Loading...
29-397 (2) .. +, ► > o < n• lrJ d � � m � D 3 0m 'v Z '' a y o o o � c c _a Zoning Miscellaneous Additions,Repairs,Alterations,etc. TeL Np. '* ' Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 79 SaL+- y k d le,Q• Lot No. , n 2. Owner's name C A43 f-/eS C. �c?e a✓ Address Y& Gt 7r.���"S��c1� 11J. 14,66 e 3. Builder's name '2n1,,, N, HoU R),-,6 tifs Address 1011,o4owa k, �/ 1 / . .� Mass.Construction Supervisor's License No. CS °o�3.S" Expiration Date 1J37-1 7 f 4. Addition 5. Alteration k ng PS:6 a 2n �Ole-omrl 4,a 6. New Porch 7. Is existing building to be demolished? IL dOnA--- 8. Repair after the fire AJat¢i 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house d a'004 S�ts�"Gy 14. Estimated cost/,-,/©0• ' The undersigned certifies that the above statements are true to the best of his, her knowledge .Arid belief, � r Signature of responsible app,icant Remarks -en , l 14:612h 46 ALSO sb w. pop M $+ .� Crz# of 'Mort allytall � + t ,tklasantllusetla OCT 2 7 ::. L, DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' 1V.1unicipal Building ' Northampton, I'dass. 01060 " HOMEOWNER LICENSE EXEMPTION hh n C� (Please Print) DATE: C oc� ( 4 JOB LOCATION: (Map) (Parcel) (Subdivision) HOMEOWNER: ee, o, ct.c��1 ac-L,r-_ • (Name & 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 wets 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 Hiork 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 SIGNATUREd BUILDING PFA2MIT # t-� �'CttAalP�. O O 9 B �xsaxchrrsct,;a DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION IN-URA.NC E ( ( AVTT (li c�:nse-c/permi flee:) \with a principal place of busiats--phesidence at: f0y /Co�tx A'71 2 wA•(7fo5Y v/.3 75VY"/'1105' (phoned) (size r t/ci ty/st ateJa p) do hereby certify, under the pains and penalties of p(-,rjury, that: O I am an employer providing the following worker`s compensation coverage for my , employees wor�dng on this)ob: (1n-su=ce Corapa>sy) (Policy Number) (Expiration Dace) O I am a sole proprietor, general contractor or hcmeowner (circle one) and have hired the contractors listed below who have the following; worker's compensation policies: (L?aIDe Oi COntmzctor) (R1T)i rn 6 o 2, Dalc) ----(H"Ine of Contractor) - — (Ilse nee Comoru��iP�!ic;tiumc�r) (Expimiion Date) (Name of Contractor) — —(Insurance Compaay/PoLicy Numbu) (Expi,ration Dale) (Name of Contactor) (Ins Faace Comaa-ffy/llolicy Number) (Expiration Datz) (amach additicnal skeet if neceuiry to ioclutic informa:icn pcx in; to all oxdracton) I am a sole proprietor and have no one work ig for me. I am a home owner perfornun� all the work myself. NOTE:please be amm that vrhilo homcowacn wbo oaplay pczzom w 10 m ' ( coon=c ion cr repair work on a dwclliog of not mace thin throo units in vdiich the bamo m r rczi or oa Lb,-&Snoods zppu�the c, o me not gc n,n considered to be cmployrrs under the workcts ooa*c= ieo Act(GL152,=1(5)),,apptica0an by a homcow ocr for a Gors=e cc permit may cvid—the legal rtahra of as omployor under tho Wockces Compcai it o A L I undc{'stand that a Dopy of lIlis chtcmcnt az.y bo Corr-nrdod t.o the Dcpnrtmcna oFInd+ssrzinl q.oadcaN 01500 of Icaucwc0 for Ih. coves ago va-ific ation and that fiilttrc to sex=coves trodcr soctioa 25 A of MOL 152 can lc&d to tbo'impasriton of crimintl pcnaltirs oo¢ust m of n&ne-of up to S 1'500.00 andloc imprno®cn of tip to one y v and civil pcmattia in the form oC a Stop W oric Order acid a fino oCS100.00 a da`y agniast ma 7r //__7�.� . 1.S•blo3.5 .fI— N.�G• !�fl(CJ�7.3 For deguta-aw u>o 001Y - Permit Number I"a2 �/p Ivfagt{ Loy#' t Sipnatuzir of L.iccnsccJPccmiticc - - - s y 10. Do any signs ebst 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: i 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This ool== to be filled is by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R• - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &Paved parking! # of Parking Spaces f of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowlljedgep DATE: ' � C? '�/ APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply wit4 ,all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # a • OCT 2 7 6998 Fi 1 e NOA ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRSZ.YT ALL INFORMATION 1. Name of Applicant:_� �L�t- c�� -� Address:,36 Telephone: 02 7 3 S- 2. Owner of Property: �� /��j ''_S IC,� / /V Address: �� �P S i S�• ���- TT AT F 1£y 1> Telephone: 7 - 5 3 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: q� Elq /P-D Parcel Id: Zoning Map# Parcel#_ ��� District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed/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. 8. 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) � T Department: Reference No: BP-1999-0449 .................................. Building, Electrical & Mechanical Permits .................------.......----•-........---...........................------......... Fee Type: Receipt No: Roofing REC-1999-00 1 1 87 .-- ------------------------------•--•-----------•......------------.....-------- ..--... Paid y: Paid in Full On: Barbara..Klein ...... Thu Oct 29,1998 . . . . .. .. ........ . • ...... ..... ............... Received By: Check No: Linda Lapointe 1230 ..............-------------••--•--•-•-•-•--...-----.............•-•---------.....,........ ...................................... DEPARTMENT'S COPY Amount: $20,00 --------------------------- DEPARTMENT FILE COPY 98 SANDY HILL RD 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-1999-0449 $20.00 GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size: 5120 29 397 001 98 SANDY HILL RD URA 11020.68 Contractor: License Type: Insurance: Homeowner as Contractor Address: License No.: Insurance No.: City: State: Zip Code: Phone: Project No: Category of Rork: Const. Class: Cost Estimate: JS-1999-0864 roofing $1,400.00 Description of Work: SHINGLE OVER EXISTING 1 LAYER GeoTMS®1997 Des Lauriers&Associates, Inc. Signature: CITY OF NORTHAMPTON BUILDING PERMIT ROOFING - WINDOWS & DOORS MING ,_ 98 SAND'S HILL RD , Map 29 - Parcel 397 Fee 520.40, Applicant Homeowner as Contractor BP-1999-0449 JS-1999-0864 Date issued 29-Oct-1998 -----------W------------------.--------------.----------.--.--- ---Budding Inspection - Roug Building Inspection Finis'l- purl-l � � Approved by -' Building Commissioner This certifi� that 3arbara Klein has permission to(SHINGLE OVER EXISTING 1 LAYER),situated at 98SA14DY 1 H I:l J,provided that the person accepting this permit shall in every respect conform to the terms of the application on file in the office of the Building Department,and to the provisions of the Statutes and the Ordinances relating to the construction, Maintenance and Inspection of Buildings in the City of Nor!' anipton.Any violation of any of the terms above noted is an immediate revocation of this permit.Exp t ;pis Months from date;of Issuance,if not started.All installations of windows,siding, roofing materials and doors shall be to manufacturer's specifications. The contra-xor�is resp2!gible g hired licensW electrician if thl removal or relocation of any electrie i i„ cs or fixtures is required for installation of siding nroduets. 91+.111dina Department