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29-253 a• r- C2-) VN - T 1 i ! 3 t . } va ' t E S _ > 2 m 3 p O > L r. Z m t c "3 8 '7 in Z 1 , L,) O Z _ -1 r z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a f Garage L Location r I 1 ()V�1GDL [-)r, -4e- �`IC-yt'J1c_e. cfj&„ Lot No. 2. Owner's name J� a'F_f .I -t �:x'� 1 L� C-Oc-k, Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition _ 5. Alteration L"t"d d It-A 4s M tin N 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 tV 0-0A �l>� 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cosc- The undersigned certifies that the above statcmcnts are true to the best of �ono knowledge and belief. Signature of responsible app,icant Remarks ai Z Crif� of YarflIumptall MAY , �, ��saacituactla DEPARTMENT OF BUILDING INSPECTIONS INSPECT R ° M 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION ( Please Print ) DATE• JOB LOCATION: (Map) (Parcel ( Subdivision) HOMEOWNER: ��- 'A (Name & A dress) `4-1' -ma owo (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) fami 1 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. 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 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 responsibi lit-y 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 PERMIT # : s i 04 MAY 1 Z KJg9 Crz# n1nz#I�ttinr#vrt z -----i4EPARTMENT OF BUILDWG INSPECTIONS INSPECTOR 212 Main Street • Municipal Building '>o Northampton, MA 01060 Applicant Information Name—�t�+ (r�' — -i — -------- Location ti City "C!��_�--1 lI am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. Company Name ----------- ------ -- Address------------------------------ City-- --------------- Phone#-------- Insurance Co._-----------_—policy#------ --_ Company Name Address City Phone # Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of IYIGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00andlor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pairs and penalties of perjury that the information provided above is true and correct. Signature' L1 ����p Date Print Name , m ADCCC—� Phone; Official Use Onty Do not write in this area to be completed by city or town official City or Town PermiULicense0 ❑ B-2diitcDept ❑Li ensins Bond Check if immediate response is required [:1 sekeanea'Dept. Contact Person Phone� EJ HeAh Dept. 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 NOV_ IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colunm to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear --- Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved 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 knowledge. DATE: - APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an app ants burden to comply with all zoning requirements and obtain all required permits fro` he Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # Fj� M 7 ( File� ti 'C,NING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �f� �x a �. �JA�"�CC,C�[. 24 -� m- box k- Address:9 9 d �0�'�-k-- Telephone: LA 13-53 5 0SrS1�^, 2. Owner of Property: Address:9 I (D4eY - � �C�k_0-4 Telephone: 3. Status of Applicant: owner Contract Purchaser Lessee Other(explain): 4. Job Location: kAltlg fy 0 11 Parcel Id: Zoning Map# _ Parcel# District(s): ��- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. D scription of Proposed Use/Work/Pro'ect/Occupation: (Use additional sheets if necessary): a 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 KNOWN - 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-1999-0982 APPLICANT/CONTACT PERSON BABCOCK JEFFREY A&JOYCE M ADDRESS/PHONE 77 OVERLOOK DRIVE 585-0887 PROPERTY LOCATION 77 OVERLOOK DR MAP 29 PARCEL 253 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Fille out Fee Paid l Typeof Construction: FINISH BASEMENT FAMILY ROOM WASHER DRYER,OFFICE&STORAGE,& BATHROOM 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 F OWING 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 Signature o 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. ��_� i -. ��, r � � �. 6 .. �� �r ;. i .> � �, x ,, i i i r ... }�? ,. .� ,' _, :� � �s� -�.�� � � , � � t F �., ,�, `�4 � r ' r, � �',° .,. .. .,r .. 7A Vj L©bK DR BP-1999-4982 GTS : COMMONWEALTH OF MASSACHUSETTS M 1 ._k:29-253 CITY OF NORTHAMPTON Lot:-001 Permit: Buiiclina Cateszorv"Nonsi 'tsrinr r�nnvatinrke UILDING MIT Permit# RP t 't1;82 FM SS PERWSSIONIS)WIM—B]MRANTED TO.' Project..# JB-1:994-11547 Est.Ccasti$911 QQ Cam S` ' Contractor. License. Ja ftJt.): 1 b 438.04 hex r_BABC K MFR, Y A&JOYCE'M ,_- A��licatnt.dddress hie: Ins I5,3�.&D QNi T? UlowTRE 0#7NG WONX.FIN1 H BASEMENT, FAMILY R00M,WASHER DRYER ,C}FI'ICE gi STOOA 4,BAT141ROOM s <M— T Insp �► f I i ' ofw' #bg A.P.W. Inspector of Blawings' Und€rgrouial l ervicet Metar: Rough: Itongh House## Foundation: Final: � yf� Rough Frame..: Gas Firg jtiiarttneat Fireplace/Chimney: Rough; On: Insulation:_ � I ZY d � TfflS'f%RMT*►Y E EV D$Y THE CrrY;,: ORTHAWTON UPON ViQ A ON OF AtY t ` 'I` ESGTYQNS. will rim Ne• ale` aid: C6 k NQ: oue Building 5124/1999 0:00:00 $40.00 212 Main Street;Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo