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25A-158 (3) > o M V 0 � � m a o � m (\ i= S O 5 a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._ Alterations NORTHAMPTON, MASS._S~ U - c 1931 Additions i APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owners nam 4 �� / Address l/3-yw 6 a S ,/-�U 3. Builder's name ij e Or Address ODe °6 4/090 Mass.Construction Su rvisor's License No. I I I rr�a Expiration Date E' 01 10 K �q 4. Addition toD} Col)V1G� dl_�OVe-}L►�e°-arQV>7a1 IQ 661 5. Alteration 6. New Porch I�IO 7. Is existing building to be demolished? N0 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- 2 The undersigned certifies that the above statements are true to the best of his, her knowled a and belief. Signature Jresponsible appicant Remarks =O O� L YE p - JULZ i �i ><�axctinarlta DEPARTMENT OF Buim tG INSPEmoNs 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORZfCR'S CONTP NSATION INSURANCE Al'=AVIT t (hceascrJp`.rui .Lcc) nth a principal place of�Jb/nsulessJresidence at.a Nlov&6 _3�"),0 r4h 4�(sn ty/statrJzip) do hereb} certify, under the pai��s and penalties of perJui t!iat. ) I am an eLIlplO}'el (JrCiV1CilIlp the f011OwJlt]C, AVOi!':,"[,5 CO[Cj]:;aS�'i]OD COV,�r�?ge iOC (Pv emplovees wori�.inv on this job: -- (IIlsll_i2i:Cv C-0`�`1?l r?J) (_�Ot1 C]' Iti:11.TiC�i) - —�•L-,`:�.;�:i]G(!I�c_L.) <�J l c SOIL IOU CrOi JCIIerc� GO r1tT.CTOC Or !?0?Ile— O--1113U�CliCIC', One) cad bcVC hired the contractors listed Mow who na-,,-e thhe Mowint; worker's Compensation pohcies: t a i- �v►,pec "NIOr►a�- !,6p os ��-- a!,�r 0,t-on[rac;cr) (111 i_ -oil ;ii',tic�' IL� • r) ( �:��� [ n Dnlc) C' amc al collu,lc,Or) (hnZllnP� Coull)lllj'i'Poiicy Nl!I11'_-00 d,�p dC0i1 Dale) (Name of Conrnmor) (Lnsurancz Compan)./Fokc-f Ntlm1�_r) (Expiu-,lion Date) (Nave of Contn.cior) (Insurance Comnas;y/PoLiey Nur�✓zr) (Lxpiraoon Dam) (rtuc?i��:ticu!s_.ccf tf r.c.;e:.ry to�:xJu�ic,n:�crru[i en p�t�aa_r.E la dil c�.Gn..�o�� ( ) I am a sole propnetor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE please be atrr t[tut wtulo 6om pwncrs vfro cmplQy IxrT c ctioa:ar r�z r work oa i chvctling or not tnerb than thtoo units is trhieb the bozzwawacr rcida a oo tbo Qour�ipputtcnuw tbrrcto etc Dot wally oomiducd w tx «P1ayYSa under lba wocicu`i z=lien Acx(GL1S2�t(S)�apFliriOoo try n 6omeown�r(oz s li«nx«permit may evideooe the legzl rtnbu of as Mployor under tbn Wo&l .Comp.U10C Act I--kntaad that a Dopy of t4it it: m may bo Corworded to Lb.Dcpc.tm of f la ur.noo for the cova agc",I ficalioa mad that Uurc to socurc oovcr uodcr souion 23A of MOL 152 caa Icsd to tbd i,, o 011 of crimi pcalwcs °O dCst�oe aCup to S 1 500.00 and/or isx:{n aomzi of up to.00c yc=r end eivt7 pcn�ltio uu the form oCn'Stop Wocic Oi der.iod a firm o(5100:00'x dry igetriA¢ic.:.. Fa dq tmmpa u,c oaty T?cimllNumbcY .:, . . Sigioalurc tafL: perDOa.tLcc - . } `Kttlufp �•• t }Z;aiaxchuartla � ` JUL 2 10 DEPARTMENT OF BUILDING iNSPECTIONS '` ,✓ INSPECTOR 212 hfnin Street ' Municipnl'Building Northampton, Mass, 01060 HOMEOWNER LICENSE KKEMPTION ( Please Print.) DATE: g JOB LOCATION::_ cq�,14 (Map) (Parcel ) ( subdivision) FOME,OWNER: X) a� C� `11 am & Adres , ATE ( Home Phone) (itler Phone) Alm 49, 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 ''CIF . 