Loading...
35-296 (2) a o m 3 0 CO Ln et N Z ac 7CJ '�' S , to O ry M � r a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1.1. Location °°`� VA Lf,(-6 a-,kd I� F � i R �? � �i ���,� C'i Olc L Lot No. 2. Owners name ''fy-y sl t<, t t:1t"t ((I S S Address (x cl (i 16 �L"I!ACc A\ 'l 0'R. Builder's name V►t-�u C Ski Of `! Address V y r,11 Mass.Construction Supervisor's License No. �Z gal 1 Expiration Date 4. Addition 6 5. Alteration t�`1 i sk (i`�Z b ��� T"� 4` ose.")e..t e vet 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:- !" c7.�t:� The undersigned certifies that the above statcments are we to the best of his, i knowledge and belief." Signature ojrespo�b/e picant .emarks $ Glf# of Xorf4ulllptol Massac flits ctts ^ JAN 1 t F € } DEPARTMENT OF BUILDING INSPECTIONS INSPECTOr 9°T;iC 212 Main Street ' Municipal Building `t Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: i � �is� Du JOB LOCATION: WOA�01c( hl Old Joct csld,fes � (Map) (Parcel) (Subdivision) " HOMEOWNER: ,�1,(SQ/1 (mod CLc S Sc, `(,Name I& Address) 4 f` sy (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 # JAN 1 8 2000 , ,PTO, .9 i I ti. } , Cl ` . r ' $ e JAN 2000 Crier of 'Waz#llanlptnn + �lassacilnsrtts " r>,T 0F''' DEPARTMENT OF BUILDrNG INSPECTIONS -m 212 Main Street ' Municipal Building X14 S�• Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT with a principal place of business/residence at: (phone#) (street/city/stateJ�ip) �,�C � do hereby certify, under the pains and penalties of peq'ury, that'. ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) (-,,KI am a sole proprietor, general contractor o om wnefl�er,(circle one) and have hired the contractors listed below who have the following worke's compensation policies: 1 ��: _ t 1 l I M i (0©ollg3oi19q� Ilt(olZ `v (Name of Cont actor (Insurance Cornpany/Policy Numbcr) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expirntion Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach addi6om1 shod if necessary to include infw:nafioa pertaining to all ooGtrndor3) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ persons to do=aiatcuance,construction or repair work on a dwelling of not more than throe units in which the homeowner residw or on the grounds appurtenant thereto are not gcxrally co=dcred to be empioyrsa under the worke %compeasation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal datua of an employer under the Workees Compensation Act I understand that a copy of this rutement may be forwarded to the Dtpartmmt of Dial A=drnN Offioe of Imivance for the look coverage verification and that failure to see=coverage under section 25A of MOL 152 can lead to the imposition of criminal pcaaWcs ooasiacing of a fine of up to S1,500.0-0 and/or imprisomncrit of up to one yew and civil pcnaltie,in the form of a Stop Work Order and a frno of 5100.00 a day against t>x For dcgartmminl use oalY / Permit Number z 1 I /i.Y Map# Lot 4 Signatlm of LicenscUPermitlee Late �b i 10. Do any signs ebst on the property.) YES NO is 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. This aolua to ba filled in by the Baildiag Department Required I Existing Proposed By Zoning Lot size acre, Frontage Setbacks NA - side L: R: L: R: <i - rear 'J y'v t Building height Bldg Square footage ,L -Z5(l:c) t %Open Space: (Lot area minus bldg &paved parking) # of "Parking spaces _ ac-t;tiZ f of Loading Docks Fill: {vol-ume--& location) 1L� 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioanYs burden to oom wit zoning requirements and obtain all required �lY !a .till Commission, Department of Publio Works and othersa pil the Board of Heglin Conservation pplioable permit yraf�tin9 authorities. FILE # 2000 ! t Fi1e N � i ONXNG PERMIT APPLICATION (§10 . 2) 'PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �u5� Tt.r�E ta'cSS� Address: L� Telephone: �(c 2. Owner of Property: ! L,,'ileAt c l d S� Address: iv_x i l Ct 1 ci,. ly- Telephone: 3. Status of Applicant: 4-Owner Contract Purchaser Lessee Other(explain): 4. Job Location: (rf`1 I U;C,d lal o r ����t r1C�,ti�l71�'A Parcel Id: Zoning Map# J15_ Parcel# ,, & District(s): 5/Q (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property jl N:�(- ko""-k� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): �t n k sly It; 5z; bo S0.1�e A < t r_z c` 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 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) File#BP-2000-0665 APPLICANT/CONTACT PERSON GRASSO DOMENIC&SUSAN ADDRESS/PHONE 69 WOODLAND DR (413)586-6616 Q PROPERTY LOCATION 69 WOODLAND DR MAP 35 PARCEL 296 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvneof Construction:_FINISH 650 SO FT OF BASEMENT,FAMILY/PLAYROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE LLOWING 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 ion Signature of Building Official Dat 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. 69 WOODLAND DR BP-2000-0665 GIS#: COMMONWEALTH OF MASSACHUSETTS MW:Block: 35-296 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category'Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0665 Project# JS-2000-1218 Est.Cost: $16000.00 Fee: $80.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 33628.32 Owner: GRASSO DOMENIC&SUSAN Zoniny,: SR Applicant: GRASSO DOMENIC & SUSAN AT: 69 WOODLAND DR Applicant Address: Phone: Insurance: 69 WOODLAND DR (413) 586-6616 () FLORENCEMA01062-9621 ISSUED ON:1127100 0:00:00 TO PERFORM THE FOLLOWING WORK.-FINISH 650 SO. FT OF BASEMENT, FAMILY/PLAYROOM 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 1/27/00 0:00:00 1080 $80.00 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo