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29-515 (4) t— a D c� 3 M f0 o = �p , v' Z � ,'� > cn0 -. �� �1.;. yr• Fri I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.-� �°° Alterations NORTHAMPTON, MASS. JQU(4 19 Additions Repair • ' APPLICATION FOR PERMIT TO ALTER "�, (} Garage t 1. Location 3 6t x 1(� � r-L, `e CX y 1"Y' e la Lot No. v2. Owner's name fT� Yl�� ©�%)Oh e- Address I 1 i;(Y('0 �6 L P Gl /�H CV 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition � , II L�' Al teration /'1�r�2L of Y-eyt 0 V-e A a t[.taR `� r b r"�(Y 00 y Y) 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house U4. Estimated cost:- I/ 1 The undersigned certifies that the above statements are we to the best of his t,-knowledge and belief. Signature of responsible appricant Remarks Al • _..._ PLO $ e MAY 1 L 1999 + �lassachusrtts DEPT OF BUILDING INSPECTIONVE ARTMENT OF BUILDING INSPECTIONS NOF-,'T A,i PYY MR 0106 INSPECTOR 212 Main Street • Municipal Building '>e Northampton,MA 01060 Applicant Information Name LocationL— �� r r -------------- City -- � ' ❑ 1 am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ 1 am an employer providing workers' compensation for my employees working on this job. Company N ame----------------------- -- Address City-------------------Phone#-------- Insurance Co.--------------policy#-----_ — Company Name Address City Phone# Insurance Co. Policy# &%&M&QzQZCMM I FIN Mom Failure to secure coverage as required under Section 25 A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DlAfor coverage verification. I do hereby certify under the pairs and penalties of perjury that the information provided above is true and correct. Signature ,_/` r/D Date Print Name d CIS ytn e Phone# (� Official Use Only Do not write in this area to be completed by city or town official City or Town Permit/LicensejF ❑ Building Dept Check if immediate response is required Lierasing Board Contact Person Phone ❑Sekdmen,'Dept. Q Health Dept. i • f • (rz#fir of Nar#17al11ptall g M AY 1 c 1999 yrASD ACII IIBCI�D DEPT OF BU11`;NG INSPECTIONS I EPARTMENT OF BUILDING INS MA PECTIONS PECrrorrs INSPECTOR 212 Main Street - Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: v ( Please Print) JOB LOCATION: �� (Ma ) ( Parcel ) (Subdivision) HOMEOWNER:_ ���Yll4(Ma (Name & Address ) (Home Phone) (Work Phone) Thelcurrent exemption for "homeowners" was extended to include Owner-oc;u ied 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. C'MR780 Section 109. 1 . 1 DEF�NITION 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 m_ ay be liable for person(s ) you hire to perform work for you under this permit. The 'undersigried "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 taws Annotated. HOMEOWNER SIGNATURE BUILDINGIPEkMIT # i I�- I MA0 I I �- I I I ; 1 , I I I I I � I I r I ti I I I I i , I i I Y w- W I _I I - ,- i I ' I -��- ----------- II'7 'J5 r� - r 4 ITS 1 F ,-y Z = U r R Q 7 to J`y ° may• R w w v y W ° • R -y omm CL-_ 3 C� > ter. �Yajj i ra w W w 0 C0 9 v sy� �y>o¢ flw �mwv° ¢ ~ m F • J S y f ® �{ m J f wo Z°J ¢w 0 3s a — rx n ° mm% m wmf - o tr F- °Zz my�ZZgV1N W N 0' H H-.Z=¢q > J �F--�-P ZE <Y o F W ¢ww�-j y �Q W '--' o J W y fZS np R!! � l7 O W W �myf� JQF-WmmQZ C� N ¢ U i p i Z 0 r2imm Z"°Z<m W ai3 RAE Z I i w i ¢ i m j WQVw-m¢UF~ wW<' .~Z-�R i fAN Z¢w a ty M¢ M W 0-1 L.CY.Z-. F-r R� ° Opp ��� Z .3 Z mNQa-n Q�C•I 0l��'¢Q�..,J y i i i L7ML, O_ fAq Z)p W Q Li m Z rA i W R R m y 0 w w U ' Z Z LL d 11 W n OE U EL N L.n J to y M � • w In x y q V7 Z X ry Z Q� A X - /Hl ❑n W W �R I N iy= W Q x\ LULL \l_ w 3 (Lf i Q n I l t N � l ! i Z Z o to C4 C<7 Z Q. - Q Lil S q F- H Q U ED N n i i m XZ-J q^W Q X Z m W V<m '--' 1 t�\>-J R m CY i w E 9t W CL i X N o zo C Z i 1 — �_ o ?m H\ V}N X\ W 3 F J UJ Lo Q J m3 I z °o x Q X W 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: 4 Are there any proposed changes to or additions of signs intended for the property?. YES NO IF YES,describe size,type and location: I1 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking Spaces # (6f Loading Docks Fill: -(volume-& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to oompty With 4111 zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. FILE # MAY 1 2W9 J hl 9�/ File No DEPT OF BtAr ",G INSPECTIONS PERMIT APPLICATION (§'10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION Name of Applicant: �//J ?'►/� ��j'J{'f�`he v � Address: � I G�t r-t'3 E_YC �.1 F' Telephone:_T 2. Owner of Property: ,15 IVIE Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): `-� 4. Job Location: � (/ ( — v�,C� Parcel Id: Zoning Map# Parcel# /5 District(s);fC�:40C_ (TO BL FILLED IN BY THE BUILDING DEPARTMENT) 1 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): � met C f a it e a o j n— 'rkc-, �eg)(a.L_o 7. Attached Plans: Y 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 'V 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 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-1999-0941 APPLICANT/CONTACT PERSON DANZIGER GEORGE& �tE�L� ZryfLfS"' ADDRESS/PHONE 33 TARA CIRCLE '�(L;� PROPERTY LOCATION 31 TARA CIR VAP 29 PARCEL 515 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildine Permit Filled out Fee Paid U Typeof Construction: CONVERT THE STORAGE AREA OVER THE GARAGE TO A BEDROOM New Construction — Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TPLOWING 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 ission s Zo Signature of Building 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. 4 owl Also M yp: 31 TAR.A CIR BP-1999-0941 COMMONWEALTH OF MASSACHUSETTS > t - roc:29-515 CITY OF NORTHAMPTON Lot::Qol Permit: Building c�1ation BUILDING PERMIT ftnag# BP-1999-0941 Project## JS-1299-1611 FA cast:000.00 Em PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor: License: U1le dun: L9tSWW..fb: 15333.12 Owner:_DANZIGER GEORGE& Zmim LIRA Applicant: AT.' 31 TARA C1R A„ y dicat t Address: Phone: Insurance-* ISSUED ON.•S/21/1999 o.00:oo TO PERFORM THE.FOLLOWING WORK.-CONVERT THE STORAGE AREA OVER THE GARAGE TO A BEDROOM` Ft?ST M CrARD S4 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: C it -.7 Flu): , of Final: Smoke: Final: p If IV 3 pftq 2 THIS PER11+I VAY BE REVOKED BY THE CITY OF NOR .j ON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Q i ature: Fee Tyne: Receipt No: Date Paid: Check No: Amount: Building 5/20/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo