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32C-284 (7) (Y) T 83�1 LO c� c Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.q I3-5 A -q l 6 q Alterations NORTHAMPTON, MASS. ACVM )- 1998 Additions 1 APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location 3 A or)+v1,e v✓ A✓e' • 0o(4-hem p4Ur', Mk 616(,o Lot No. 2. Owner's name s U a1r) A • Doi e y Address,3 Moo-ty1?nk) Ave- 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition K► tch�nernvdt° 5. Alteration 6. Npv-P1 rch PkYv7 --- 7. Is existing building to be demolished? Aj d 8. Repair after the fire 14 O 9. Garage No.of cars Size 10. Method of heating of - fry reed h o a� r 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of res i e appicant Remarks dltL-� d wart 11all y for . a MPS 5 1199` as,athtttrlls m DEPARTMENT OP BUILDDZG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION MSURANCE A=AVTT T �� peruultcc) with a principal place of business/ esidence at: �3 �Ulon-fYie �/� �Y n jQ�. (phone,.) 413 -58�-qIb (strr...t/c�h/ tip) do hereby certify, u-oder the pains and peaallies of perjury, Lhad: O I am an employer providing the followirw ,vor'�_c�s compcnsacion cove age for my employees worming on this job: (Insurance Compzay) (Policy Number) (Expiration Date) (�I atn a sole proprietor, general contractor o omeowner circle one) and have hired the contractors listed below who have the following wor er s compe.asation policies: [It `, PI om0(' 4r, d out (Name of Contractor) QLnsulanc-- C /Policy Number) (Expiration Date) (Name of Counclor) ansuranc-- Company/Policy Number) (Expiration Due) (Name of Contractor) (Lases-any ampan),/Po6cy Numbs) (F-�,piraoon Daic) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (ankh additioc l IbCC�if no=�--ry to inc}uk infortni5oo pa c;mnd to.tl O.Ct'� ) ( ) I am a sole proprietor and have no one working for me. (✓)'I atn a home owner perforrung all t�h(eye work myself. NOTE:please tx aware thai woo bomcowmn wbo cmpV l oy perto=to oo zmry on-or rcpo.a%wrk on i dv vl iag of not mote ilia dwoo vain is which the bomoown r rend=cc co the g=oads appte�tb.:X o arc Dot gaxrnlly oomida°d to be employ=under tbo wmkcr4 oompeas4oa Act(GL152.=1(5)),appUm6on try a bomeow wr for a Gccwe cc po=d=y evil=the legal ata:Caa of an employx under tho Wocicala Compemiiion Aei' I undasUnd that a Dopy of thu ahtcmmi m.ay be forwwd<d to the DcQotm�mt of Ina>itri el/lecidmb'OfSoe of In=ures==for the ` oovcragc vcrificslioo and that Uum to«auc covcmgo under suction 25A of MOL 131 can kzd to tbd imposi boo of aiminal pc AWCI ==misting of a.Smc bf uP to S I,500.00 and/or mipruommaA=Cup to Doc year and avd pcmltia is the form oCa Stop Woe Order and• fiw o(5100.00 a day ags.iast.m- Signed this �hd day of �" � 1996 F.,&v-tw l °Oaly � � Permit Number Lot 9 Mao signature of L` crmiticx Mc '998 Chi#�7 1� yt1Y ��ti�a,rr�it , � �lasar;clr�isrtlr h } 'DLtARTMBNT OF BUILDING LNSPEGT10 NS �-- ^, INSPECTOR ~w tl~Mry M 212 ML ill Street - Municipal Building �> Northampton, Mass, ol000 HOMEOWNER LICENSE FIXF."TION ;JAIL (Please Print) JOB LOCATION: ��� 0 le— (Map) (Parcel j' (.;Subdivision) HOKEOWNER: V 01k1 A _ (?Tome Phone) (Work Phone ) The current exemption for "homcownors" was extended to include Ownor--occup.ied Dwellings of orie Mor Lwo (2) fanii 1 iHs 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( g ) who own a parcel of land can which he/she residos or intends to reside, on which there is , or is intended to be, a one or t�qo family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one horse 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 wilding Official,, that he/she shall be responsible for all such work p-prformed under the building permit As acting Construction Supervisor your presence on the job site will be required from time to time , durincj and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers ' Coltlpensation) and Chapter 153 (Liability of Employers t© Ernployecs for injuries not resulting in Doath) of the Massachusetts General Laws- Annotated, you may be liable for person( s ) you hire to Perform work for you unde.z this permit . The undersigned "homeowner" certifies and assumes responsibility for compliance with trio State; Building Code , City Of Northampton Ordinances , state and Local Zoning Laws, and State of Massachusetts General Laws Annotated. HOMEOWNER STGNAT'UPM BUILDING PFRMI'T # 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 Rai.ldiny Department Required Existing Proposed By Zoning Lot sized Frontage Setbacks - front - side L: R: L: R: - rear Building heightZ; Bldg Square footage 7 G' %Open Space: (Lot area minas bldg &Paved parking) # .p f Parking Spaces _#` of Loading Docks Fill: 4vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein j is true d ccurate to the best of my knowledge. APPLICANT's SIGNATURE NOTE: 1 an a of a zoning permit does not relieve an a iloant's burde m wit PP P,FY M,.,+111 zoning requirements and obtain all required permits from the Board of ealth, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # r MAR 5 I o Fi 1 e No. /� �� 1 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 3 r�" A . Address: 3 Aknhlie u) '`V enuz Telephone: '7/3 "5 84(' q11 / 2. Owner of Property: ?)rga*i A - !J(- k L/ Address: 3 Awf✓i e v� Awn u e Telephone: q13 3. Status of Applicant: 9 Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# dt' Parcel# c;��/ District(s): _,j. 2 e (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 9,,*+Me4 Remodel ex 7. Attached Plans: X 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) FILE # 9632 ( J 0 5 4998 P ANT/CONTAC* PERSON: AbDRESS/PHONE '"`P120PERTY LOCATION: NIAP � PARCEL: ZONE�G2i✓ THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 'Fee Paid Fee pnid i 1 THE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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: § NY/ZONING BOARD OF APPEALS Received & Recorded at Registry of Deeds Proof Enclosed I/ Variance Required under: § NY/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-Bd of Health Well Water Potability-Bd Health Pit from Conservation mmiss'ion Signature of Building ector Date NOTE:Issuanoe of a zoning permit does not relieve an appltoant's burden to oompty with all zoning requirements and obtain exll required permits from the Board of Health. Conservation Commission. Department of Public), Works and other applioable permit granting authorities. w.,�_ - - n G „ � �' ._ O yr``,.r RA TEL#�x ^ _.�. � s F I .guLlt. Permit �R £ 'S Mme` �7Flf�RK E:f?l�/�11�IEl�FT" P�i�S £AIL. �LTE �^'. '• r"` �-"� :ms's = - z L w Y iF 1 _No PROW fill! a`1t VMS 4 C E 44. "v .,. * '�'i..x_'€'�?^.`4.�1sS ate € Fag 12 gym v n 4 Y _ v r c '.? -`ack,� MONA x ��/� I�ISPECTOR�LE�'`TI�C�3�,DEP�R�'NFEItIT - - �� titovaryle�, Ave--, — A, d �� 2 t i � n v � c 3 a o > Z 3 m p Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.�13 50�' Alterations a NORTHAMPTON, MASS. Aaf � )— 19 r8 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 3 .ill.on+v(e W A✓e . �Jo(+h4,m p4 m, Nr A- Q 16 6 o Lot No. 2. Owner's name d an poi e�/ Address 3 Mon tVI -W A✓e lJbr�l�np�� 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration K I � �rn( e► ''��- k 6. IQ C) ,„, II r 7. Is existing building to be demolished'! D 8. Repair after the fire �j 0 9. Garage No.of cars Size 10. Method of heating 01' 1 - fjo rred h o as r 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of resper,57 app,icant Remarks co a z Z Cr LO 3 . � I w 01 vv P-4 - s -� II O N o fa�N►N� o IE -� N _ Uaa CO!, Z_1 4 N �,I cn I a e 5 ! x was:x[t,rttrlte - DEPAKTMENT OF BUILDING INSPECTIONS _. 212 Main Street ' Municipal Building Northampton, Macs. 01060 WOMCER'S CONMENSATION INSURA-NCE A=AVTr Brim perm Um) with a principal place of business/ esideoce t: do hereby certify, uDder the pains and pea-,16es of perjury, tlbai: O I am an employer providing the follo\ving Nvor1kcr's compcnsabon covcraoc for my employees working on this)ob: (Iasusa.nce Compamy) (Policy"N tuber) (Expiration Date) (t�/I am a sole proprietor, general contractor o homeowner circle one) and have hired the contrantors listed below who have the following wor ces compensation policies: 2)t I HMO cVi 4D V d out (Name of Contractor) �n ct _- C ,/Policy Number) (E_<pLm6on Date) (Name of Contractor) CompaaYROicy Number) (Expiradoa Date) (N2ne of Contractor) (Insluanc_- Comparry/Policy Nttmbzr) (E_>,p radoo Daic) (Name of Contractor) (I»surance Compa.ay/Policy Number) (Expiradon Date) (etla.r�additioml rbcd if noo­ry to c�c}udt infvcmz:i oo pertimag to.11 00o��.on) ( ) I am a sole proprietor and have no one worming for me. (I�I am a•home owner performing all �/h�et�work myself. NOTE:please be awzm thzt vdaUc bomcowo= perloaz to d&o wm ruction ar rspaa wort oo a duelling of not mocc than tbroo units is va{aieb the bomoowo =id=or oa the gonads xpqutcaaot tbxdo etc oot ga=s. ooasidl c w be cmptoym under tba--ircr a=*=m4cm Ad(GLI 52,=1(5)�applicaboa by a bomconvcr fora Gccnx or pern-,7d may cvidmcc the Iega1 rtaau of an cmploy.e undertho Woef .Compom.iion Ad' I undcrcund&4.%copy oftbu mtcmcni may be focwwd4d to tbo Dqp rtn�ofIndur7iel/oadeaa O$oe of lone .coo for d. eovaxge vctifiestioa aad that failure to ccc=covcmv undo sodioa 23A of MOL 132 c=trs.d to tbd is pos Oa of crimintl p-16cs comisiiag of a fine of try to S 1 00,00 aad/oC impraommesst of tip to one year and cvt7 paszllla w the form oC a Stop Woof Order aad a find 0(5100.00 a day cgaiml-coc. '''' nn'.`,^t^ Si ed this �nd day of �X0 t 1999) For dcpatm=Wuseoaly - Permit Number Lot.it Signab=of iccnsccJPcrmit(— ri#L7 o a, 5 X998 c��"i! �t1i1 iritt , 7 � a 1�{assucifnstlfs , DG AArMENr OF BUILDING INSPECTIONS INSPECTOR 212 Uiiin Street - Aiunicipal Building 9')rt1141npton, ?lass, OYOGO HOMEOWNER LICENSE EXFZ?TXUN nATE: 3•Z • (Please Print) JOB LOCATION: (Map) (Parcel ) - ( su))division) H©MLCWNER: BvVari if (N me & ddres-0 3 )4o_n Y,,e v\1 A yen 4135 -V 9 �M)70-41- x}231 (home phonic) (Work Phone ) The current exemption for "homeowners}' was extended to include Owner-occupied Dwellings of or•fe Mor Lwo (2) fanji l ies and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor, ChIR)80 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 "homcownor" shall submit to the Building Official, on a form acceptable to the Building Official,, that he/she shall be responsiblo for all such work_ erformed under the building permitt . 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 tho Massachusetts General Laws Annotated, you may liable for person( s ) you hiro to perform work for you under this permit . The undersigned "homeowner" certifies and assumes responsibility for compliance with the State: Building Code , City of Noxtham'pton ordinances , State and Local Zoning Laws , and State of Massachusetts General La%as Annotated. HOMEOWNER SIGNATURZ BUILDING PERMIT # ti p 11R 51199$ 'w fr L 1 6 File No. ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Vy A. Address: AmfVle Telephone: '713"5 g1' -V6 1 2. Owner of Property: P)rga*i A- -paje-V 4 Address: 3 (�r)fvl e�/ Ave n u e Telephone: q13 "5 g6'q 6 I 3. Status of Applicant: V` Owner Contract Purchaser Lessee Other(explain):y� 4. Job Location: Parcel Id: Zoning Map# Parcel# o'1t District(s): (TO BE FILLED IN B,Y'n THE yBUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): K,i*+Me4 Rero6de v� 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) FILE # 963273 5 "P ANT/CONTACT PERSON: ,� & ADDRRSS/PHONE.' { t OPERTY LOCATION: MAPS PARCEL: ZONEiGC �!� THIS SEC'T'ION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM Vn,T,FD_QTTT Fee Pnid Rprnndelin2 Interior ,v 4 THE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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-Bd of Health Well Water Potability-Bd Health it from Conservation mmiss'ion Signature of Building ector Date NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all _ zoning recluireme-nts and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. wlf - iii . , K r� �. • � iv4¢ } 1. r V F �e ArxkYii u t L°dZ _ V1, M , J 3�'p.�`:._.xt+r-'.°_.r.xS�=x,:.+.r•»�° ""�S^�'.y�.rA* a'.;'y"�""m�±±��4�„ � R � r;r r•• t y ' t tv 4 r w, ,i �. .rte •.as t, —Aff €s� r w Lo ti rt rr so rl aL •� 3 L/j c, +� a • iii�� `� + .. �reT� y .{ �' • Y',.• tA" .. .k) � �ef,r � t Mire 4 # ONR4 ­-'e" a e CIO"ON (9 " UQ tz a• 0.6 a OD tt w N ty 7 ` 5 ZO y _Y 'Y j� - -\\ v 7i 1'1� NN " Q-J CiN m V I ILL Slcj\�0 � I _ _ � Q 1 -- - Z ., - v.L V 3 7 3 n F-: