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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. 1
Tel. N'3) :5k6 - 6 33 Alterations
44 NORTHAMPTON, MASS. T 19 Additions
t r }' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 2 3 B e e $? f f#/ k!t) 0' Lot No.
2. Owner's name Address s
3. Builder's name Address
Mass. Construction Supervisor's License No. Expiration Date
4. Addition /L` l'-
5 . Iteration . A 1 AA 4 lJ ' / �csi 4,.... ra_�• ♦.__r..; &AIi J.. /U aL �!
y
6. New Porch /
7. Is existing building to be demolished? k)C
8. Repair after the fire IA
✓9. Garage No. of cars r) Size VO X I. O '
10. Method of heating //a-
11. Distance to lot lines
12. Type of roof oSpha, I i 5A;h
13. Siding house
14. Estimated cost: - ,t() ppo
The undersigned certifies that the abo - tatcmcnts are true to the best of his, her
knowled and belief.
� ,lam
Signature of resp' Bible applicant
Remarks
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cfl DEPARTMENT OF BUILDING INSPECTIONS 41 ^ _{ =
1
212 Main Street • Municipal Building
Northampton, Mass. 01060 No i
WORKER'S COMPENSATION INSURANCE AFF.WAVTT
I-, 7?/44)6E—S Le/Y-7X- y
(limns ipermitte )
with a principal place of business/residence at:
K3 j` C/W 'SI (phone/0
(str t /city /statelyp)
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)
( I am a sole proprietor, general contractor . s omeowner ' . cle one) and have hired
the contractors listed below who have the following wor. e s compensation policies:
(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)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additicoal siirct ifnec i ry to include iafocm-itioa pcYtnimag to all c tr c on)
( ) 1 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 heco:0wDcrs who employ ?atom to do m*%+*t� construction or repair work on a dwelling of
not morn than throe units in which the homeowner resides or oo the grounds appurtenant thereto are oo( generally considered to be
employers under the worker's compensation Ac (GL152,u 1(5)), application by a homeowner for a license or permit may evidence the
legal status of an omployoc undor tho Wocicota Compensation Act_
I understand that a copy of this atit.®mt may be forwarded to tho Deportment of Industrial Accidents' Offioo of Ins usaoo for th.
oovcragc verification and that failure to scare co ; • trader section 23A of WK. 152 can lad to the imposition of aiminal penalties
1 consisting of a -fine of up to S1,500.00 andlor ' '' ca
....... of tip to ono year and civil paltia W
in the form of a Stop Work Orel r and a
fine 0(5100.00 a diy against. tnc_
i For ckpiatedeatil trio only
L / P Number
'0/ / �
i.�.� Lot # -
/ Signature ofLiccnscefPcrinittec Bs .
. i ''''''''"7".."'"'".""S
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iF _ 9 i D ARTMENT OF BUILDING LNSPECTIONS 4 = _
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INSPECTOR 21'2 Main Street Municipal Building
Northampton, Mass. 01060 • r''"
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: ° r --/ L - ?
JOB LOCATION: 2 L ) `'"( W?.,
{{ - $ (Map) (Parcel) (Subdivision)
HOMEOWNER: l 4 8 /J 4 , k&
0 :?:' - 6 ii&/ ,f- rn,,,,, i
( me Phone) Work Phone)
Y'3) 7 . Z3
. The current exemption for "homeowners" was extended o 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. i
DEFINITION 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 Ole Building
Official, on a form acceptable to the Building Official, that he /she
shall be responsible for all such work performed under, the buildirig
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 Loca Zoning Laws, an State of Massachusetts
General_ Laws Annotated. /
HOMEOWNER SIGNATTRF� `� / �' •
BUILDING PERMIT ## Au
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1 . 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:
II ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Buildiag Department
Required
Existing Proposed By Zoning
Lot size C cry
513' x I1-I3' X71
Frontage
4/5
Li
_ 39
Setbacks - frnrtt ,3`x ' XS
- side L: 111 R: L: 110' R: 13
-rear
Building height ' (>2 e
13 i 3� a
Bldg Square footage j CI)
%Open Space:
(Lot area minus bldg 5 (}
&peved parking)
# of Spaces
1 'Of Loading Docks
Fill:
-( volume -& location)
r
13. Certification: I hereby certify that the infor contai 4 herein
G is true and accurate to the best of my knowl -dge. �
DATE: f APPLICANT 's SIGNATU • - /��� /
NOTE: Issuanoe of a zoning permit does not reliev - - ' applioant's burden to • - mply with ail
zoning requirements and obtain all required permits from the Board of He' , Conservation
Commission, Department of Publio Works and other applicable permit gr tang authorities.
FILE #
- ' nl N T 1 0 W 1::,, --- C9 7 (
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i r e , APR201999 I.
.,)
s Fil No. bffia
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT .ALL INFORMATION
1. Name of Applicant: 14 W c-ra-s L, Le n-
Address: 2 3 Tok.mi2.tt Koiti-lit441/ r /'''telephone: L5 2 - 2 3 .:S o2. 7
2. Owner of Property: f , / c.L S L, ,,- 4
Address: S3 h Si / - k A - vJ 4e '{ /3J �Q (� —(� � •
/
3. Status of Applicant: . Owner Contract Purchaser Lessee
Other (explain):
� C� n /
4. Job Location: 23 89Uv att d'� i Not vO -- / G� -
Parcel Id: Zoning Map# E Parcel# 9 District(s): //./6--
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property c5, Ft ,/
6. i Description of Proposed Use/Work/Project/Occupation: (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 Department Files.
8. Has a Special PermitNariance/Finding ever been issued for /on the site?
NO VN, DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DC, 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 Vs _ 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 -1999 -0864
APPLICANT /CONTACT PERSON LEAHY FRANCES
ADDRESS/PHONE 83 BARRETT ST 586 -6388
PROPERTY LOCATION 83 BARRETT ST
MAP 24B PARCEL 004 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ?Q 9(,a li O
Tvpeof Construction: ALTER EXISTING DET GARAGE, 2' WIDER & 6' SHORTER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
T HE ,LOWING 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 ission
2_ 24
Signature of Building • cial Date
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.
83 BARRETT ST BP- 1999 -0864
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24B - 004 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: alteration- addition BUILDING PERMIT
Permit # BP- 1999 -0864
Project # JS- 1999 -1512
Est. Cost: $2000.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 57107.16 Owner: LEAHY FRANCES
Zoning: URB Applicant:
AT: 83 BARRETT ST
Applicant Address: Phone: Insurance:
ISSUED ON:4/22/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:ALTER EXISTING DET GARAGE, 2' WIDER & 6'
SHORTER
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 4/22/1999 0:00:00 $40.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo