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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. --7 ��// / Alterations
I : r NORTHAMPTON, MASS. 19 Additions
` %4� APPLICATION FOR PERMIT TO ALTER Repair
� - Garage
1. Location ,q hV Si Lot No.
2. Owner's name - 0 - 74 1,4 4E 2: -.(c A- me ddress 7/ (/v 62,2 S /
S. Builder's name / x/4 7.f Address (9� i /t-a 57
Mass. Construction Supervisor's License No. Expiration Date
4. Addition -
5. Alteration A. L .I : _ Al. 11 A L . - 1 / di, A
6. New Porch PIO � /
7. Is existing building to be deer plished? / . 6
8. Repair after the fire 'V
9. Garage 11 0 yy�� No. of cars Size
10. Method of heating LJ[ Z. �/
11. Distance to lot lines 3O / L q D / / l g 3A- . / / w ped g ;�
12. Type of roof � .
13. Siding house �' ' ' e_
14. Estimated cost:
r F07/ "
The undersigned certifies that the a.• - tements are true to the best of his,
knowledg . and belief.
4...L....— .4.• -41( —4,— ....441
Ow'. A Signature of responsible ap..icant
—s
Remarks
A
�, � t � )�? = • Northampton ---- _ =� —_
• � + , j • AlR55HCI}IIsrttS
FFB 2.914
DEPARTMENT OF BUILDING INSPECTIONS •
INSPECTOR 21' Main Street • Municipal Building ' =_ •
Northampton, Mass. 01060 � �" ellOs
HOMEOWNER LICENSE EXEMPTION
h2' (Please Print)
DATE: ./
JOB LOCATION: G Q 6g t
( Na.) (P. el)) (Subdiv'si on)
HOME • ER : s✓ Ay L / _ _ Z
( ame & ::d es.)
i .�; �I / I - /dd 5 ?(__3
(Home hone) (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. ,
s
HOMEOWNER SIGNATURE
BUILDING PERMIT # C _
•
p
O1 5 ttAM p
s�� a 2 ., 9o j Crzt of Nart}ja tptan ► *0
• tr • �i 3 d ( asaxrhusctla `
n a.+ '_� DEPARTMENT OP BUILDING INSPECTIONS , _ E / — =
212 Main Street • Municipal Building
Northampton, Mass. 01060 r'�
WORKER'S COMPENSATION INSURANCE AI F'1DAVIT
err
(licensee /permittee)
with a principal place of business/residence at:
(phone#)
(stre✓t/city /statehi p)
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 contracto or, homeo • • 44 circle one) and have hired
the contractors listed below who have the folio .. er's compensation policies:
a-- 6 . ' , u.a. t't-r.�
, s+ ( )01 D e' - , 4 1- f - / -9 9
1
(Nam of of Contractor) (insurance Co • . /Policy Number) (Expiration Date)
/� S 1— iA - l (6 1 0-1, t t2if:k 7- i ??
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) ( Lnsurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional shod ifnecclwy to include information pertaining to all contractors)
( 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 ■hilo homeowners who employ persons to do an iTTf r/11 Dr; construction or repair work on a dwelling of
not one than throe units in which the homeowner resides or on the grounds appurtenant thereto are not generally considered to be
employers under the worker's compensation Ad (GL152,=s 1(5)), application by a homeowner for a licerno cc permit may evidence the
legal status of an employer under the Worley?' Compensation Act.
I understand that a copy of this statement may be forwarded to the Depnrtmco2 of Industrial Accidents' Office of Irrruca000 for the
leRik coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to thew' imposition of criminal penalties
consisting of a fine of up to S1,300.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a
ri .-- i For d use nary
Permit Number
1 Map , Lots
10 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 V
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
Required
Existing Proposed By Zoning
Lot size b ( _ /9.C2E5 , (0 - { , /e S
Frontage ) / ` C
Setbacks - front /6-0
- side L: 36 R : I/0 L: 3 R: 2 77
-rear , / 0-6
Building height
576 5 7'C 2 ( ` JS -
Bldg Square footage
/ !
%Open Space:
(Lot area minus bldg
&pat1ed parking) ?'
# of - Parking Spaces 3 3
# ( of Loading Docks
Fill:
-(volume -& location) 0
13. Certification: I hereby certify that the information contained herein
( is true and accurate to the best of my knowled•e.
1 !..
DATE: pdy 9 APPLICANT'S SIGNATURE � NOTE: Issue of a z ning permit does not relieve an app merit's burden to oo ply with all
zoning requirements and obtain all required permits from he Board of Health, o -�. on
Commission, Department of Publio Works and other appli - able permit granting authorities.
FILE #
f 99 099471 u5a;.
File No.
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: A �/� PAy , t- ea(j
Address: 7/ CO 04.4 Telephone: %` a
2. Owner of Property: )M 4iS it4 a a
Address: 7( (fd )bq4JJ1 Ae1
_ Telephone: ■'S -`Z q ?
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Job Location: / E 1 11 0--- 1 --
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BU DING DEPARTMENT)
5, Existing Use of Structure/Property 3i /(//-F ��/4/
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
r � I Al 6% L i a
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.
S. Has a Special PermitNariance/Finding ever been i ued for /on the site?
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry Beds?
NO DON'T KNOW YES
IF YES: enter Book _ Page and /or ocument #
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- 1999 -0671
APPLICANT /CONTACT PERSON RAYMOND JAMES
ADDRESS /PHONE 71 COLUMBUS AVE
PROPERTY LOCATION 145 CHESTNUT ST
MAP 17C PARCEL 068 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 (gd — v
Typeof Construction: RENOVATE EXISTING KITCHEN & BATH & INSTALL REPLACEMENT WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Included:
( 1' Statement or License
3 sets of Plans / Plot Plan
THE 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 Commissio
Signature of Building Officia 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.
145 CHESTNUT ST BP- 1999 -0671
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Blckz 4 .. g. m �` CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: Non structural interior renovations BUILDING PERMIT
Permit # BP- 1999 -0671
Project # JS- 1999 -1245
Est. Cost: $8000.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 27834.84 Owner: RAYMOND JAMES
Zoning: URB Applicant : __
AT: 145 CHESTNUT ST
Applicant Address: Phone: Insurance:
ISSUED ON:2/23/99 0:00:00
TO PERFORM THE FOLLOWING WORK: RENOVATE EXISTING KITCHEN & BATH & INSTALL
REPLACEMENT WINDOWS,REMOVE WALLS
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 2/23/99 0:00:00 $40.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo