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36-263 z � � m CIO) . 3 °s z Cm7 c .., (7 Z rri ...1 _ o v � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 1 C7S�J Alterations /' _ a NORTHAMPTON, MASS. ?) 19� Additions APPLICATION FOR PERMIT TO ALTER Repair , Garage 1. Location /,F //y��i 1� e"'91, X l'f p y Lot No. 2. Owner's name CO k" I t) �7�>.�C Address 3. Builder's name— /A!;I'l��,�,cf� Jl�i� Addresse Mass.Construction Supervisor's License No. Expiration Date 4. Addition rr 5. Alteration .b ce Id ��� 4;-1-- ac&q 1 0Z e— 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 1 l. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cosu- � The undersigned certifies that the above statements are we to the best of his, knowledge and belief. Signature of responsible app icon! n Remarks 16 7 G 0 O y �x laf wort 4alil f oil 2 0 JAN Ig99 8 �asstsrflttsrtta m ;I Of .i s i'VE+RTMENT OF BUILDING INSPECTIONS Main Street ' Municipal Building ~ _ Northampton, Mass. 01060 WORKER'S COiY1PENSATION INSURANCE + AVTT VN_ Al, StA io"_ - (L permittce) with a principal place of business/residence at: (street/ci ty/s tafrla p) do hereby certify, under the pains and penalties of pequry, 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 homeowner (circle one) and have hired the contractors listed below who have the following workers compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Poky Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additloaral sheet ifneccurry to iochsdo information pertaining to all co.tr.c rs) O I am a sole proprietor and have no one working for me. Poo,tea (s< 'I am a home owner performing all the work myself. 45,0/ ra t �1 �t,l(�, � c��' 7CYe-' (,e,`t:�� PIU4,-l��`tS NOTE:please be aware that whilo hoaxo"mers who emplay prisons to do mxinl coostvctionor repair work on s dwelling of [Oyf\f L7vt not moro than throe units in wfnch the homoowncr rides or on the grouryds appurtenant thereto arc not gcactatty coom6cred to be f J, employers under the woricces oompcns4on Act(GL152,ss 1(5))�,application by a homeowner fora Ucrase cc permit may evidcnoc the (0 /I (��( legsl ctnhra of an employes under the Woairoes Compmsatioa Act Will Q C LAC l� I understand that a oopy of this rutcmccd may be forwarded to the Deartment p of In trial A ociden[�Offioa of lawrance for the ar coverage verification and that failure to secure oovcrago tinder section 25A of MOL 152 can lead to tho imposition of criminal penalties comisting of a fmo of up to S1,500.00 and/or i apri som of tap to om year and civil pcmttia in the form of a Stop Work Order and a flee of 5100.00 a day against the For dgrat=td use Oaly Permit Number gip# Lot# t 2M of Li ermitice I � i Q„'CtiFlAfP�, Crif� of x#17�n1}�taiY I aSoMC11usrtte JAN 2 0 jam t DEPtARTMENT OF BUILDING INSPECTIONS - i - INSPECTO .21 Main Street ' Municipal Building , QF r3 4 Northampton, Mass. 01000 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: % JOB LOCATION:— (Ma ) (Parcel) (Subdivision) HOMEOWNER: a A 'ele (Name. & cfdress ) a o �� .S Y61 Q (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 I' 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 # U r JAN 2 01999 ,CPT OF S i' J � S r � a ,. g � d I, 31 ji UtI s i I � e c � U g. 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 MIDST BE COMPLETED, or PERM T CAN BE DENIED DUE TO LACK OF INFORMATION. Zt',, C� 2 This cola= to be filled in by the Building Department Required 1 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 G is true and accurate to the best of my knowledge. DATE: 9 APPLICANT's SIGNAT NOTE: lav"no6e of a zoning permit does not relieve an ppti ants burden to comply with~all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Public Works and other applicable permit granting authorities. FILE # iF' iI Lj C � JAN 2 0 1999 File No y� t-,FPT of Mi t „f "S ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ,, ��,,� c e 4 � C Address: i� 1*1'I,Ou t. f x 14 e Telephone: S�C� y � 2. Owner of Property: Ccr rX� S��ye_ C Address: Telephone: 3. Status of Applicant: t,- Owner Contract Purchaser Lessee Other(explain): 4. Job Location: _ r� o�yccztic r 3i/J� 4�.i1Jll >_F ! _Cr � c* Parcel Id: Zoning Map# ' Parcel# ) District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5, Existing Use of Structure/Property§� �sr� d,spy C� Y� 6. Description of Proposed Use/Wor iProject/Occupation: (Use additional sheets if- ecessary): 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 tom— 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-1999-0641 APPLICANT/CONTACT PERSON Janice Sypek ADDRESS/PHONE 183 Maple Ridge Rd 586-0453 PROPERTY LOCATION 183 MAPLE RIDGE RD MAP 36 PARCEL 263 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid /'©rte —" Typeof Construction:_CONSTRUCT BASEMENT BATHROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: OwnerGStatement or License sets of Plans/Plot Plan / THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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 Conservatio mmission Signatu of Building Offid2l 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. • 5 183 MAPLE RIDGE RD BP-1999-0641 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36-263 CITY OF NORTHAMPTON Lot: -001 Permit: Building Categ_oa: Above ground pool BUILDING PERMIT Permit# BP-1999-0641 Project# JS-1999-0549 Est. Cost: $5000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(sq. ft.): 108900.00 Owner: Janice Sypek Zoning_SR Applicant: AT. 183 MAPLE RIDGE RD Applicant Address: Phone: Insurance: ISSUED ON.1125199 0:00:00 TO PERFORM THE FOLLOWING WORK.CONSTRUCT BASEMENT BATHROOM 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 Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1/22/99 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo n S 183 MAPLE RIDGE RD BP-1999-0641 GIs#: t—OMMONWEALTH OF MASSACHUSETTS Map-Block: 36-263 CITY OF NORTHAMPTON Lot:-001 Permit: Buildincl Category:Above ground pool BUILDING PERMIT Permit# BP-1999-0641 Proiect# JS-1999-0549 Est.Cost:$5000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 108900.00 Owner: Janice Sypek Zoning: SR Applicant: AT. 183 MAPLE RIDGE RD Applicant Address: Phone: Insurance: ISSUED ON.1125199 0:00.00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT BASEMENT BATHROOM 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:,p1/,/,, #�t House# Foundation: Final:© Irlpf � Final: 1`f�'/Qf e 1�z Rough Frame: /7 Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: OK 1 0-L 3- <-1-lfw rl THIS PERMIT MAY BE REVOKED BY THE CITY O RTHAMPTON UPON VIOLATI OF ANY OF ITS RULES AND REGULA ONS. Certificate of Occu an Si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1/22/99 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo