35-224 (6) r + BARRON &JACOBS
DESIGN BUILDERS
241 KING STREET
°zF�r of NORTH,'WP'rON, MA 01060
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DESIGN BUILDERS
241 KING STREET
!?EPt OF 8t �K . NORTHAMPTON, MA 01060
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-8998 Alterations
NORTHAMPTON, MASS. December 19, 19 97 Additions X
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 46 Ladyslipper Lane Lot No.
2. Owner's name Jack Hornor & Ronald Skinn Address 46 Ladyslipper Lane
3. Builder's name Barron & Jacobs Assoc. , Inc. Address 241 King St. , Northampton, MA 01060
Mass.Construction Supervisor's License No. 030739, H.I.C. #100809 Expiration Date 9/20/99, 6/23/98
4. Addition 18'W x 16'DP Uninsulated "3 Season Room" Addition
5. Alteration Remove existing deck
6. New Porch N/A
7. Is existing building to be demolished? N/A
8. Repair after the fire N/A
9. Garage N/A No.of cars N/A Size N/A
10. Method of heating No heat
11. Distance to lot lines Existing: Front•94' , L:29' , R:22' , Rear: 450' , Proposed: Front: 132' , L:55' ,
12. Type of roof Gable R:39' , Rear:462'
13. Siding house N/A
14. Estimated cost:- $27,800.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signati*`e of responsible app,icant
Remarks Foundation: 12" Dia. x 4'DP Concrete pylons, with 6:>6 P.T. posts
Floor: 2x12 P T floor joists, 16" o.c. , 1x4 mahogany decking
Walls: 4x4 Posts 4'0" o.c. with continuous 2 - 2x8 header
Roof: 2<:8 Rafters 16" o.c. with 4x4 collar ties 4'0" o.c.
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a3l RC{I ItLCLLII
m DEPARTMENT OP BUILDDIG INSPECTIONS
:.,� • 212 Main Street ' Municipal Building
Northampton, Macs. 01060
WORICER'S COMPENSATION INSURANCE A , ,t A-V T
Barron and Jacobs Associates, Inc.
(li c�:ns�/permi ticc)
with a principal place of business/residence at:
241 King St. , Northampton, MA 01060 (phooe;r) 413-586-8998
(Str�i/ci 1)'/stalrJn p)
do hereby cer-tif),, under Lbe pains and penalties of perjury, th?i:
( I am an employer providing the following worker's compcnsavon cove agc for my
employees worling on Ibis job:
A.I.M. Mutual Ins. Co. WME80007730297 3/1/98 -
(Insu-rance CbBpany) (Policy plumber) (Expiration Date)
(X) I am a sole proprietor, general contractor or homeowner (circle one) and have hire-d
the contractors listed below who have the following worker's compensation policies:
__Whiteley Electric, Inc. TMP1001644 3/1/98
(Name of Contractor)Company/Po6cy Number) (Expiration Date)
(Name of Contractor) (Lasuraneti Compaayi?ollicy Number) (Expira6oa Dale)
(Name of Contractor) (Insurance Company/Pol cy NiimbLr) (E-xpim6ori Dale)
(Name of Contractor) (Lasurmc--Company/Policy Number) (Expiration Date)
(enleh zdclitioml s ho =ly co jr,
( ) I am a sole proprietor and have no one working for me.
( ) I am a-home owner perforTning all the work myself.
NOTE_plca.ac be aw-uc dlid whilo bomcowncn wbo c,uploy persora to do�i. oac coasruction-or rcpaa work on a d.v-ll of
nne tnoct tf,•^throo units in which the homoowucr tcsidn oc oa the gcxrods appurtnuai thaceo ere one gmcrafly ooaridcrcd io be
cmPloyrrs under tbo-06- s Ica Ad(G L152.rs l(5)j nppliaooc ley a bommwncr for a liaux oc Pcrmh may cvid—the
Icgil etsbsa of as eaployx undertbn WocicoCs Coaspoeaatioa Aet
I uoderat tnd that z DOPY of this eatemmt mey bo fbc%wd..d to tbo Dopnrtmcai offndi i el A Cci&c 'of5oo of Iaaui000 for the
covaxge vriiScslioa twd that failure W coatrc covcraso twdcr suction 25A of MOL 152 m ksd to ibo imposition oCtximm.+i pcoaltic _. .
ooasis>iag of aline of•ttp to 51.500.00 aUdrOr impraoomcrsL oCtap to one year and avil pcmitia is lbe form oCa Stop Wort Order and a
fino 0(5100.00&&y agxinzt Mc-
Signed this 19 4ay of December 199 7 For dcpataxoW uao ooty
Permit Number
MaP4 Lot fi
Sigaab=of Li ctm1 t3�c
10. Do any signs exist on the property? YES NO X
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colmaa to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Home Addition to Home
Lot size 2.096 Acres 2.096 AcresOJ 6Z�
Frontage 138.41+-
Setbacks - frnnt 94' 132' _5
- side L:-291 R: 22' U_55' R: 39' O
- rear 450' 462' 4b
Building height 25' 13'
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Bldg Square footage 1846 (+288) = 2134
%Open Space:
(Lot area minas bldg 95.76% 95. 10% v f
' &paved parking) `
.of Parking Spaces N/A N/A
fof Loading Docks N/A N/A
Fill: N/A N/A
4vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
G, is true and accurate to the best of my knowledge. }
DATE: December 19, 1997
APPLICANT'S SIGNATURE
NOTE: issuance of a zoning permit does not relieve an a
9 P ppiioanYs burden to comply with,.pil
zoning requirements and obtain all required permits from the Board of Health. Conservt1tion
tCommission, Department of Public Works and other applicable per,J' it granting authorities.
FILE #
i
6 i
File No.
9
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Jack Hornor and Ronald Skinn
Address: 46 Ladyslipper Lane Telephone: 584-5403
2. Owner of Property: Jack Hornor and Ronald Skinn
Address: 46 Ladyslipper Lane Telephone: 584-5403
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 46 Ladyslipper Lane p�
Parcel Id: Zoning Map# Parcel# o? District(s): /�-
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property Home
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
18'W x 16'DP Uninsulated "3 Season Room" addition
7. Attached Plans: 2 Sketch Plan 2 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 X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT 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 X 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 # J �. �`f
IN 3
Fr j
2
FbO 6199T a f
APPLICAN /C NTACT P RSON: y" 72 G" ezkeA!::9
ell
DEPT OF 8U'. ' '3RD70AII E: '
PROPERTY LOCATION: lc� �t-�
MAP PARCEL: ZO
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMUC APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FH,T,FI) 0111
Fee pfliti
'Ryiilffing Permit Feller] nut
Fee PR if]
Adfift4cin to Existing
V�
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L %
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: § wlZONTNG 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 ,.' Mell Water Potability-Bd Health
_ _Permit from Conservation mission
Signature of Building Gspoikor eatel
NOTE:tssuano,6 of a zoning permit does not relieve an appiioant's burden to oompty with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
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