32C-306 (4) i
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 5- 5 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location "�� �Z 1—`m k e!V U/►l Py Lot No.
2. Owners name Address 2 P"ry2%t _
3. Builder's name Address
Mass.Construction Superv' 's L ense No. Expiration Date
4. Addition >*-/ _
5. Alteration
6. New Porch �''�� 1-
7. Is existing building to be demolished? vv u
8. Repair after the fire V-C S
9. Garage �' No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof S
13. Siding house W o
14. Estimated cosr
The undersigned certifies that the above statements are we to the best of his, i
knowledge and belief.
ignatu of responsible app,icant
Remarks
04ttlAafPT
OMKS%Itch a5ctta
D PARTMENT OF BUILDING INSPECTIONS
p,.. l ,1l1SpECT�ONS
2 Main Street Municipal Building 'a
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AY MAVIT
with a principal place of business/residence at:
(phone#)
(str�i/ci ty/stairJrip)
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:
(Insi=ce Company) (Policy Number) (Expiration Date)
( a sole proprietor, general contractor r- homeowner cle one) and have hired
the contractors listed below who have the folio orkees compensation policies:
J a K N S �f
(Name of Contractor) (Ltuuiancc Company/PoUcy Number) (Expiration Date)
(5aC�AeuCg
(Name of Contractor) (Insurance Compauy/PoUcy Number) (Expiration Date)
(Name of Contractor) (Imurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(-Hach additioml nctct ifn6ac=uy to in�inform tioa pertaining to all we 'r ')
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be awarc that whilo hemeawncn who cmplay pctrans t.o do mmirdmi„n construction or repair work on a dwelling of
not moeo thsn throo t=its is which the bomoowner mider or oa tb,gjouads appadcnsnl tha-do arc oot gcmecatly oocmd«cd to be
employ--under the vAxica' c ompan-tiro Act(GL152 ru 1(5)�aWLiax ion by a homeowner for a Grease or permit may cvidcnoe tbx
lcgil status of an employer uoderthc Workers Compmsatioa Ad
I undcrdand that a Copy of this 911L r may be focwnrded to tho Dcpa tm of Industrial Ao6dcW Office of Inwr&ooe for 06
coverage verification and that failtmc to secure oovcrago under socuoa 25A of Mot,152 can lead to tbe'imp -of criminal penalties
oomist mg of a f ne of up to S 1,500.00 and/or bnpr-iso�of up to one year and eivt7 pcnaltics is the form of a Stop Work order and a
firm of S 100.00 t day against tnc.
For dr atwA=W uao oaty
permit Number
Mao Lot'#
SiUaahirc of Licc=sc&Pcrrniticc
1 Crz# oaf >�z#I� �irf �Y
��ssA�ttaB�tt�
DEFT OF 8UI`0,�,
7„�A� . oO jN DEPARTMENT OF BUILDIT;G INSPECTIONS _
INSPECTOR f � �fA�1Q�dNS 112 Main Street - Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
( Please Print )
DATE•
JOB LOCATION:
(Map) ( Parcel) ( Subdivision)
HOMEOWNER: �r— aF,Q \--�—
(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 acts 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 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 completiorn` 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 SIGNATURE
BUILDING PEi(2MIT A
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 fillad in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paired parking)
# of Parking Spaces
# (of Loading Docks
Fill:
-(volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: — _ APPLICANT's SIGNATURE
NOTE: lssuanoe of a zoning permit does not relieve an pplioantfs bjdrdon to oompty with Ott
zoning requirements and obtain all required permits from the a of Health, Conservation
Commission, Department of Publio Works and other applioabla permit granting authoritlea.
FILE #
h
MAY 1 01999
DEFT OF SUIi_t!NG INSPECTIONS
Fi 1 e No
�aG�f\ �C:,Tk^"' hk�,O1f6G a�
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: sy— Telephone:
2. Owner of Property:
Address: 2- / //�� '� t-" Telephone: '`��3 �b'-S�tZ g
3. Status of Applicant: `Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 41,E - S" Z
Parcel Id: Zoning Map# &� Parcel# � � District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 7-1+-/0
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
P4 iCrf�" AW- Aar, -r7L4 S- zy. 6->4 acr.F'S o1;may .4 S/h1tE?40'w —"
14C^6Cns �/
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#BP-1999-0936
APPLICANT/CONTACT PERSON CADETTE GARY
ADDRESS/PHONE 62 MARKET ST 585-8429
PROPERTY LOCATION 48 HOCKANUM RD
MAP 32C PARCEL 306 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
Typeof Construction: REPAIR PORCH,ROOF,INSULATION SHEETROCK REPLACEMENT WINDOWS
KITCHEN CABINETS,&WIRING
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 PPLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased 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 Commission
s a
Signature of Building Official(—/ 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.
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48 HOCKANUM RD BP-1999-0936
GIS#: COMMONWEALTH Og MASSACHUSETTS
Map:Block:32C-306 CITY OF NORTHAMPTON
Lot:-001
Permit: 130dina
Category:renovation BUILDING PERMIT
Permit# BP-1999-0936
Project# JS-1999-1598
Est. Cost:$35000.00
Fee:$140.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq.ft.: 5662.80 Owner: CADETTE GARY
Zoning:URC Applicant:
AT.`48 HOCKANUM R
Applicant Address: Phone: Insurance.
ISSUED ON.511011999 0:oo:oo
TO PERFORM THE FOLLOWING WORK.-REPAIR PORCH, ROOF, INSULATION, SHEETROCK,
REPLACEMENT WINDOWS, KITCHEN CABINETS, & WIRING
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: �2 Rough: �� House# Foundation:
+,=
Final: G ,�9 Final: //Y/QD�d
Rough Frame:(^`,-
Gas Fire Department Fireplace/Chimney: l
Rough:
Oil: Insulation:1 7
Final: Smoke:
Final:
THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIO TION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate i nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 5/10/1999 0:00:00 $140.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo