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32C-283 (4) a I � > o CD = 3 r Oz m - u) 0 ` ry— �• u) O Z tc 166 L—!.JUA a ...1 �- rri ^ - o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location I'�'l�'►�✓L�t c r' 7YyI. Lot No. 3 2. Owner's name I S Address ," 0I a . Builders name Address o�1 U•- Mass.Construction Supervisor's License No. ��OS��f Expiration Date_IIL2j 2a) 4. Addition �l / / �s5. Alteration AQ.u. ()ecmlaom .i'1Dt/l ((--ehlita.y O .�C�,/ CAllt�r / r/�°lC1St�.e 607-101lt 11" 6. New Porch 7. Is existing building to be demolished? S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating Q'Lt 11. Distance to lot lines 12. Type of roof CLO f��t ac f 13. Siding house 14. Estimated cost:- t 1j/0 A-\ The undersigned certifies that the above statcmcnts are true to the best of his, knowledge Md belief. v Signature of responsible app,icani &emarks �L O i A:saaclTusstta ak DEP 79ENT OF BUIMMG INSPECTIONS r,E: IN`°F ``M Street Municipal Building � � •,a, f_; -- orthampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, I )U rG ZE10 i� (Iicenscdpermittee} with a principal place of4wieesslresidence at: C1� f l�� e C� - Ic�,2-'yl Ce U 1 0� Z.. (phone#) V- (street/cityi921dap) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ') I am a sole proprietor, general contractor or omeown (circle one) and have hired the contractors listed below f)j I toy, tAcV,-t_-- k"A t.(_ rur OFOF :r sciar.( L,+-fk-o e (--fa c� # 1% , (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) 6-- fU 5 LV IT OYl - 0106'r (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (IDSUtance Company/Policy Number) (Expiration Date) (anaeh additicad shoot Tnooeaa y to inehsdo udbnna m paum=g to an ooazectoas) ( ) I am a sole proprietor and have no one working for me. ( ) Y am a home owner performing all.the work myself NOTE:plcam be aware tint vrhilo hco owneta who employ pemm to&maictmsaco,coasuuction orrspairwotic oo a dwelling of not sner a thaw dxm units is which th a hocY*wwna rc ides«m the grounds%Vuct=mtthaeto an not Swaally--idemd to be empibyaa unda the wad='s oomper=dm Ad(GLI52-a1(5)),application by a homoovma fora 6crase a p-ok may evidence the legal&tatau ofaaemployanodwtbe Wodrata Campemation Act I uodetstsnddut a Dopy of thin statemcat=ay be foew wdsd to the Depatmot of IadustrW Acid W OMm of l-u-ow fa tlaa oovaaw vai&estim and 2W Whim to s=xm oovmp uada soction ZA dMOL 153 can ladto the imposition olaimiaal ptaaltia oowis%eag of a Sae af'up to SI,S00.00 and/or im� of up to Doe year aad civil pmattia in the form ofa Stop Wait or&r and a fins of 5100 00 a day against ttst ' Fordryactmmtatuaomly . gyp# W# �Li enseciPetmittec O O oZSlc„\ (riff of 'Nar#ljttlly fait t I DL 'ART,MENT OF BUILDING INSPECTIONS � INSPECTOR ,,.,Y 4 *+ =212 tthampton,Street ' Municipal Building Mass. 01000 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE:_ �e.�j G[ ', ;?_U 05 JOB LOCATION: �/� 2 (Map) (Parce � (Subdivision) HOMEOWNER: ��,� Gu�S 9 / ;/ -fY (Name & Address ^ ;T2_ 06,,3 -1- SAC GL-:�zC (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 . 1 DEFINITION OF HOMEOWNER: Person( s ) who own a parcel of land on ooftl which ire/she resides or intends to resi dg . 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 may be liable for person( s ) you hire to perform work for you under this permit. Y 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 SIGNA BUILDING PERMIT # 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: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF_INFORMATION. This aolaam to be filled in by the Baildfag Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks -frnnt look - side L• R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &Pax,ed 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 kn ledge. VE: � 2000 AP ICANT's SIGNATURE NOTE: Issuanoe of a zoning ermit does not relieve an appIloan s burden to oomply wltlr�all zoning requirements and obtain all required permits from the Board of Health. Conservtstion Commission. Department of Publio Works and other appiioable permit granting authorities. FILE # T' Fcm � 0 2oao File No. L �/ l l� TVT OF 8t� 1NSPECFIt .; G PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: I Address: , i(,o j2 iZl c�cA ✓ G� d-� y1�o t� Telephone: GYZ- 001 2. Owner of Property: f)t`, rc, Z2.u;lri Address:— i ma-- Telephone: 3. Status of Applicant: )/ Owner Contract Purchaser Lessee Other(explain): n / 4. Job Location: 'lrn0-y7fU Parcel Id: Zoning Map# 1�lP rcel# Istrict(s):_� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of tructure roperty_ C� !�wTLQ _ 14,11 6. Description of Proposed Use or roject/Occupation: (Use additional sheets if necessary): C > J o �-` C /1Ii 1 )-Le W, /� tom! CLi(C `filfl� C 7. Attached Plans: __4 Sketch Pla 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 KN0A1"-,+ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW tt" YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO V 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-2000-0714 APPLICANT/CONTACT PERSON LEWIS DORA&JAMES B NASH III ADDRESS/PHONE 296 BRIDGE RD PROPERTY LOCATION 18 MONTVIEW AVE MAP 32C PARCEL 283 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 1651 AAL56 — Typeof Construction: CONSTRUCT 2ND FLR BATH REMOVE NON BEARING WALLS TO MASTER BEDROOM W/CATHEDRAL CEILINGS,REMODEL KITCHEN 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 OLLOWING 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 Commi i Signature of Building Official JJ 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. �18 MONTVIEW AVE BP-2000-0714 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-283 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0714 Project# JS-2000-1328 Est. Cost: $40000.00 Fee: $200.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(sq. ft.): 172497.60 Owner: LEWIS DORA&JAMES B NASH III Zoning:URC Applicant: LEWIS DORA & JAMES B NASH III AT: 18 MONTVIEW AVE Applicant Address: Phone: Insurance: 296 BRIDGE RD FLORENCEMA01062 ISSUED ON:2117100 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 2ND FLR BATH,REMOVE NON BEARING WALLS TO MASTER BEDROOM W/CATHEDRAL CEILINGS,REMODEL KITCHEN 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 Occupancy si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Ow Building 2/17/00 0:00:00 1051 $200.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo r IS MoN'rVIFW AVE BP-2000-0714 GIS �,: _ CONINJONWE'ALTH OF NIASSACHUSF"'I"I'S Nlan:Bloek: 32C -283 CITY Oh NORTHAMPTON I.ot: -001 Pcrnut Building C:tteLm vI renovation B I L _ C 'll E vC . T Petmit ;� BP-2000-0714 I>ro ect_' JS-2000-1328 I-�st._Cost: 540000.00 5200.0(1, PERMISSION 1S 111-REBY GRAN%'E1) TO: Coast Class; C�»rtrr�ctor: Lice�n.cc: Use Ci ro u 10 - ---- ------ --- I 172497.60 01+'ner: 1 1 `\,IS n0lv'A t "\11 , 13 NAI)li III Zonin�� UR( Applicant: LEWIS DORA & _J/"AMFS B NAS-H LII T- 18 MONTV1PAI AVE �ih/�lic�tnt :=tddre�ti�s: l'ltunt�: lnciu��rncc: `96 1�I:IDC;1: R1� FLORENCEMAO1062 0,'\!:2117/00 0:00:00 701'1_ il-'0101 THE FULLOl1'11\'G !f''0R1i:CONSTRUCT 2ND FLR BATH,REMOVE NOf"J BEARING \HALLS TO MASTER BEDROOMi W/CATHEDRAL CEILINGS,REMODEL KITCHEN POSE' 'hH1S CARD SO I"h IS VIS1131-1- FROM 'Fill:II1: STRF;1:1� Insl;cctor o1 Plu+nbine Inspector of Wiring D.I'.A\. Inspector dBuildin<"s t;nder'-'rnund: ctcr: I�uotin!�s: kou'-h: l�ou:�l,: IInusc �= Foundation: 1=inai: Final: 7611 00 Rou-11 Franc: Gas Fire Depi)rtunent Fireplace/Chimney: t2nU�o II: 011: Final: Smnl:e: Fin:11: dk 7—/Q '©4 **30 DAY TEMPORARY OCCUPANCY EXPIRES 8/13/00 1'13IS PERNIIT MAY I3E IZEVOI:ED 131' TiII: CITY OF NO► TIT- N1I)'FON UPON VIOLA' ION OF ANY OF ITS RULLS AND REGULATIONS. Certificate of Occu anc Tee Type: Recei pt No: Date Paid: Check No: Amount: Bui►din(-, 2!17/00 0:0W00 I O�1 S200.00 212 Main Street Phone(41 1) W-1240, Fax: (4 13)597-1272 Building Commissioner- Anthony I'millo