Loading...
39-233 4 ry o z 4 ` G Ilk 1 � �- - - C1 - --Q - - —O— m rD � i X O O tr —O a (J r �- '01 -� A t o � A S n ' m > yu k m m � ` 3j R � � �- - a a. o ' rl z z 41 s z s a 0 v z r„ ON � , T \I T � CC) _ et r: n 0 rH --3 Zoning Miscellaneous Additions,Repairs,Alterations,etc. //J� Tel.No.�1(� E T Y 3741 S Alterations t/ 1 NORTHAMPTON, MASS. 9,4L it �' 19 1 Additions 1 � � APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1:6 Lot No. 2. Owner's name ��1 --1 Czti ►`ycr d mss•//s-Y 1 �[�c � C�.�. u lc� . � L� as �aKdcice6� o lc>F a 3. Builder's name a Gev+�t 5e�-l�ry4W •'7i -p- >7eewt"I' Mass.Construction Supervisor's License No. Expiration Date 4. Addition --�T5. Alteration " Jv,' 6. New Porch �� 5?`1[ SGV`PPt�i elOY�L Z�® he Y-eita0cu'-4--1P GQow" 7. Is existing building to be demolished? NC> 8. Repair after the fire Mfg 9. Garage NIA- No.of cars Size IJIX 10. Method of heating 11. Distance to lot lines i7o LltsercgP 1',41 tJ'ft►ty Sc�`–����'S �°JcL>°lOf Y`r��x(' _ r�e'� pG 12. Type of roof 43 DA-,/z� sLir � 1—)14 iso ) YL� eita�c orz,.c� p�^✓,cr'f .t�j�/re�"�ed, 13. Siding house K0 c��e 14. Estimated cost. ,61 The undersigned certifies that e a ve statemcnts are true to the best of his, her knowledge and belief Signature of responsible appicant Remarks co— APR : © 1998 $ +� "` .�lxsaacflnactta cn f'? DEPARTMENT OF BUILDWG INSPECTIONS 212 Main Street a Municipal Building ' Northampton, Mass. 01060 WORI{EWS COMPENSATION INSURANCE AFFIDAVIT I, c1� (licensee/pernlittee) with a principal place of busine residen at: A/l/W L/1-3 (s�s��t/pity! PirP) < 19 do hereby certify, under the pains and pCnalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees working on this job: (Lasurance Company) (Policy Number) (Expiration Date) am a sole proprietor, general contractor omeowner circle one) and have hired e contractors listed below who have the follo e>'s compensation policies: ire (Name of contractor) (Insurance Company/Policy Number) (Ex iration ate) M 14 c 41104172 (Name of Contractor) (Insurance Company/Policy Number) (E)cpiration Date) (Name of Contractor) (Insurance Company/Policy umber) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioml sheet ifnoccnary to include information pctaining to an ooaxnd ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing aU the work myself. NOTE:please be aware that whilo homcowacrs who employ pc=m to do maidc,,aa a consbvetion Cr rcpas work on a dWtUing of not more thaw thtne units is which the bomeowncr r=dcs or ou the grounds apputteaarrt tha eo are not gcn=lly coandered to be employee under the worker's compensation Act(GL 152,ss 1(5))�application by a homeovmcr for a liken or permit may cvkimcc the legal ct-fil of an employer under the Wor eel Compomation Act. I and-a—d that a oopy of this rw=ncct may be fmwarded to tho Dc uuwot of T, zh, d Aod&n s•0foe of Imucanoe for tho coverage verification aad that failure to secure covemp uadw soctoa 25A of MGL 152 can lead to tha imposition of criminal peaaltics -4ustmg of a fine of up to$1,500.00 and/or' of up to one ytor and civil pcnzWcs in the form of a Stop Work Order and a fma of 5100.00 a.day against tm. -� For icP=tm=al trao Doty 't Number - ��" lviap# Lot# Si of ermittee UZe f JPy W 41 All 440 + n Us I ' T N N r sg r I f it r � � — _ \ i _I w ZWU�OW •0.1£------an N - 7 oil - s \, s o FA rilh it �5 is It 9 In d. It . Z k R wi fill III Cr o W eg r it It o co d1 g 51 PZ OF DS'cy �Q FlY $�-" ' fn • : g � R ag$ t UO � lgpyfl� N •� �p yx a �C �S�Sqq 7 y ���ii{{ 91ro5 `iv3ri7� I• R n3r Y@ N � 1.1YYl!3 �gp� 9i1 Ey S E Classic and Contemporary — _ J �l. Sorlae Dot Ile, Y r 1 roa oow mi iwl t 1�T 7� cif W.•,MM•4Y�«,Nor VIM•1f 11• •If lfl-lf•-1f00 ,'��. J as W _ � Of LW 'fwG q I�mJl2N cr ° I �. °z i '0 OZ 0 W O ir W 8 .jag Ci N A, O ~ r w 8 �8 gw4 Z '- N ° Uh x Ld Z 8 i 3 Z wa I : Q�$ W E 1 L _ I co ism : I . —� � w �Nw W �g • . Fr LEO W r- k'�' IAn-- ft Imo` IL'e �i i42 id 04 o 1 ti��N l l N g; Ia N M a I�0 S• I Clasal nd Contemporary ^ --Series Details THE POOL COMPANY JJ W—P..d•L.th�m,N..YerM 13110 (6181-784-1]°° Cri#fir of Nart4ampf ail M its sit ell Ito rtts APR 3 0 11998 DOPARTMENT OF BUILDING INSPECTIONS INSPECTO `I 2 Main Street ' Municipal Building �Ls ._ Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE (Please Print) : ��-�3 /�� JOB LOCATION: !o°�3�3 'mod (Map)n (Parcel) ( Subdivision) �yc 33 � HOMEOWNER: T�cQo( J-, Oetrrc,^ $ f1KaQ�pct Lb c:Zr,%t (Naive & Address ) t 9 eanc.bt"'t i Y(3 ',�;VV-3N,9 q13 -5-W-115 " (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 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 responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Z-oning ws, and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PERMIT # SVETCH Or- LXWD MORTHAMPTON ) MA55. OWNER: TbDp C3A>ZQorJ APR 3 U 11996 "-(.0 41 z8l98 DEPT OF` 9 •� PREPACED BY m RIGNAKO ? LABARGE SZYLS NJD Z,THAMPTON MASS. Isz L LOT 9 i.aCZ Ac PL8K. 134 ` 0 h Lo P Ra P, tA L= IZS. D�1C R= 930,00 DIAMOND CT. 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_,V_ IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cols to be filled in by the Building I?rpartment Required Existing Proposed By Zoning I Lot size 1,01 kpe's Sa vtt e Frontages �? C Setbacks - - side L: D R: aif L: R: p nv clzcr'y-- rear 1,60 4 Building height 5-[nri� 6 Bldg Square footage W_ %Open Space: A`f (Lot area minus bldg 11l�1- v &p?cred parking) o j uA-4 # of -Parking spaces +• .2 ht of Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information c tained herein is true and accurate to the best of my knowledge .1 D21TE: �a 3laer APPLICANT's SIGNATURE P IA NOTE: Issuanog of to zoning permit does not relieve an appli nt's burd to oompty witla �il zoning requiraments and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applionble permit granting authorities. FILE # l APR 3 0 1998 r LFile No. y DEPT Of"'; �. ...� " ZONING P,7Rb IT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: -7a—,4d &err,,ri Pay �. �i" d► Address: ! lc�C�coW dQ � .tr Telephone: q13 — - 7yS 2. Owner of Property: o 'er c� F/GUYec� -�( A Okg2 �grr"fay Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Oth/er(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): / 5 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property .5 R4 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7'ns4.e fly� .2c> x o ,�ta�r-ote�dQ nc�a l aat 4�eS-I�c /cd �r �,- 1tica�r . � � �x,N'tiKrp rc9tacP�WS � G�oo,us tvr c'Jc�S'�/�� 7. Attached Plans: A_ 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 PermitNadance/Finding ever been issued for/on the site? NO_ k, 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 k 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) 1 0 G G� u FILE # APR 3 01998 APPLICANT/CONTACT PERSON-7: /f d&AM =?EFTADDRESS/1`110f : PROPERTY LOCATION: Z -1,�z MAP �j�, PARCEL: ? THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee Pfkid Rii Ming Permit Filli-d Alit- Remndplin2 Interior Tnrhided- v r� TOLLOWING 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: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability "'�eptk Approval-Bd of Health Well Water Potability-Bd Health —Perr.git from Conservatio mmission Signature of Building h,79tor Date NOTE:lnsuanoa of as zoning permit does not relieve an applioant's burden to comply with ail zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission. Department of Public Works and other applicable permit granting authorities. ao AO 'd 14. O N p.1 CD "3 oti a5 E� �. y: oa i Z rt 08 CD Lo 0 ti rl In rt ol to 0 0 0) p C ti MEW 0 CD qq V v, 5' C s Fo 0 0 8 -i ("� a O (CD �I � O ti C) 0 y Oo O ci O w to cy � 5 � CS. p O c 0 ooh cm 0 o o 0 5 -� tv o o b 'ti rn aQ O c CD cr a Z d o 0= c = o' �_ 5• 5' o c ra '° (1 IQ i p �. O ,p o r ° ° o CD c c u. ?. c o d b =r :r y o r- o a. F�1 y © k a D \ 1 Mj N 1111JJ ��D. O co co b A CD