32C-101 (3) 36 CONZ ST BP-2000-0268
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32C- 101 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: alteration-addition BUILDING PER'IIIF
Permit# BP-2000-0268
Project# JS-2000-0425
Est.Cost: $2000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 12414.60 Owner: CLARK GORDON E&JANETT F
Zoning:URC Applicant:
AT: 36 CONZ ST
Applicant Address: Phone: Insurance:
ISSUED ON:09/21/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:DETACHED 20 X 20 GARAGE/CARRIAGE HOUSE
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# Foundatio K---7 Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 0 L' 7g-- - q ?
THIS PERMIT MAY BE REVOKED BY THE CIT IF NORTHAMPTON UPON VIO ION 9f
ANY OF ITS RULES AND REGULAT S. //
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 09/21/1999 0:00:00 $50.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commission' Anthony Patillo
File#BP-2000-0268
APPLICANT/CONTACT PERSON CLARK GORDON E&JANETT F `
ADDRESS/PHONE 36 CONZ ST 584-0277
PROPERTY LOCATION 36 CONZ ST
MAP 32C PARCEL 101 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid .309 4 0S6.%--
Typeof Construction: DETACHED 20 X 20 GARAGE/CARRIAGE HOUSE
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 OLLOWING 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 Co - - on
' '� I 4,
Signature ai ilding Official 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.
■
') 11. T _— II W \ .
LI SEP 91999 `--J '
DEPT OF BUIL N INSPECTIONS
File No.�PC() 07 e 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: C9011,1 tfllk Z,-Ali i i(-
(Of 2- 5 / , /n4, Telephone: sS'� - OOH ! c 1
Address: /`� r /1 / �j.��
2. Owner of Property:( y ,rl(/�J� e � 7'1 I �r°/�/� ���,? 1
Address: 3 C C � 22 5r / i°elephone: 5.--W-y - a d 9
3. Status of Applicant: Owner. Contract Purchaser Lessee
✓
Other(explain):
4. Job Location: F •
AA �� I /
Parcel Id: Zoning Map# '5 Parcel# in I District(s): OA C _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 6 G j4 0'1i f/A
6. Description of Proposed Use/Wo roject/Occupation: (Use additional sheets if necessary):
C A q _9 64 t, (7) CA
(9',o :- .
7. Attached Plans: Sketch Plaa3 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 issued for/on the site?
NO t/ DON'T 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 1.- 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)
V
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
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
-
'RV vsr= I C,4A 9t`7'l Required I
Existing Proposed By Zoning
Lot size pit j /7/X 61f F4 et&I----1--17%x6,1 �U
— -pAil J,� i1 p ,.c 7:(2zc to i
J
1 /;f
Frontage �P� 7S_Cid-
Setbacks - frnnt /q /1
- side L: ' R: / L: Z9 R: j
- rear � ( � � t r —
Building height '�t2 / I0
Bldg Square footage X741 3 J /1/3 Jt---0
%Open Space: ,--
(Lot area minus bldg 1 0 U // Xkt .--
&paved parking) / / ✓-`2
~
# of Parking Spaces '/J--
# fof Loading Docks
N 6./1 c N M V -
Fill: _
-(volume- �& location) A `"' /
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my
kno/ dge.
DATE: ��� � /71 APPLICANT'S SIGNATURE `1A., L 10.111,1401"
NOTE: issuenoe of a zoning permit does not relieve a epplioent's burden to oomply witty all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
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1 rPT OF Bl_a . ',i.V;PECTIONS ', •
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•i assacltnartla 4°'itE 40 Ta `�� tMENT OF BUILDITjO INSPECTIONS �'=_'�= _
INSPECTOR OEPT OF SUILG��V 2 Alain Street Municipal Building 'o __[[
z GI�NSPEC�IONS ]Northampton, Mass. 01060 • 1"
" ow"
tiii,a 3;°:i xa
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: �,L y/q I
•JOB LOCATION: / 3 ral�5 /��`7412' " '
(Map (Parcel (Subdivision)
HOMEOWNER: , n A 0 <j, ■A Y? i A14 - _1
( ame & Address)
(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 bui-l.diiq
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, and State of Massachusetts
General. Laws Annotated.
./4/6----HOMEOWNER SIGNATURE /
., /1.,
BUILDING PERRMIT # Au
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o4•tttANPiO , i Ljj:
Btu`0 4 %714 iLiu �7Cf J 1999 ' csfxchasctta 1:� ,
Owl C;��.0• € M.-4740.-=—M-
S!€ _
..,W�=- DEPT OF D PARTMENT OP BUII DITjG INSPECTIONS =`_�`f
8U1L0 f;(;mA omTIQ ,
�`OR►N,(ta1 4kk�tG6 fain Street ' Municipal Building
'Northampton, Mass. 01060 to"s
WORKER'S COMPENSATION INSURANCE t AVIT
An V �) 4-(fan r4 01,-, '
l'/ cif, G
-
c o 1 L r cV' L .censer t tlee) Cc/v spi c ✓t
with a principal place of business/residence at: 3 :c, ceAl z. ST_
• (p ne#) _ C/ • Ga r/
(strc t/eity/statrlap)
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 or homeowner(circle one) and have hired
the contractors listed below who have the following worker'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 a.dditioml sheet if neccuary to vxhxie information pertaining to all coatrndors)
( ) I am 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 while,homeowners wb0 employ persons to do niairAe••,,a-r,construction or repair work on a dwelling of
not more than throe units in which the bomoowner reside or oo the grounds appurtenant,thereto are not generally coonidered to be
employes under the worker's pompessatim Act(GL152,ss l(5)),application by a homeowner for a liemx or permit may evidence the
legal status of an employer under the Woriorea Compensation Act
I understand that a copy of this statement may be forwarded to the Departmrot of Industrial A Ofloo of Ir xu.noa for ths
coverage verification ion and that failure to noaue covcrugo under section 25A of MOL 152 tea lad i°tbe-imposition of criminal penah6a
oomistiag of a fmc of up to S1,300.00 andlor imprisonment of tip to one year and civil penalties in the form of a Stop Work Order and a
fin°0(5100.00 day against me.
For dqurtinenca1 use only
Z/Lit/(A., • /` Permit Number
i. Ma Lot i - ..
Signatmu6 ofLicc nsce/Pctmiticc �: •
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 3-'5 Y Alterations
s) NORTHAMPTON, MASS. I9 Additions
APPLICATION FOR Repair
O OR PERMIT TO ALTER
Garage
1. Location 3 C O Z 5T P 11 t � 1 NA Lot No.
^ �q�
CryL-A )j f: Ad css _s-1--
/ /\/)A
2. Owner's name U � c_ "� � (or) � � l � ''
3. Builder's name Ai a 6 c. Address s
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire r
9. Garage C'. _~ Al ' At I lit c A No.of cars ;2- Size r2 0 r 2 d
10. Method of heating
11. Distance to lot lines L- ,4/
0 .r , c 74i (00'
12. Type of roof A 5 1 km L-1— .5 f 1 j K. C> I c"
13. Siding house
14. Estimated cost .
tT e 0a
c
The undersigned certifies th he above statcme is true to the best of hi
knowledge and belief.
L f
/ Signature of responsible app.icant
Remarks