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32C-216 I > o v � n m a to .. .� Z m r Lnf-3 N n 0' ; Z > 7 to O £... ...... 4 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5=�5:� Alterations NORTHAMPTON, MASS. '2© 9C Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage l` 1. Location 31 '`Y4Lip —e S i Lot No. 2. Owner's name AMES (}Rb ltd Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition S. Alteration rf�`�\°CQK ts?'tN�nS6�c l�K l2� SG� 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 14. Estimated cost:- 2cx The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of responsible app icant Remarks 2 0199 �¢ Crz �frrz#1r�nlfaiY Y 4 v $ B � �nsaacltuaetla " DEPARTMENT OF BUILDING INSPECTIONS ' INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION• 3 2 I (P ( ap) (Parcel) (subdivision) HOMEOWNER:` \AA\E'-S i (N e & Address ) j ;Isr-3 (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 . 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.: t_he.. buildih permit. As acting Construction Supervisor your presence on the, job site will be required from time to time, during and upon completion o'f 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 Annotate HOMEOWNER SIGNATURE BUILDING PEAMIT of Xort4ampton Z z $ APR 2 01999 assac usctts DEPARTMENT OF BUILDING INSPECTIONS np P'OF 8t1 afJSP>�31t r"j INSPECTOR --. „a ,, 212 Main Street • Muuicipal Building '>e� ,.. North-unpton, MA 01060 Applicant Information Name— .5 — 1� ��--------------- Lo c at ion — d�lc�Ksi ( -------------- City--�GZ`��,/ �'' ------------------- I 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 Name---_-----_---_---_—_--_ -- Address City------------------- Phone# Insurance Co._------------_—Policy#------ — Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of tv1GL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00andfor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day againstme. I understand that a copy ofthis 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 �42� , Date " Print Name /�{1� AQ U:P( Lo\ Phone i S-Fs-'(S-3 Official Use Only ,Do notwrite in this area to be completed by city or town official City or Town PermitfLicense p Baildi Dept ❑Li=ewing Bond Check if immediate response is required ❑Sel dn='Dept. Contact Person Phone ❑ Health Dept. 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YES NO Z� ' 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 COMPLE'T'ED, or PERMIT CAN BE DENIED DUB' TO LACK OF INFORMATION. This column to be filled i.n by the Building Department (Required I Existing Proposed By Zoning I Lot size J �� ) �6-0-V Frontage Setbacks - frnnt / •.� r - side L: R: L: JD R• - rear `t Building height height - v Bldg Square footage %Open Space: J (Lot area minus bldg &paved parking) # of -Parking Spaces # r6 Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 7 'C2L/)' l ( APPLICANT's SIGNATURE t/� NOTE: lunuanoe of a zoning permit does not relieve a applioa is urden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applloable permit granting authorities. FILE # APR 2 /7 Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: T � AQ Address: '31 5- Telephone: `l � 2. Owner of Property: 'SA<kL Address: Telephone: 3. Status of Applicant: V Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map#__S L Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property f 6. 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. S. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 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-1999-0866 APPLICANT/CONTACT PERSON BARUFALDI JAMES ADDRESS/PHONE 31 HOLYOKE ST 585-1537 PROPERTY LOCATION 31 HOLYOKE ST MAP 32C PARCEL 216 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 k - 0— Tvpeof Construction: REPLACE EXISTING SHED W/10'X 12'DET SHED New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F 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 Co sion y� Signature of Building Of ' 1 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. 31 H6LYOKE ST BP-1999-0866 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-216 CITY OF NORTHAMPTON Lot:-001 Permit: Buildina Category:shed BUILDING PERMIT Permit# BP-1999-0866 Project# JS-1999-1513 Est. Cost: $2000.00 Fee:$20.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sa.ft.): 5793.48 Owner: BARUFALDI JAMES Zoning:URC Applicant:_ AT: 31 HOLYOKE ST Applicant Address: Phone: Insurance: ISSUED ON.•412211999 o:oo:o TO PERFORM THE FOLLOWING WORK.-REPLACE EXISTING SHED W/10' X 12' DET SHED 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 Occupy Sienature: Fee Tyne: Receipt No: Date Paid: Check No: Amount: Building 4/22/1999 0:00:00 $20.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo