35-166 a s Crier of 'Nart11allrpfall
e �xsixchurrlt� `�
DEPARTMENT OF BUILDI)IG INSPECTIONS
INSPECTOR 212 Mnin Street ' Municipal Building
Northampton, Mass. 01060 • '
HOMEOWNER LICENSE EXEI•tPTION
(Please Print )
DATE: K)a\,/- as"
JOB LOCATION:
(Map) ( Parcel) ( Subdivision )
HOMIEOWNER: C hNl��i�S��eL� Lam,- �,3� R RO F=l®rek)c
(Name & Address)
0-3-599-9916'
( 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 reside-z- or intends to reside, on which :theme 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 -peerson 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, o.n a form acceptable to the Building Official, tlh�Lt he/she
shall . be responsible for all such work performed under: the"'' bu lding
permit'.
As acting Construction Supervisor your presence on the: j..ob site
will be required from time to time, during and upon completion' a 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 J�+`� �St'� Q Z)e,
BUILDING. PEkKT # ��
a e
< A
v � o• �
zm
cn O
_a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5�� Alterations
NORTHAMPTON, MASS. /�/1Y?s 9Y 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair_
Garage
— � oip1. Location -� Lot No.
2. Owners name Ls,�-k),n IJ ) e-- X Address `�9 R`�(�&D �O T Q.62
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
S. 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 86)to U< " Z writ aLt \he Y E�1-.,D- e Rwr--- T Lyiocpb j 'F-, jA)Gi C-�t-tft
13. Siding house
14. Estimated cost-
��.�o �C>7t7O
The undersigned certifies that the above statements are we to the best of his
knowledge and belief.
Signature of responsible app,icant
Remarks �1 ��0t� J1 F l�l ,'l3YiJ� Cz
aQY "ekil)! , such Pis Fjoy gan B anrDs
Old !b\.sc -. w ou L-b L\h e -Ta
r t
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 NC:�
IF YES,describe size,type and location:
I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Derparr:ent
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved parkingi
# of -Parking spaces
# of Loading Docks
Fill:
{vol-ame--& location)
13 . Certification: I hereby certify that the information contained herein
is t e and accurate to the best of my knowledge.
DATE: A.PPLICANT's SIGNATURE
NOTE: 1 uanoe of a o ing permit does not relieve an applicant's burden to comply Wit" ,all
zoning requlremen a d obtain all required permits from the Board of Health. Conservation
Commission. Departm nt of Public Works and other applicable permit granting authorities.
FILE #
�t23 �
File No.6p
DEPT OF 11ujL ING fNSPECTIONS
NORTHAMPTON MA 01&6p
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ '3/jAk)/o Aj. ock1SLC-; /
Address: 0-30 g as fZoad J` Telephone:_ ,C//3-.S"Ya 99g S
2. Owner of Property: 5j3r&x x 1_- 10.
Address: goa- Telephone: Z11-3_ !M2
3. Status of Applicant: _Owner Contract Purchaser Le ee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# 3S Parcel# Ca District(s): S
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S F
6. Description of Propose Use/Work/ProjecUOccupation: (Use additional sheets if necessary):
00or QQ�� J Aj,
4�4-el
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 YES
IF YES: enter Book Page and/or Document#
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)
839 RYAN RD BP-2000-0535
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 - 166 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofin BUILDING PERMIT
Permit# BP-2000-0535
Project# JS-2000-0932
Est.Cost: $700.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groin:
Lot Size(sg.ft.): 731 80.80 Owner: DELISLE SHAWN N
Zoning_ SR Applicant:
AT. 839 RYAN RD
Applicant Address: Phone: Insurance:
ISSUED ON:11123199 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP,PLY & SHINGLE ROOF
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 11/23/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
839 RYAN RD BP-2000-0535
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35 - 166 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-0535
Project# JS-2000-0932
Est.Cost: $700.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sa.ft.): 731 80.80 Owner: DELISLE SHAWN N
Zoning: SR Applicant:
AT. 839 RYAN RD
A_ pplicantAddress: Phone: Insurance:
ISSUED ON:11123199 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP,PLY & SHINGLE ROOF
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 11/23/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo