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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel No. S C,0 Alterations o
NORTHAMPTON, MASS. =Z -19-2L3 Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location ��2 3 1BE Lot No.
2. Owner's name K.t� Se �--, Address
3. Builder's name <<"- �� �-�-� Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration �, a`I x ? �"`J` ��
6. New Porch
7. Is existing building to be demolished?
8 7Garag�e 'er "ftre——�
��c't No.of cars Size
10. Meth ating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
�lo f The undersigned certifies that the above s menu are we to the best of his, her
knowledge and belief.
azure of responsi !e appicant
Remarks r� �'�'/ o l e c'�r�' /�.-„c . 6"
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued
3. ❑ The work described below,which includes all/part of the work described in your request,is within the Buffer
Zone as defined in the regulations,and will alter an Area Subject to Protection Under the Act. Therefore,said
work requires the filing of a Notice of Intent.
This Determination is negative:
1. ❑ The area described in your request is not an Area Subject to Protection Under the Act.
2. N(The work you described in your request is within an Area Subject to Protection Under the Act,but will not
remove,fill,dredge,or alter that area. Therefore,said work does not require the filing of a Notice of Intent.
3. ❑ The work you described in your.request is within the Buffer Zone,as defined in the regulations, but will rot
alter an Area Subject to Protection Under the Act. Therefore,said work does not require the filing of a Notice
of Intent.
4. ❑ The area you described in your request is subject to Protection Under the Act,but since the work you describe
therein meets the requirements for the following exemption, as specified in the Act and the regulations, no
Notice of Intent is required:
Issued by Northampton Conservation Commission
Signature(s)
I It
This Determination must be signed by a majority of the Conservation Commission.
On this 3 day of 19�,before me personally
appeared /'1p5Dp to me known to be the person described in, and who
executed,
V`•;', it
the foregoing instrument,and acknowledged that he/she executed the same as his/her free act and deed. l,`im. Exr it',i'°c,?7.,')ck1,l
Notary Public My Commission Expires
This Determination does not relieve the applicant from complying with all other applicable federal,state or local institutes,ordinances,by-laws or regulations.
This Determination shall be valid for three years from the date of issuance.
The applicant,the owner,any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed work is to be done,or any
ten residents of the cm or town in which such land is located,are hereby notified of their right to request the Department of Environmental Protection to issue
a Superseding Determination of Applicability,providing the request is made by certified mail or hand delivery to the Department,with the appropriate filing
fee and Fee Transmittal Form as provided in 310 CMR 10.03(7)within ten days from the date of issuance of this Determination. A copy of the request shall
at the sanmc time be sent by certified mail or hand delivery to the Conservation Commission and the applicant.
4!1/94 310 C\SI1Z - 402 402
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
10.99: continued
4 1901P
DEP File No. 246 -
(To be provided by DEP)
Form 2 /
��. City/Town: -Northampton___ .
Ken Salem
1 Applicant
Commonwealth 04/01/98
of Massachusetts Date Request Filed
A
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, § 40
THE CITY OF NORTHAMPTON'S WETLAND PROTECTION ORDINANCE, c.24
FROM: Issuing Authority
TO: Ken Salem Ken Salem and Nadine Salem
(Name of person making request) (Frame of property owner)
Address
323 Bridge Street, Northampton Address 323 Bridge Street, Northampton, MA 01060
This determination is issued and delivered as follows:
❑ by hand delivery to person making request on (date)
April 21, 1998
® by certified mail,return receipt requested on (date)
Pursuant to the authority of G.L. c. 131, §40,the Northampton Conservation Commission has considered your request for a
Determination of Applicability and its supporting documentation,and has made the following detenninativi•(shaek-whichever
is applicable):
Location: Street Address 323 Bridge Street
Map 25A, Parcel 110
Lot/Map and Parcel Id Number:
This Determination is positive.
1. ❑ The area described below,which includes all/part of the area described in your request, is an Area subject to
Protection under the Act. Therefore,any removing,filing,dredging or altering of that area requires the filing
of a Notice of Intent.
2. El The work described below,which includes all/part of the work described in your request, is within an Area
Subject to Protection Under the Act and will remove, fill, dredge or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
!l X94 310 CMR - 401 401
1
IZ-
QL
J I J J J J #32 U
I 4 �
E
-
\ LD N 81'16'
!\\ I 8 611
0` i 6 I N B371 i
W
AND STATE HIGHWAY PLANS
THIS LINE LAID OUT BASED ON GESIOREK'S DE
JOSEPH AND MARY GESIOREK
— TRACT 1
BOOK 965, PAGE 450
t
a
10. Do any signs east 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.
Thi: col— 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
&payed parking)
# 9f -Parking spaces
t of Loading Docks
Fill:
:{vol-ume--& location)
13 . Certification: I hereby certify that the informat `on lcoZnti d herein
is true a d accurate to the best of my knowled
DAVE: APPLICANT's SIGNATURE
NOTE: Iss Ann of a zoning permit does not relieve an ap lioant'a burden to comply witlr,.,pil .
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable parmn granting authorities;..
FILE #
FEB 1 8 1998 ��
File No.
�- --�----ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: 3 x 5 "R!"�c� �l Telephone:
2. Owner of Pro e : 1� S \
P rty Cam--,
Address: aO 3C ;705' Telephone: 5 00
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: r _A
Parcel Id: Zoning Map#.+— Parcel#�,_e� District(s): 0 fQ�� �L(J'
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Propertyr,n-�,
6. Description of Propos d U�e ork/Projec , upati (Use dditional sheets if necesary
I c` G C 17 Ile Cs FCC C C;
41<\ e-f<' Cl C"4
7. Attached Plans: Sketch Plan Site Plan EngineeredlSurveyed PIaJ
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 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#
A�v Y
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES V1
IF YES, has a permit been or nee o be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
j C . !�� ,._'.'___ FILE # 963216
9
Fb 1 8 X998
APPLICANT/CONTACT PERSON:
AD➢RESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: //Q ZONE
THIS SECTION FOR-DFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCL SED REQUIRED DATE
NING
Builfhn2 Permit Eilled out
Remndelin2 Interior
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased on information presented
Denied as presented: ( 1 ,1
Special Permit and/or Site Plan Required under: § !+3 `� J (�•fo- jO, +�
x—PLANNING BOARD ZONING BOARD
�` Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § NY/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-Bd of Health Well Water Potability-Bd Health
Permit from Conservat'9 Commission -00OjP ICJUYY
2, //(.7 A3
Signature of Buildu e--tor to
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain ell required permits from the Board of Health, Conservation
Commission, Department of Public), Works and other applionble permit granting authorttles.
1
I
/
LtJ
I 1 i ! #32 kc
AKAUt
N 81'16
� \ 1111 1 ..-, � �� � ( • o `--____" ,,..._.:_
!\\ I 80`26113'-W .76 N 83 11'13" W
44{50'
THIS LINE LAID OUT BASED ON GESIOREK'S DE AND STATE HIGHWAY PLANS
JOSEPH AND�E RY GESITO EK 1
BOOK 965,
4
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 1
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Mis column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage ✓ n /
Setbacks - frnnt '7 6,
- side L: �' R: 'f L: 1,
- rear `Z S o2Z
Building height / 'Ro /
Bldg Square footage
%Open Space: ( J
(Lot area minus bldg
a
T
&Paved parki:ngi
# of Parking Spaces
ht of Loading Docks
AIA-
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is truQ and accurate to the best of my knowledge.
DATE: S 6 4� APPLICANT's SIGNATURE
NOTE: hanuanoe of to zoning permit does not relieve an applioant' urden to oomply with $II
zoning requirements and obtain all required permits from the Board of Health. Conservtation
Commission. Department of Publio Works and other applionble permit granting authorities.
FILE #
w ,
MAY 2 8 t�$(
a Fi 1 e No.
u
i
w_ ZONING PEM11T APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: 3I" �c -( _ Telephone:
2. Owner of Property: f�"
Address: 3� z 3 `� ; ` Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 4���-
flu
Parcel Id: Zoning Map# � Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5 Existing Use of Structure/Property L
F. Description of Prpposed Use/Wor roject/Occupabon: (Use additional sheets if necessary):
nh
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.
S. Has a Special Permit/Variance/Finding ever been issued for/on the site? �7 rye.
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)
r
Pursuant to Massachusetts General Laws (MGL), Chapter 40A, Section 11, no Special Permit,
or any extension, modification or renewal thereof, shall take effect until a copy of the decision
bearing the certification of the City Clerk that twenty days have elapsed after the decision has
been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in
the Hampshire County registry of Deeds or Land Court, as applicable and indexed under the
name of the owner of record or is recorded and noted on the owner's certificate of title. The fee
for such recording or registering shall be paid by the owner or applicant. It is the owner or
applicant's responsibility to pick up the certified decision from the City Clerk and record it at the
Registry of Deeds.
The Northampton Planning Board hereby certifies that a Special Permit with Site Plan
Approval has been GRANTED and that copies of this decision and all plans referred to in it
have been filed with the Planning Board and the City Clerk.
Pursuant to Massachusetts General Laws, Chapter 40A, Section 15, notice is hereby given that
this decision is filed with the Northampton City Clerk on the date below.
If anyone wishes to appeal this action, an appeal must be filed pursuant to MGL Chapter 40A,
Section 17, with the Hampshire County Superior Court or the Northampton District Court and
notice of said appeal filed with the City Clerk within twenty days (20) of the date that this
decision was filed with the City Clerk.
Applicant: Kenneth R. Salem- 323 Bridge Street
April 23, 1998
DECISION DATE:
DECISION FILED WITH THE CITY CLERK: May 6, 1998
S \
i
v
i
C. In the case of new construction or substantial improvement of structures for non-
residential uses, other than accessory structures, the floor of the basement, or if
none, the lowest floor of the structure, shall be at or above the 100 year flood
elevation or shall be floodproofed to the one hundred year flood elevation. - The
requested use is for an accessory structure, i.e. - a garage.
D. Accessory structures shall be designed so as to provide adequate anchoring and
foundation construction so as to minimize any flood damage to the structure. A
letter from an engineer confirming that the new garage shall be anchored to
the existing foundation has been provided.
5. A. Utilities, other than water and sewerage heretofore referred to, shall be located
and constructed so as to minimize or eliminate flood damage to them. - N/A
B. Adequate methods shall be provided for the periodic disposal of sewage, refuse
and other wastes resulting from the uses permitted on the site. Where the
topography and soil conditions permit, adequate drainage shall be provided so as
to minimize flood damage.
C. The applicant shall show that the proposed development will not endanger health
and safety, including safety of gas, electricity, fuel, and other utilities from
breaking, leaking, short circuiting, grounding, igniting or electrocuting; obstruct
or divert flood flow; substantially reduce natural flood water storage capacity; or
increase storm water run-off velocity so that water levels on other land are
substantially raised or the danger from flooding increased.
6. Safe vehicular and pedestrian movement to, over, and from the premise should be
provided with the exception that all roads and driveways shall be at or near grade level to
prevent unwarranted diking. - N/A- No change to existing access is proposed.
(Amended 10/6/94)
5
. 1
ATTACHMENT B
Section 14.6 The Planning Board found that the applicant complied with the following
requirements for the development of land within the Watershed Protection Overlay District that
is at or below the 100-year floodplain:
1. The lot(s) shall be served by a public water system, designed so as to minimize or
eliminate infiltration of flood waters into that system, - N/A- The requested use is for a
replacement garage on a lot with an existing house served by public water.
2. If the lot(s) is to be served by a public sewerage system, the sanitary system shall be
designed to minimize or eliminate infiltration of flood water into the system and
discharges from the system into flood waters. -N/A- The existing house is served by
public sewer.
3. If the lot(s) is to be served by an on-lot septic system, the following conditions shall
apply in addition to those otherwise listed in this section: N/A
A. On-lot septic systems shall be located and designed so as to avoid damage to
systems by flood waters or infiltration of flood waters into the system and to
avoid discharges from the systems during flooding.
B. All on-lot septic systems shall comply with the requirements of the Northampton
Board of Health and State Sanitary Code in regard to percolation testing and
leaching area location.
C. The leaching area designed for use, as well as a reserved area for future expansion
shall be plotted with dimensions on the plan submitted. The leaching area shall
not be constructed within seventy-five (75) feet of the mean high water mark.
4. A. If the basement floor level is below the one hundred year flood elevation and
affords the possibility of human occupancy at some future date, although not
originally intended, the foundation shall be sealed by a water resistant sealer and
adequate perimeter drainage shall be installed to withstand or reduce the effect of
pressure and seepage. Furnace and utilities are to be protected from the effects of
water damage by seepage or flooding. - There is no possibility of future human
occupancy.
B. In the case of new construction or substantial improvement to a structure for
residential uses, the floor of the basement, or if none, the lowest floor of the
construction, shall be at or above the 100 year flood elevation. N/A- The garage
is not for residential use.
4
ATTACHMENT A
Section 14.5. In reviewing the Site Plan submitted with the Special Permit application, the
Planning Board found that the applicant provided the following additional details, as
required by this section:
1. The elevation above mean sea level of the basement, first floor, ground elevation, and
100 year floodplain level, and documentation as to how the project complies with all of
the criteria of§14.6. - Per Condition #3, the applicant must provide a plan showing
elevations prior to receiving a Certificate of Occupancy.
