32C-284 (13) ~ Reference No: BP-1999-0313
Department:
Building,Electrical & Mechanigal Permits
... .....................................................................................
Fee Type: Receipt No:
Building- Renovation REC-1999-000776
Paid By: Paid in Full On:
Bryan Daley Thu Sep 17,1998
.................••----..........................-•-•--.....••--........•-------......... ......................................
Received By: Check No:
Linda Lapointe 914
....-•--•-••............................................................................. ......................................
TREASURER'S COPY Amount: $40.00
----------------------------
ASSESSOR'S COPY 3 MONTVIEW AVE
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:
BP-1999-0313 $40.00
GIS#: Map Block: Lot: Address: Zoning Use Group: Lot Size:
6727 32C 284 001 3 MONTVIEW AVE URC 4878.72
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
Litu State: Zip Code: Phone:
Proiiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0640 alteration-addition $1,000.00
Description of Work:
Construct deck& Stairs
GeoTMS®1997 Des Lauriers&Associates,Inc. Signature:
Reference No: BP-1999-0313
Department: ...................................
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
Building- Renovation REC-1999-000776
P.Wa.By:. .......................................................................... Pa ............................
.id i n Full 0 n:
Bryan Daley Thu Sep 17 1.998
.... ...... .... .. . ...... ......
Received By Check No:
Linda Lapointe 91.4
......................................................................................... ......................................
DEPARTMENT'S COPY Amount: $40.00
...........................
I)EPAwrNTENT FILE COPY 3 MONTVIEW AVE
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:
BP-1999-0313 $40.00
GIS#: Map Block: Lot: Address: Zoninz Use Group: Lot Size:
6727 32C 284 001 3 MONTVIEW AVE URC 4878.72
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
Li!n State: Zip Code: Phone:
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0640 alteration-addition $1,000.00
Description of Work:
Construct deck& Stairs
GeoTIVISS 1997 Des Lauriers&Associates,Inc. Signature:
e
4�tUMPT
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m DEPARTMENT OF BUILDING INSPECTIONS
212;Main Street ' Municipal Building
Northampton, Mass. 01060 '
WORTCER'S CO?YIPENSA'T`ION INSURANCE AF MAVIT
(li�nse�per»tt�)
with a principal place of business/residence at:
O
��j��/L, �_�Gam_�,/!�G%�, tiG'%��..�.c%f",z��✓,. (pbonei#) y/�--���- (��
(St�i/Cl�/SC32P�Z1 p)
do hereby certify, under the pains and penalties of penury, that:
( ) I am an employer providing the follotiving workers compensation coverage for my
employees wor- ng on this)ob.
ansusanc� Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor o h�Wor7e�circle one) and have hued
the contractors listed below who have the followin s compensation policies-
(Name of Contractor) (Inirancc Comany/Pokcy Number) (ExpLmLoa Date)
(Name of Contractor) (Insuiancce Company/Pohcv Number) (ENpiranon Date)
(Name of Contractor) anarranc,:� Compauy/Policy Number) (Expimbon Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(sriach additic.ail sb ct if ncccasry to mc}udc mfarmstioa pcztnining wall scion)
( ) jL,6r a sole proprietor and have no one worl6ng for me.
( I am a home owner performing all the work myself.
NOTE:please be aware thai whilo homcoµnm wt�o aaploy perzom to do mn atca.,nCr,caostctioa or rrpau WO[k on a d«elling of
not meto thsn IhrrA vniU in tclrich the Iwiibat�acr raider ex oo Ilse groin apPuttensat lhcrcto arc oc{generally ooaridacd to be
cmployas under the uvotka's caapcis4on Act(GL.1 S2,"1(5)),a{rplirabon by a homcovkna for a llccax oc permit may cvidcacc the
legal ctsfuc of an employoc under tho Wockoes Compcmation AeL
I understand thzt a copy of this rtsf n n may bo forsvwdod to tfx Dq)nrlmcot of Industrial Ar6&0&Offs e of ta�for the
covcz g vcnficauoo and that failwc to secure oovcntbro under soetioa 25A of MOIL 152 can lad io tba imposition of criminal pataltics
°per of a fine of up to S 1,500.00 andfoc impr;3�of tip to cox yrar and civil pcnariia in the form of a Stop Work Ordrr and a
fmo of 5100.00 a day against tna
For igsartMVo;W use only
Permit Number
ivfap# Lot#
siguatime of Liccnsce/I'c
�oO
Crif� rr.f 'Nart1jampton
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B ,y�asa:acltaectln
" r DEPARTMENT OF BUILDING INSPECTIONS
NSPECTOR 212 Main Street Municipal Building 'a
..r_� Northarnpton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
C ( Please Print )
DATE: ! ��/ t5'
JOB LOCATION:
( Map) ( Parcel ) ( Subdivision)
HOMEOWNER: /� i/J�� ✓ / /9L - /`� /L�:��. "����;_ err--
( Name & Address ) '
( Horne Phone ) (Work Phone )
The current exemption. for "homeowners'' was extended to include
o�.jner-occupied Dwellinqs of one ( 1 )or two ( 2) rar;]i1 jes and to allow such
homeowner to engage an individual for hire %-rho does not possess a
license , -oroVlded that the o',,'ner acts as supe2:V1Sor .
— C[v 1R780 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 Bui Idling 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 Dermi_ 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 assures 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 SIGNATURE1J
BUILDING PERMIT $
y
70 '�
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
'
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��"% F� ✓ �L��, � �2>�; T� e/h, r Lot No.
2. Owner's name ��✓ �� Address
3. Builder's name ''�'�' /P Address
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
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-
The undersigned certifies that the above statements are true to the best of his, r
knowledge and lief.
z -�—(� >
Signature of ret a app—ant
Remarks
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f�OpOSED 13"-3' X 10'-6"
DECK
M
EXIST.
GAKAGE
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cX15T. �
HOUSE J
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EXIST.
63.2,
MONTVIEW AVENUE
AUTIO/PAEY FEINDENGE
SITE FLAN 3 MONTVIEW AVE.
NOI�THAMf TON, MA.
10. Do any signs ebst on the property? YES NO r/
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the properly?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.
x2d: coin to be filled 1II
by the Bedding Department
Required I
Existing Proposed By Zoning
Lot size
Frontage 3 p�
Setbacks - frnnt /-s--
- side L: 8 R: 3 8 L: 8 , R: 39 j0
- rear 7 s ' 4- /S
Building height Y�
Bldg Square footage
v
%Open Space:
(Lot area minus bldg
&paged 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 knowledge.
D.7TE: l APPLICANT's SIGNATURE
NOTE: lss anoe t a zoning permit does not relieve an a `
zoning requirements and obtain all required ppi1O s burden to pii
q permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
f.
SEP 1 7
File No. X51
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: ���� "'� ����� Telephone: l
2. Owner of Property:
Address: 15- r /�� Telephone:
3. Status of Applicant: (,-- Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# � � Parcel# 2f� District(s): '/W�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Ae-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: 4-------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)
}
j
File#BP-1999-0313
APPLICANT/CONTACT PERSON Brvan Daley
ADDRESS/PHONE 3 Montview Ave (413)586-9169 O
PROPERTY LOCATION 3 MONTVIEW AVE
MAP 32C PARCEL 284 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓
Fee Paid
Buildin Permit Filled out
Fee Paid 4
Type of Construction:
New Construction -
Non Structural interior renovations -
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased on information presented.
�9-K-s _S cr�-�siTj/� �yd,� ,�i✓l.Cvc:d��
_L�enied as presented:
Special Permit and/or Site Plan Required under: § �� °'9tr�"'�
PLANNING BOARD ZONING BOARDS �-
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
eceived&Recorded at Re ist of Deeds Proof Enclosed
0 3
Variance Required under: §��� w/ZONING BOARD OF APPEALS
Received&Recorded at Registry o ee s Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Segic Approval Board of Health r+1n Well Water Potability Board of Health
,. 4�_r'o
frbmaCo�is ervation Commtsiori
Signature ot i 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.