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18D-004 (21) a > I rr so v c a ^' m a Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. �/ Alterations %r NORTHAMPTON, MASS. s / 1 9 Additions C ':.` APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location !2O ji`%aP -7 Q(k nn Lot No. 2. Owner's name u ,;(brio-77 /ric.e Address (60 11p (1.0 3. Builder's name sice7 sdr 5 eS f7" Address 'Si (' S ,,7 1. 5 Y ion ,i s 67.4 Mass. Construction Supervisor's License No. C') 4 g, 5 r Expiration Date i /l(' 0 00 4. Addition (a) I i �p ilkiie (, e h - 5 cr .+a `1( Ct 5. Alteration V 6. New Porch 7. Is existing building to be demolished? Ave, 8. Repair after the fire 9. Garage No. of cars Size 10. Method of heating /1.)0 1. 11. Distance to lot lines 12. Type of roof At tr 13. Siding house 14. Estimated cost- G U t The undersigned certifies that the above statements are true to the best of his, her knowledge . • bell . 3+gnature of responsible appiican! #_ Remarks f c 3 7 „ E (II \e 0 '; — NOTE— . IS AT IS COMPILED FROM DEEDS, PLANS AND OTHER ill 1 l wiq 4 i' RCS AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. PLAN BOOK 83, PAGE 12 ; PARCEL #3 1 ' + \ 455.92' \ u) 4' .� `'' self stora•e buildin• 0 S• 4 \ a �d m ?) ) 4,?, \ self storage barn AgtO � � b , uildin• ° � 1=11 A 0 6 �� Nc:,..1, p F r a \ SPorting L.0 u st r + - . tore good _ _ store o 9 0 Z4 t� _ D A M O N \ L _ 1 79, ��' \ ROAD TO: THE HERITAGE BANK FOR SAVINGS & THE FIRST AMERICAN TITLE INSURANCE COMPANY I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS. ENCROACH AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 —NOTE — SURVEYOR THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY 0. . F — MORTGAGE LOAN INSPECTION PLAT— '' : � NORTHAMPTON, MASSACHUSETTS MIMI inn E I PREPARED FOR WILLIAM,B. & EVELYN F. MOCK ., u f35032 litv ` a �� , ' � ` SCALE: 1 =80' JULY 2, 1990 t 0 SOW HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS C. ' S 235 RUSSELL STREET — HADLEY — MASSACHUSETTS r+) , . „ , ;,,, 77 411 . kridtp of Nartilamptan - -; . . .- - :a 1 I i a JL L t4Y 4 Ogg .5laaaxrhnsrtts _: ►_ Ira - D Op BUILDING INSPECTIONS 4 = _ a n . `" ----- - 212 Main Street • Municipal Building Northampton, Mass. 01060 e '' •' WORICER'S COMPENSATION INSUJRANCE AFFIDAVIT I, S f ( (lipermittee) with a principal place of business/residence at: - i iv S / . r . . (phone#(9 %b3_7, . (stret -t/ zip) 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: (insurance Company) (Policy Number) (Expiration Date) ( ) 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insuranc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if nooeuary to inchude information pertaining to all contractors) (am a sole proprietor and have no one working for me. ( ) 1 am a home owner performing all the work myself. NOTE: please be aware that while homeowner., who cmpiay persons to do tn=mtrnanrr, coasuuction or repair work on a dwelling of not more than throe units in which the homeowner resides or oo the grounds appurtenant thereto are not generally considered to be employers under the wrocicees oomptasatien Act (ota52,n 1(5)), application by a homeowner fora license or permit may evidence the legal etntua of an employer under the Worker's Conspensatioa Act I understand that a copy of this snat®mt may be forwarded to the Depertascat of Industrial Aecideate Offioo of Insurance for the coverage verification and that failure to secure coverage tarter section 25A of MCIL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work On and a find 0( 5100.00 a day against inc. i For departme l use oaty Permit Number _I ■411x. 5 MaFs# __ Lot # Sigaahue of Li.... • • crmittee � 7� • �Oicom pT Qy s , yr A ,, , j;, y C�iz #fi Na #Irttnl ifaiY *T' • Sit op _ a te ° / ` 4 .1�`J` V A 11 *DEPARTMENT OF BUILDING INSPECT 777 #1 INSPECT i 212 Main Street Municipal Building Northampton, Mass. 01060 I.''