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25C-191 (2) BOARD OF ASSESSORS ASSESSORS Joan C. Sarafin, M.A.A., Chairwoman � _ Telephone Joseph G. Cross, Secretary (413) 587-1200 (413) 587-1201 w. WALLACE J. PUCHALSKI MUNICIPAL BUILDING 212 Main Street k Northampton, MA 01060 riM, 'G� T1iAMp APR 3 01999 DEPARTMENT OF BUILDING INSPECTIONS zF INSPECTOR 212 Main Street • Muuicipal Building '>o - Northampton,MA 01060 Applicant Information Name-- Gam—' ---� � --------------- Location —2 -` —��j ✓f V1 — r �-�. .----------- City X I A1J-� �L,� � ------------------- 1 am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. Company Name ------------------- -- Address City----------------__ Phone# Insurance Co.------------_—Policy#------ — Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of MOL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00andlor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DlAfor coverage verification. I do hereby certify u d pairs and penalties of perjury that the information provided bove"s true and correct. Signature Date _ Print Name`CIE f l Or_G dx LV— —Phone# 59&—Z-f S� Official Use Only Do not write in this area to be completed by city or town official City or Town PermitJLicensef- ❑ BmUnc Dept E]Lrensing Bond Check K immediate response is required ❑Sekcirmn'Dept. Contact Person Phone# ❑Heallh Dept. t I S O�gtIMlp?O �. a♦ 'e - Crif� of 'Wart1jamptall 6 M its sxdt its etIs APR 3 01999 DEPARTMENT OF BUILDIT;G INSPECTIONS INSPECTOR F `-' 212 Main Street ' Municipal Building '�M Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: �/�C 001 ��� (M�)�� (Parcel) (Subdivision) HOMEOWNER: o G 9 (Name & Address) �- (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 Zoning Laws, and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PEPMIT # a Ila . ;i,. °°1� �2 N-�'d 0 0/4 MNII-jSIX-�y V,�Yv ro r-I F M� i f _. .._..�._... .........- ._« i i 1 s 4 3 k . t , Jai-s A,CA 9 tj I djs� j I J I'V)A 'A -Z d I-C J,2 '"S ,Ad It 0 o 0 P -YOO 41 j IJ t f R O VIP ;F 1 F 136 Ali I 1 l ; f i S t S 4 I I' t i I Ct f } I � i { b � I { f tt. LQ�f .t Z m r v c+) ;Z, ' a z ` O .�r 4i O a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. i'/ Z 19 / / Additions % ` ' APPLIa CATION FOR PERMIT TO ALTER Repair 11 Garage 1. Location Ave TO V1 /Lot No. 2. Owner's name �3 �L Address C �00 ►�`C. 3. Builder's name s A tM Q Address tti j . Mass.Construction Supervisor's License No. Expiration Date 4. Addition L PW-oaf S-6 'itw, ��SfC�nd 101 5. Alteration C,v r\V ft4 t_n,D S-[ Y- i YI:6 S-e 0C,r-a l t' e D at'(CYv�P 6. New Porch � 0 A( 7. Is existing building to be demolished? g 0 8. Repair after the firerr D 9. Garage NO No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof �- 13. Siding house �^ 14. Estimated cost- 000 The undersigned ifies that the above statements are true to the best of his, knowled bel f. Signature ojrtsponsrb(t app icant Remarks LA nl fl V , fix►s-h a5C — 191— 001 CD I co j n 1 E 31 w� r3 i95�r�tEn1T 13a- 3a- � gg' I I E p Q O u >r0 y P�poS=� �a;,"c g s e 10 t ocu 'vv� GAIPAGE 1 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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This columm to be filled in by the Building D-Pax—nt Required Existing Proposed By Zoning I Lot size Frontage Setbacks - U S ►,-L- - side L: D� R: f 3� L: S� R: - rear 35 S 2 D Building height C� 10 i �J Bldg Square footage 3-700 %Open Space: (Lot area minus bldg &paved parking; ��6 # pf 'Parking Spaces C �- # 'of Loading Docks 0 Fill: -(vol-ume-& location) O �� 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowled e. DATE: �11-qlqq APPLICANT's SIGNATURE NOTE: lua anoe f a zoning permit does not relieve an a ply ants 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 applioable permit granting authorities. FILE # APR 3 01999 File No ,.r94 . .... F ZONING PERMIT APPLICATION (§10 . 2) PLEASE E TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: h l 0,1G . Telephone:- 596 -2-1S 2. Owner of Property: SAM C Address: ttM,5�- Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 1 4. Job Location: 749 I L"j G h Gt v,d Av,�_ Parcel Id: Zoning Map# �� Parcel# District(s): (TO BE FILLED IN BY TH BUILDING DEPARTMEN-1)- 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): ��� � �5D L r © G.Y-A-VYA f6 n"6 - y / c� ' C 10 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? NO DON'T KNOW- 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#BP-1999-0904 APPLICANT/CONTACT PERSON Gail Paddock ADDRESS/PHONE 31 Highland Ave 586-2159 PROPERTY LOCATION 29 HIGHLAND AVE MAP 25C PARCEL 191 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled o t Fee Paid Typeof Construction: 2 FAMILY-3 FAMILY EXTERIOR STAIRS&INTERIOR REMODELING New Construction C Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased 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 Conserva4CZsio g Jature of Building Official 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. a f 29 HIGHLAND AVE BP-1999-0904 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25C- 191 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-1999-0904 " Project# JS-1999-0026 Est.Cost: $3000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(sg S.Z 5706.36 Owner: Gail Paddock Zoning:URC Applicant:_ AL: 29 HIGHLAND AVE Applicant Address: Phone: Insurance: ISSUED ON.-611811999 0:00:00 TO PERFORM THE FOLLOWING WORK.-2 FAMILY - 3 FAMILY, EXTERIOR STAIRS & INTERIOR REMODELING 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 Sienature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/18/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 29 HIGHLAND AVE BP-1999-0904 + GIS#: 1 , WEALTH OF MASSACHUSETTS Map:Block: 25C- 191 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-1999-0904 Project# JS-1999-0026 Est.Cost:$3000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Lot Size(sq.ft.): 5706.36 Owner: Gail_Paddock_ zoning:URC Applicant:_ AT: 29 HIGHLAND AVE Applicant Address: Phone: Insurance: ISSUED ON:61l8/1999 0:oo:oo TO PERFORM THE FOLLOWING WORK.-2 FAMILY - 3 FAMILY, EXTERIOR STAIRS & INTERIOR REMODELING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.PA .� Inspector of Buildings Underground: Service: Meter-, � Q� Foothigs: ( � Rough*Ap Rough: House# Foundation: J Final: < ? � Final: Rough Frame:6 K 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 f Occupan i nature• Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/18/19990:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo