: Phone:
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1998-0096 $2,000.00
Description of Work:
construct 12'x 16' att deck with slider
GeoTMS40 1997 Des Lauriers&Associates.Inc. CiRnwti�ra•