� Fl c) . J HOMEOWNER LICENSE EXEMPTION . (Please Print) DATE; S/'/7.. JOB LOCATION : /6,0 1).0,770 V? R (Map) (Parcel) (Subdivision) HOMEOWNER: (4)16//q ..v.7 /20c kz (Name& ddre -s) 7 /, -7c7 - d / rCZ c # 4 &(3) .5 86 , (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. o 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 Northarnpton Ordinances, State and Local Zoning Laws, and State of Massachusetts General Laws Annotated, HOMEOWNER SIGNATURE / '<''1� WZ--- � L BUILDING PERMIT 41 x,; , 10. Do any signs exist on the property? YES NO c+ r � r IF YES, describe size, type and location: ..,�"C / T p OX )0 Are there any proposed changes to or additions of signs intended for the property? YES NO c� IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department 6,B 2 q, P C y I Required , R is / RI • Existing Proposed By Zoning . Lot size 12,/c) J /Op ao .Fro ilcrW Frontage ? 2/© v Setbacks - frnnt ? ( SCt) / - side L: D,6 R: /5 L:300 R: 6 - rear Building height e, ' Bldg Square footage 43a _ %0 zc � = /9y < in 6 Pg . %Open Space: (Lot area minus bldg c� &pa.ved parking) fn( t Yegtli 5,5 # of Spaces # of Loading Docks Fill: -( volume • -& location) 3Q; -72 27 13. Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowl d'e. DATE: f APPLICANT 's SIGNATURE /r j� �� NOTE: Issues oe of a zoning permit does not relieve en app "ioant's - 'rd'" oo ply witty all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works end other applicable permit granting a uthorities. FILE # 1 \ File No. 993x/ wl-t, MAY Q , ZO ING PERMIT APPLICATION ( §10.2) 10 .:. - - P LEASE TYPE OR PRINT .ALL INFORMATION 1. Name of Applicant: c.S 1 Q �t� y 1 S'A-)---t4'' l Address: 5/ (5 triTpTz 1 xT' . t a.CrC t //S Telephone: (5"/3) F6. J /?S 2. Owner of Property: (..4 Allp,r t A k Address: /0 0 DcD rrioc1 al Telephone: (Y/ } ?6 — / V/' 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain): n 4. Job Location: 74 ' /055 Po 010 VI . 0. Parcel Id: Zoning Map# A‘ t' Parcel# 41 District(s): G • (j (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property yid �S r COrrwrt 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • i. s StS"ctk roI uss. (a) (:,,V >(' 'a.) / 7. Attached Plans: i/ 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 PermitNariance/Finding ever been issued for /on the site? NO DON'T KNOW YES V IF YES, date issuedt' ? 2 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES_ 35?/ IF YES: enter Book q),._ 3g97 Page 0° 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) E P ' rl .. ��. FILE �" �cU.I o 02 MAY 4 1998 _!, i t, , ,, v , �3 eEPT LAPPLICANT/QONTACTPERSON: gDDRIS Y'RON 6/ 4_! ��� �� �� PROPERTY LOCATION: 94/J G �YG�rr _ 2 � MAP 17 j) PARCEL: ZONE 6/ TELLS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7ONTNG FORM FT! 1. FT) OUT Fee Paid !binding Permit Filled nut i....--"- Fee Pa id /53 7 7" 5(6 - t..--- Tyre of C'nnetn►rtinn• New C'nnstriirtinn 17e-Yrtf) i �� Remndeling Tnterinr ..1/ Adrlitinn to Existing C� t ›- /, Areeesnry Strnrhvre Enilding Plans Tne1iided• Owner /Ocrupant Ctatement nr License ii 661 35 / t_... 3 Sets of Plans /elan TI OWING 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 -Bd of Health Well Water Potability -Bd Health P > •. rom sery io m 'ss" - i Ab I. Signature of Building . - tor D • to NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to oomply with all _ zoning requirements and obtain ell required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioable permit granting authorities. * OA A e , e City of Northampton REQUIRED INSPECTIONS ^ ' ) r , } x='4.4 BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place 3. Complete Building* No. 1535 Office of the Building Inspector Zoning Form No. 963483 Date 5/5/98 Fee$ Check # 1537 Page, 18D Parcel 4 , Zone GB Section 127 ❑ Yes 0 No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Stephen Smith before Building Inspections has permission to erect (2) temporary stora sheds 20 X 12 Inspection on Site — Foundations 96 -108 Damon Rd - William Mock Inspection of Plumbing—Rough situated on 1 provided that the person accepting this permit shall in every respect Inspection of Plumbing— Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring —Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish of this permit. Expires six months from date of issuance, if not started. Building Inspection —Rough Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection— Finish ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON TPIE PREMISES " Certificate of Occupancy Building Inspector