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 conside-red a homeowner. Such "homeowner" shall submit to the Building Official , on a form acceptable to the Building Official, that he/she Shall b ? <;T�OI1S1� —E for - c!._!such �;ork per`oY=I1?ed 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 . o " 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 ma be liable for person( s ) you hire to perform work for you under this permit . r The undersigned "homeowner" certifies and assumes responsibility 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 If i r P f +S M di i j i gs , 4.4 a , i *; _ • w i 1 i r � J7 r 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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to be fiia d in by the Building Department Required Existing Proposed By Zoning Lot size Frontage �] Setbacks r - side L: R: L: R: - rear Building height NIA Bldg Square footage 99 � �i 9 9 G Q 3L %Open Space: (Lot area minus bldg ' &paved parking) � l•' f Parking Spaces # rof Loading Docks Fill: _(vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. _1 A DATE: - ' APPLICANT's SIGNATURE �_ �wlh NOTE: laa ano o a zoning permit does not relieve an applloant's burden to mpty -4211 zoning raquiratnentu and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applloabie permit granting authorities. FILE # JUL 2 File No. ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION/ 1. Name of Applicant: �cltlld � �t alp YtC' /�i tk 4' �)re G ( a rt I p r"' Address: orlh , f ./"�l't1►a/1dfphon : l ��� j g,y-9!-� _v y,%�i ,� (p _ Tel hone: / 2. Owner of Property: t yYIP_ a 5 a]D© 11rLr-- Address: Telephone: 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# 5 S' District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Propose Us /Work/Project/Occupation: (Use additional sheets if necessary): 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- ox. YES_ IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X 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 # � JUL 2 199 APPLICANT/CONTACT PERSON ADDRESS/PHONE: PROPERTY LOCATION: MAP__ PARCEL: �� ZONE THIS SECTION FOR-0FFICIA.L. USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FTT,T FD OUT Fee Pnirl Building Permit Filler! niit Fee Pnid MO ✓ Rpmndelin2 Interior Addition to F.Yictina Arrecto�ry Strnrtnre $nil_ riinaPlanc Tnolnrlerl- THE FOLLOWING 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: § PLANNENG BOARD _ ZONING BOAR-1) Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § NN/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 "'' ". ? •` {W'He ail Well Water Potability-Bd Health !Permit from�C.onnserva ' Coinmissiou 'ot - Z Signature of Bull din ector ate NOTE: Issuanoe of a zoning permit does not relieve an appiioant's burden to oompty with all zoning requirements and obtain nil required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorttles. Department: Reference No: BP-1999-0009 ................................... Building,Electrical & Mechanical Permits ..................•...................................................................... Fee Type: Receipt No: Above ground pool REC-1999-000015 Paid By: •..................................... Paid in Full On: Dianne & David LaRock Thu Jul 02,1998 .........------•.........................................•--..•------••••••..._.......... Received By: .Check N-.-.- -.--.N o::................... Linda Lapointe Money Order .......................................................•---•--..........------ y ...................................... DEPARTMENT'S COPY Amount: $20.00 ........................... DEPARTMENT FILE COPY 242 NORTH ST CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: 02 Jul, 1998 BP-1999-0009 $20.00 GIS #: Map Block: Lot: Address: Zoning Use Group: Lot Size: 4373 25A 158 001 242 NORTH ST URB 32060.16 Contractor: License Type: Insurance: Homeowner as Contractor Address: License No.: Insurance No.: City: State: Zip Code: Phone: Pro oect No: Category of Work: Const. Class: Cost Estimate: JS-1999-0017 $4,000.00 Description of Work: install above ground pool GeoTMS411997 Des Lauriers&Associates.Inc. C.m,o,t,�rp•