2. For all structures where any part of the structure will be below the floodplain elevation
the applicant shall provide certification from a registered professional engineer or
architect that the building is designed, constructed, and anchored to prevent flotation,
collapse, or lateral movement of the structure during flooding. This requirement shall not
apply to structures accessory to residential uses and structures used for agriculture,
horticulture and floriculture where those structures are build with concrete frost and
foundation walls that extend at least six inches above the 100 year floodplain and where
the walls are built to allow flow of water on both sides of the concrete wall in accordance
with the state building code (wet flood-proofing). - The applicant has provided a letter
from Frederick J. Dzialo,P.E. dated April 17, 1998.
3. For Special Permit applications for any use other than structures accessory to residential
structures containing one to three dwelling units and structures used for agriculture,
horticulture and floriculture the requirement for a 1" =40' site plan with contours may not
be waived unless the entire project is above the 100 year floodplain. -N/A
4. A statement indicating what other permits or approvals are required or have been
obtained from State and/or Federal agencies.
5. Where Federal Flood Insurance Rate Maps do not indicate a base flood elevation, data
from alternative sources shall be included in order to help determine that elevation.
(Amended 5/16/91)
3
termite-ridden and in poor condition.
D. The requested use will not have an adverse impact on City services such as the City's
water supply and distribution system, sanitary and storm sewage collection and treatment
systems, fire protection, streets and schools.
E. The requested use meets any special regulations set forth in the Zoning Ordinance under
Section 14.5 and 14.6. (See Attachment A and Attachment B for criteria).
F. The requested use bears a positive relationship to the public convenience or welfare, and
the use will not unduly impair the integrity of character of the district or adjoining zones.
The use will n9t be detrimental to the health, morals, or general welfare, and the use shall
be in harmony with the general purpose and intent of the Ordinance.
G. The requested use will promote City planning objectives to the extent possible and will
not adversely affect those objectives, as defined in City master or study plans adopted
under M.G.L. Chapter 41, Section 81-C and D.
In reviewing the Site Plan submitted with the Special Permit, the Planning Board found that
the project complied with the following technical performance standards:
1. No new curb cuts are requested.
Pedestrian, bicycle and vehicular traffic are separated on site to the extent possible.
The following conditions were imposed upon the project:
1. The design of the proposed garage shall be in accordance with the letter from
Frederick J. Dzialo, P.E. dated April 17, 1998.
Z. Construction must meet building code requirements for the flow-through of
water.
3. Prior to the issuance of an occupancy permit,the applicant must submit to
the Building Inspector a certified plan (stamped by a Mass.-licensed
Professional Engineer)showing the foundation and floor elevations, grading
of the premises, elevations of the completed construction, and stating that all
requirements of all permits obtainable at the time have been satisfied, in
conformance with Section 14.8 of the Zoning Ordinance.
2
Office of Planning and Development
City of Northampton d�
City Hall • 210 Main Street
Northampton, MA 01060 • (413) 587-1266
FAX (413)587-1264• EMAIL planning@city.northampton.ma.us ■ 1E
-Conservation Commission -Historical Commission
*Planning Board • Housing Partnership
•Zoning Board of Appeals
DECISION OF
NORTHAMPTON PLANNING BOARD„._
APPLICANT: Kenneth R. Salem Q 6
ADDRESS: 323 Bridge Street y
MP �
Northampton, MA 01060
r
OWNER: Kenneth R. Salem
ADDRESS: 323 Bridge Street
Northampton, MA 01060
RE LAND OR BUILDINGS IN NORTHAMPTON AT: 323 Bridge Street
MAP AND PARCEL NUMBERS: MAP#25A PARCEL#110
At a meeting conducted on April 23, 1998, the Northampton Planning Board voted 5:1 (Weil
opposed) to grant the request of Kenneth R. Salem for a SPECIAL PERMIT with Site Plan
Approval under the provisions of Sections 10.10, 10.11, and 14.3 in the Northampton Zoning
Ordinance to construct a new two-story garage in the footprint of an existing garage in a
Watershed Protection District at 323 Bridge Street,Northampton.
Planning Board members present and voting were: Chair Andrew Crystal, Vice Chair Daniel J.
Yacuzzo, Paul Diemand,Kenneth Jodrie, Anne Romano and M. Sanford Weil, Jr.
In Granting the Special Permit with Site Plan Approval,the Planning Board found:
A. The requested use protects adjoining premises against seriously detrimental uses because
the new two-story garage will be built in the same footprint as an existing garage and will
be an improvement over the existing structure, which is in disrepair.
B. The requested use will promote the convenience and safety of vehicular and pedestrian
movement within the site and on adjacent streets and minimize traffic impacts on the
streets and roads in the area because the structure will not change existing traffic volume
or patterns. .
