31A-101 (5) 17 FEDERAL ST BP-2000-0168
GIS#: COMMONWEALTH OF MASSACHUSETTS
hYp.-Block:31A- 101 CITY OF NORTHAMPTON
Lot:-001
Permit, Bu'Idino
Category,roofing BUILDING PERMIT
permit# BP-2000-0168
Proiect# J$-2000-0271
Est.Cost:$800.00
Fee:$25.00 PERMISSIONIS HEREBY GRANTED TO:
Count.Class: Contractor: License:
Use Group:
Lot Size(sp ft.), 12763.08 Owner: SHEEHAN CATHERINE L
Zoning:URB Applicant.
AT: 17 FEDERAL ST
Applicant Address: Phone: Insurance:
ISSUED ON..81wi9v9 o:oo:oo
TO PERFORM THE FOLLOWING WORK SH INGLE ROOF OVER 1 LAYER
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: On. 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 8/16/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
AUG 1 s isss �
i
File No.
111...._._ Zt3,aZNG PERMIT APPLICATION (§10. 2)
LE`A`SE TYPE OR PRINT ALL INFORMATION
1. Name of Applica
Address: Telephone: .or'C 141��C A
2. Owner of Property:�'t
Address: Telephone:
3. Status of Applicant: _Owner Contract Purchaser lessee
_Other(explain):
_
4. Job Location: nvs�¢�
c �
Parcelld: Zoning Map# 31fi- Panel# /01 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)`
5. Existing Use of Shucture/Property \ b
6. Description of Proposed UseNVork/Project/Occupabon: (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 Deparbnent Files.
8. Has a Special Per iWariance/Finding ever been issued for/on the site?
NO � DON?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 Conservabon Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs east on the property? YESNO _
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:
Il. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cats Cv to filled iv
by the l)vildin9 peparCwvt
Required
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
&paned parking)
# ofParkingSpaces
#- of Loading Docks
Fill:
(volume -& location)
73 . Certification: I hereby certify that t4pinformation contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT'S SIGNATU
NOTE: kut..noe of a zoning permit does not relieve an mpplioanre burden to comply with all
zoning requirements and obtain all required permits from the Beard of Haalth� Conservation
Commission. Oaperlment of Publio Works and other applioabla permit granting authorities.
FILE if
RSHA11P1.
CriN of nrfl�anc}tfnn
s e AUG 1 6 1999 tea'°"`h"•"'°
a
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street a Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFMAVTT
(liceaxrJpemvttee)
with a principal place of business/residence at:
Qyv�WM, �� � (phone#) �sc�' "-QQ"\
(sire-_t/ ' /State mp)
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:
(Imauance Company) (Policy Number) (Expiration Dale)
( ) I am a sole proprietor, general contractor homeowner " cle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Issuance Company/PoEcy Numbcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Pokv Number) (Expiration Date)
(Name of Connector) (Insurance Compaay/Policy Number) (Expiration Date)
(Name of Contractor) (Insuaoce Company/Policy Number) (Expiration Date)
<mam�da®Iwn7 Sa�,rrm o,a,a�i,r.nm ram�mne u.n���)
(L,Y'I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE plmx haw cher while mvmu as rgaIr work w edxeUiv6 of
va mire 16a thine mils w wldeh the Itomeowvamvdo«m We g,modr appuu�thzero erz oat gmaaltyoomidacd m k
�loym ued«tbo w«kCaa�a.tim Ptl(OLI52,v1(S)).apptimtim byahommwovfms4ame«pamamaY cr'Avc Nc
legl naau ofm®p1eYx mdartb Wakda Co¢gm.tion AG
[undveavdthrtawpy ofbi.awmmmayb fa.wW.dbtha Dep,mmtofl�amiJA .. ..O�m ofW«.omt tlw
mwagevmncetim mdlbal feilWemuwrt wwsge mdr sectioalSAarMOL ISI m kadbtbe impmAmofaimmsl prmlEa
oowi[mga.Wupbtl}W.00 mNa improv MoLuPbaoeYrn.odevlP®be iulheC o(.SVW Waak QJc.vda .a
fim ofSl00.0n.Jay.giimt me •.
Fadepceetmlurmty .
Permit NumbeF
\Act, Mapo _ Lot#
_. ignamre of L' 'ttm
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(rjit� u# 'Wurt4 allyton
9 1 A..wehusell.
0
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mase. 01000
HOMEOWNER LICENSE EXEMPTION
DATE•
����\�8 (Please Print) A )
JOB LOCATION:
HOMEOWNER:\�
(Map) (Parag#♦)J_ (Subdivision)
C" .\L
(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. CMR7B0 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
t for compliance with the State Building Code, City of .Northampton
Ordinances, State and Local zoning Laws , and State of Massachusetts
General Laws Anno ate
HOMEOWNER SIGNA
BUILDING PERMIT ()
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Zoning
Miscellaneous Additions,Repairs.Alterations,etc. Tel.No Alterations
NORTHAMPTON, MASS. uo I9S--- Additions
APPLICATION FOR PERMIT TO ALTER Repati
Garage
1. Latah 2e C.� �� :n� Lot No.
2. Owners nam �Z ��_ L Address �l� ���i• , �� \�y3��^
3. Buildersname��n�
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
b. New Porch
7. Is existing building to be demolished?
S. Repair after the Fve
9. Garage No.of cars Size
10. Method of heating
11. Distance to IN lines
12. Type of roof
13. Siding house
14. timated cost �- od
C
e undersigned ceWes that the above statements art true to the best of his.
nowledge and belief.
Sid^nrure^I rupanx,Nr aOWimnt
Remarks