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BEAM LAYOUT RUGG LUMBER CO
CUSTOMER -- MARILYN / BROOKS 24 W. STREET
DATE 05/28/98 REF BROOKS W. HATFIELD, MA
1' 6 1/4'
A B
1' 6°
c
5' 5 1/2'
D
1' 6 1/4'
BEAM BEAM POST POST
LABEL LENGTH COUNT SPACING
A 1' 5 1/2" 2 1' 2"
B 215m 2 2' 1 1/2"
C 5' 5 1/2" 2 5' 2"
D 11' 9' 3 5' 83/4"
Post spacing is measured center-to-center.
Depth of concrete footers --- 48 inches.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No..-='; - J75 Alterations
NORTHAMPTON, MASS.— a,,, 19 Additions
i
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
' sr+ p.rw.
1. Location_ � � .;� ' °- _ . Lot No.
L-"l. Owner's name /, l l dyt i ' o iCX 1 i_,liY!?Vlf,� Address --f 6- y
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
I0. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
Estimated cosL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
C
1- e5ignatu of responsible app icane
Remarks
p
a� _�_,a.---�
a MAY I g 199 } xssxr(attsrtta
m DEPARTMENT OF BUILDMG INSPECTIONS
212 Main Street ' Municipal Building '.yy
Northampton, Mass. 01060 '
WORICER'S COMTENSA'RON INSURANCE + ' AVrr
(li censerlper mi flee)
with a principal place of businessJresidence at:
( city/statdzip)
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following worker's compensation coverage for my
employees wor�dDg on this job:
(Insurance Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worke?s compensation policies:
(Name of Contractor) (Lnsunncc Cotnpany/Policy Number) (Expiration Date)
(Caine of Contractor) (Insurance Compau),/Pohq Number) (Expimuou Date)
(Name of Contractor) (Insu=cz Company/Policy Number) (Expiration Date)
(Name of Contractor) (Lnsu=ce Company/Policy Number) (Expiration Date)
(attach additioc l zh ci ifn6c'.'- y to nc}udc nfamiL oo pertua rag to all n ion)
( ) I am a sole proprietor and have no one working for me.
Xx am a home owner performing all the work myself.
NOTE:please be aware the while homeowners wbo cmpioy pa:ons to do • coojtr ton cr rcpau work on a dwelling of
not more than throe units is whict,the hoq�oowncr raider or oo the g=J&aPVadcnnnt thado arc oot gwailly--idcrcd to be
cmployaa under the w%*&s oomp=s4ca Act(GL152.n 1(5)),application by a homeowner for a liccnsc a pamd may cvidl—tho
legal etahts Oran employer Underthn Wockcez CompcwLtk-a Act
I underemud the a copy of this rntcmmi m►y bo forwarded to tbo Dcpartmc ai of Ind=hi al Acadusb'office of Insvr.noo for the
oovcrx vcrifladioa and that&ilwa to acauti covango under sccdoa 25A of MOL 152 can.lmd to tbn'imposition of Criminal p�ba
coaiisring oja fine'oFup to 51 500.00 and/or mtprisoomc�of tip to ooc year and an7 pcnaltia in the form of a Stop W oric Order and a
fine 0(5100.00 a day agniad mc.
FCC dcputm bJ uao-Y
Permit Number
�- p --L.,ot#
SignatureofLicr- ertnittce
9 ,5 �siascituactta
r MAY 1 8 1998 DEPARTMENT OF BUILDING INSPECTIONS
Building
'
INSPECTO 'EPT 212 Main Street 'OF 1�6' X g �+
Northampton, Mass. 01060 "
J
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: _ >.
JOB LOCATION:
(Map) (Parcel,) (Subdivision)
HOMEOWNER: � L
(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.
w�
HOMEOWNER SIGNATURE '�
BUILDING PERMIT #
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.
Thin colru= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 6> �U�
Frontage /Do r
Setbacks f j
- side L: ) R: 62'q L: � �E R:
- rear
99
Building height
3S-- as
Bldg Square footage
=i 7
%Open Space:
(Lot area minus .bldg
&paved parkingl
# of Parking Spaces
ht rof Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
J E
NO - APPLICANT's SIGNATURE 1C
OTE:: Iss ano of a zoning permit does not relieve an applioa s burden to oompty with, all
zoning requirements and obtain all required permits from the oard of Health, Conservation
Commission. Department of Publio Works and other applloable permit granting authorities.
FILE #
MAY 8 "998 _
Fi 1 e No 9
EPT QF 8k`
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
3
a
Tele hone:
Address: � � f�. �� °r t x � - ��� p
2. Owner of Property: f� g' ` ..
Address: # ,�. , )!; ®' ''Telephone:
}
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s): Ste'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property :)Ed:
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
lei
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOIA 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 -01 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)
U
# �
---�-� FILE /
MAY 1 8
L:: PPLICANT40_341TACT PERSON: negad
EPT of i3RE ,S/P$(YNIL
PROPERTY LOCATION: 9Lf
MAP JS PARCEL: ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION.CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM ETTLEA) OUT
Fee Pnid
'ct ✓
./
TH�,FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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
f Health Well Water Potability-Bd Health
!Permit from Conservation mmiss'
�__ 2_
Signature of Building lml r Date
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain ell required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioabie permit granting authorities.
4
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