C. The requested use will promote a harmonious relationship of structures and open spaces
to the natural landscape, existing buildings and other community assets in the area
because the addition will be more aesthetically pleasing than the existing garage, which is
1
ORIGINAL PRINTED ON RECYCLED PAPER
0 4-C PLO
9 6 �xsaxc4ncrttII
m DEPARTMENT OF BUILDrNG INSPECTIONS.
212 Main Street ' Municipal Building 'e
Northampton, Mass. 01060
WORKER'S COMPENSATTON INSURANCE + ' AVTT
(licensee/pelmi��ee}
with a principal place of business/residence ant.
3
3,-,( (phone#)-5 -s CV
(str�t/citylstalelap) —
do hereby certify, under the pains and penalties of per11-11-y, that:
( ) I am an employer providing the following workerjs compensation coverage for my
employees wor ing 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) ansuranc: Company/Policy Number) (Expiration Date)
(Name of Contactor) (Insurance Compauy/PoLicy Number) (Expiration Date)
(Name of Contactor) (Insurance Compauy/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (E)cpiration Date)
(&n—h additiooat shod ifnooc to inchsdc infvcw tioo pc:tniuing to 411 oo&radors)
I and a sole proprietor and have no one wonting for me.
I am a home owner performing all the work myself.
NOTE_please be aware that Whilo bomeowacn who employ persom to do m.inn m A ar x eoa5bnsc6oa.ar rcpair work on a dwelling of
not morn than thmo units is wltich the boq oowncr resides or oa tho Uvand,appuRcnnut tbacio arc oot goad oomidaed to be
cmploycta under tho-Mka,oompcnsaiica Act(GL 152-"1(5)),apptinabon by a homeowner for a license cc permit may en& 'bo
legal rtntua of an omployer undor the Works e,conxQ e ion Adt
I underatsnd that a oopy of thin ri�t=cat may bo forwardod to tho Deparinccd cf Tadashid Aoc moo of Iasursnoe for tho
covcrxgc verification and that failure to socam coves-ap uodcr suction 25A of MGL 152 cart land to tbo"imposshon of criminal pcnaltia
00austLas of a- ac-of up to S 1,500.00 aad/oc kapr6oamcnt of tip to.onc)-=and civil penalties in the focm of a Stop Work Ordcr.aad a
fins of 5100.00 a day t iinst tae,
Foe d'P'tMc t11 use°sty
bo
" PtiIIll�HuII1�CY
S.:�iaAato.. Of j•l.. CII]11 -
1
pu •� Z 7
A
� �. �sesACtlusctlx
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building `
Northampton, Mass. 01060
MAY 2 81
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: J 1
JOB LOCATION: j
(,Ma ) (Parcel ) (Subdivision)
HOMEOWNER: ( {rn.
(Name & Address )
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) farm 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. t '
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 Cpde, City of Northampton
Ordinances , State and Local Zd ng Law //and State of Massachusetts
General Laws Annotated.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
MAY 2 g 1998
8-MAY-1998 09:35:45 Hampshire County Registry of Deeds Receipt No: 81788
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
Name: MR KENNETH R SALEM Addr: 323 BRIDGE STREET
NORTHAMPTON MA 01060
Receipt Type: OR
Payment
Total Pages: 0007 Fees Taxes
Fee: $ 13.00 Cash: = 13.00 $ 0.00
Tax: $ 0.00 Check: Z 0.00 $ 0.00
Misc: $ 0.00 Charge: $ 0.00
Charge Code:
Comment:
Receipted By: BETH Status: PAID
DOCUMENTS: 980013433 to 980013433
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ype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
--- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------
IS3 007 0001 0000 0.00 13.00 0.00 0.00 28-MAY-1998 09:34 980013433 OR /5384/0181 INIT
Page 0001 of 0001
' FILE I �
MAY, 2 8 1998
APPLICANT/CONTACT PERSON:
3$,ADDRESS-MHONE:
PROPERTY LOCA ON: � 141 1
MAP C26* PARCEL: D ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING F01RM EfILED 011T
Fee pflid
C
Arressacy Structur, !:Z V424
TTEE
OWI NG ACTION HAS BEEN TAKEN ON THIS AP ICATION:
ed as presentedfbased on information presented
Denied as presented:
SpeYPLANNING ermit and/or Site Plan Required under: § _
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
6� ptic Approval-Bd of Health Well Water Potability-Bd Health
X—Per om Conservation mission
Signature of Building Ins or Date
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Public), Worlcs and other applioable permit granting authoritles.
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