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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. -2 6, o Alterations
'%•- NORTHAMPTON, MASS. /0/2-E 1 9 /�� Additions
"_` APPLICATION FOR PERMIT TO ALTER Repair
� �- Garage
1. Location C YA( AP h O/ r ' Lot No.
2. Owner's name ` . Il9/11-- � 14 //Z04't -T. =l7 Address ii �-- & ? '7 ' S7 A 17 Pr'" i
3. Builder's name Rio/- be/ o Address J Pee c --4, AT e7Z' Ai
Mass. Construction Supervisor's License No. CPL f riV/12/0 Expiration Date
4. Addition C4 2, ( C ' ��..c,., )
5. Alteration
6. New Porch /��
7. Is existing building to be demolished? A c°
8. Repair after the fire
g '" -- 77� /
9. Garage ("� At�172) No. of cars Size / Z X 7 2/
10. Method of heating
11. Distance to lot lines
12. Type of roof r /17
13. Siding house
14. Estimated cos t t �� `
The undersigned certifies that the above statements are true to the best of his, her
knowled :e and beli f.
4111 , 11 r.V.—
,�) Signature of responsible applicant
��
Remarks � ti i � '1 - C� 1 - ` `, „A", , — /f CF% v ` /�
i� _ ...
e6...4:_',.. yo.
r 7 IS • y+`M55At��11 M --- VID
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�'+�'° k L?$PARTMENT OF BUILDING INSPECTIONS _ _ � _1 1 r
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 -''
V
HOMEOWNER LICENSE EXEMPTION
/f /�� ( Please Print)
DATE:
JOB LOCATION: / l t
(Map) (Parcel) (Subdivision)
HOMEOWNER: _ ' / I 2 g-A/Ai ; /t /.. A C —
(Name & 4ddresq4
(Home Phone) (W k 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 . t ',,
, d
1
i
I l ., l •
9 ° � L X 7 CY L = #?
i
®� � � 1� �z N11C_�T �I7T � __ .
��/ ry 6 Izsaxc hnsctla _` 0_
• °" D EPARTMENT OP BUILDING INSPECTIONS • _ V l = 1
• 272 Main Street e Municipal Building --_
Northampton, Mass. 01060 ,,, to 1
WORKER'S COMPENSATION INSURANCE AfFII)AVZT
I,. i , kI /t/ jJ/ f) ) /(--t-EI C
I - • •• -. permittee)
with a principal place of busines residence :t:
/(0i �--- - / � % ' N / (pbonerz) l , `)r Cg 5
(str t/city /statelzip)
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)
•
am a sole proprietor, general contractor o homeowner (curer one) and have hired
the contractors listed below who have the following °•.r; - s compensation policies:
k((>7-f P ril, ,
(Name of Contractor) (Insurance Con arr,'/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Comuany /Polk,- Ntunteer) (E>:pira non Date)
(Name of Contractor) (Insurance Company/Policy Number) ( Exptration Date)
(Name of Contractor) (Insu ance Company/Policy Number) (Expiration Date)
(atta h z.dditicait ,hcct ifncccaary to bdudc infocmarica pct"; a, to all cocdrac.'on)
( ) I am a sole proprietor and have no one worlang for me.
( ) I am a home owner performing all the work myself.
•
NOTE: please be aware that while bowe9WDer3 Wbo employ pectoral to do caal*+eaan e, const+udioa'or repair work on a dwelling of
not more than throe twits in which the homeowner resides or on the grounds appurtcamat 111.m are not generally 0003idered to be
employers under the worker's compcnsatica Act (GL152rs1(5)), application by a homcown& for a bccase or permit may evidence the
legal st'h,y of an employer under the Workeea Conipom ation Act
I undcrsttnd the a. copy of, this etaicocut may bo forwarded to the Dcpnrttocot of Industrial Aocidcate Of1Oe of boon eoco for the
coverage verification and that failure to sow= ooverago under section 25A. of MOL 152 can tad to the imposition of criminal penalties
comisIIU 'fin
g of ae of up to S1,500.00 and/or imprisocmcai of up to one year and civil penalties in the form of a Stop Work Order and a -
fine 0( 5100.00 a day against roc..
Foe '1 lase only
a / / - • _ Permit ` Number -
/ �/ - i� 7U re _ Lot: #' " .l - t
..„1- r� " ofLicr- nsre/Permittcc ��
14 -OCT -1998 11:40:38 Hampshire County Registry of Deeds Receipt No: 91329
Marianne 1. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060 -3298
Name: JOANNA MONTGOMERY Addr: 161 CRESCENT STREET
NORTHAMPTON, MA 01060
Receipt Type: OR
Payment
Total Pages: 0005 Fees Taxes
Fee: $ 11.00 Cash: $ 11.00 $ 0.00
Tax: $ 0.00 Check: $ 0.00 $ 0.00
Misc: $ 0.00 Charge: $ 0.00
Charge Code:
Comment: VARIANCE RECORDING - -155 CHESTNUT STREET
Receipted By: BETH Status: PAID
DOCUMENTS: 980028611 to 980028611
Type Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book /No /Page Status
MIS3 005 0001 0000 0.00 11.00 0.00 0.00 14 -OCT -1998 11:40 980028611 OR /5507/0157 INIT
Page 0001 of 0001
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
r
1-- Are there any proposed changes to or additions of signs intended for the property? YES NO__X
N
IF YES, describe size, type and location:
c
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled i
by the Buis. frog Department
I Required
Existing Proposed By Zoning
Lot size G. /,ye- /t4 of x c. 2 ,2n - 1 )
Frontage /j /?-5" / /
Setbacks - frnnt C . vg" G.•.Y S^ . ,5(>
1
t ,t !
- side L: lo R: lb L: / 0 • R: 7 , A
-rear G• Soo ` e-.6'70' D
Building height /� fy �S
Bldg Square footage /- / ''�' ,5
%Open Space: o
(Lot area minus bldg
C l// g' f� No c61 /l`�(QG ■ q ,, (/ f/ 6
&pei7ed parking
of Parking Spaces �--- --
-' r /"
of Loading Docks „-------•
Fill:
(vol -ume - -& location) /-- ----.�--''
13. Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: C j'0 r g APPLICANT 's SIGNATURE • / ` `. of
beau '' NOTE: beau no o e zoning permit does not relieve a
g P #• plioant's burden to comply ,.all
zoning requirements end obtain all required perms m the Board of Health, Con = rotation
Commission, Department of Public Works and othe . pplioable permit granting eu oritlea ,
FILE #
I " 9 8 ®� 91
ifaiii File 'No.
g �.� 3
•
.
ZONING PERMIT .APPLICATION 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 0 /t ♦ l #4 / /ce , 6)) - '\,
Address: f sS Cti e sr FA-0 Telephone: _______________ _s
2. Owner of Property: 1 ./ .fit" Ae ..11.. A&A /
Address: /G / C/ , r4 P sr A i` / Telephone: W G
/3"�4 f7 - C� 4
3. Status of Applicant: XOwner Contract Purchaser Lessee
Other (explain): ^��p n /�� /' A - _ ' A ,�
4. Job Location: ` c :5 •= s —157 '& /'��
Parcel Id: Zoning Map# Parcel#
(TO BE FILLED IN BY THE BUILDING DEPARTMEN )
5. Existing Use of Structure/Property "c -? / ?) R-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
p CAC- Pc) c icr4U6 /r/ /41
7. f t kftc(i d Plans: y, -ketch Plan Site Plan Me SuWF' ans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Hies.
8. Has a Special PermitNariance/Finding ever been issued for /on the site?
NO DON'T KNOW y 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 X 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 -0440
APPLICANT /CONTACT PERSON JOANNE MONTGOMERY
ADDRESS/PHONE 586 -6083
PROPERTY LOCATION 155 CHESTNUT ST
MAP 17C PARCEL 066 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLFD OUT ✓
Fee Paid
B ng Per mit Filled u:,t ✓'
Fee Paid U.5 L ✓
Type of Construction:
New Construction "/ _• r 4! i� #1
Non Structural interior renovations , --,
Addition to Existing /
Accessory Struct
Building Plans Include('_
Owner /Occupant :,tatement or License # ✓'
3 sets of Plans / Plot Plan
THE F LLOWING AC "1'ION HAS BEEN TAKEN ON THIS APPLICATION:
pproved as prese.,,,iibased on information presented.
Denied as present, J
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding I . aired under: § w /ZONING BOARD OF APPEALS
ceived & Recorded at Registry of Deeds Proof Enclosed
Variance ' ''quired under: § w /ZONING BOARD OF APPEALS
t/? eived & Recorded at Registry of Deeds Proof Enclosed �
Other Permits I. aired:
Curb C om DPW Water Availability Sewer Availability
'
tic 4 A Well Water Potability Board of Health
' 7ercnll `; Conservation mmission
/ye
Signature o uilding , al Date /elz
Note: Issuance of a Zo ag permit does not relieve a applicant's burden to comply with all zoning
requirements and obto ,1 all required permits from Board of Health, Conservation Commission, Department
of public works and u . e, applicable permit granting authorities.
J
Department:
•
Reference No: BP -1999 -0440
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
Building - Renovation RFC -1 999- 00 1 1 75
Paid By: Paid in Full On:
Joanne Montgomery Wed Oct 28,1998
Received By: Check No:
Linda Lapointe 3059
DEPARTMENT'S COPY Amount: $40.00
DEPARTMENT FIL E COPY 155 CHESTNUT ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
29 Oct, 1998 BP- 1999 -0440 963653 $40.00
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
1701 17C 066 001 155 CHESTNUT ST URA 24480.72
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
City: State: Zip Code: Phone:
Project No: Category of Work: Const. Class: Cost Estimate:
JS -1999 -0246 alteration- addition $ 5,000.00
Description of Work:
ADD CARPORT & FRONT PORCH
GeoTMS® 1997 Des Lauriers & Associates, Inc. Signature: