17C-002 (6) I y
�a > o
M X
v -o
m
3 0 0 �
N
> to O
z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel. o� Alterations
NORTHAMPTON, MASS. y I�l 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
L, Garage
1. Location 7 ' � r3+ �''t: Lot No.
2. Owner's name �' S C x t ,• ;`„Cyr-,!r,. Address '-/,/o °{.
3. Builder's name d?=r f Address r '
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration t )r , •"
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
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his. I
knowledge d belief.
Sig aiurt responsible app,ieont
Remarks
4
O4't�Nf'T u( 1
r
(Lx
$ a to - 2
Asssacaasrtta
F,tl�jplD�¢d DEPARTMENT OF BUILDWG INSPECTIONS
S9 ti
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
"WORI{EWS COMPENSATION INSURANCE AFFIDAVIT
tense-Jpermittee)
with a principal place of business/residence at:
-A �'1 & •' "14 MO( (phone#)_
(st ceucity/stafdzip)
do hereby certify, under the pains and penalties of perjury, 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 homeown cle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) ' (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sbcct if necenaty to iachsde information pertaining to an correctors)
( ) I am a sole proprietor and have no one working for me.
I am a home owner performing all the work myself.
NOTF—pl=wbeaw=dtxtwirilobomcow=3wboetnploypersowtocio.;,dm-n= construction or repair work on a dwelliag of
not tore than throe units in wwcb the bomeowwe resided or on the grounds appurtenanithordo are not sraemily co=dcrod to be
employers under the wod=a z compcasaiion Act(OL152,ss 1(5)),application by a homeowner for a license cc permit may evWwe the
legal ctatva of an employer under the Walcoes Compamatioa AcL
I understand that a copy of this statement may be farwrvdwd to the Depwtmm2 of Industrial Aeci4w&Offioo of Imucwce for the
ooverage va ifieatim and that fadure to seam coverago under soction 25A of MOL 152 can lead to the imposition of or=md penalties
oomis ag of a fine efup to$1.500.00 wNor i qui mmccd of tip to one yw sad civil p=&Wcs in the form of a Stop Wort[Order and a
fine of$100.00 a day against ma
rwrlr�w..+�'.•^'""" For deputaental—a+ty
Permit Number _
of Date heap# Lot#
a e Crzf� of wort 17ampfall
� •�• � -
NOV - 2 1999 _ DEPARTMENT OF BUILDING INSPECTIONS
INSPE TO 212 Main Street • Municipal Building
Northampton, Mass. 01060 . ••`
DEPT Of BUILONG `mm
HOMEOWNER LICENSE EXEI•IPTION
( Please Print )
DATE:
JOB LOCATION:
(Map) ( Parcel) ( subdivision/
HOMEOWNER: 1
(Name Add s )
75 a��
(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 reside.-s" 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 . peklod shall not b.e -
conside.red a -homeowner. Such "homeowner" shall submit to the Building
Official, on a form acceptable to the Building Official, thi Lt he/she --
shall. be responsible for all such work performed under the bukldiriq
permit'.
As acting Construction Supervisor your presence on the• j:ob 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 responsibi=lity
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. PEiUMIT #
r.: r
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT
TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED.
LOCATION ACCURACY IS NOT GUARANTEED
NO
s rJ;x y'
i�
TO: SPRINGFIELD INSTITUTION FOR SAVINGS &
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #
250156 _ -NOTE-
SURVEYOR: <':• ,- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
OF A*a —MORTGAGE LOAN INSPECTION PLAT—
X,,
� NORTHAMPTON, MASSACHUSETTS
RAN DIILL � PREPARED FOR
IZ. H EDWARD B. SKROSKI
135032 SCALE: I "=40 ' JULY 6 , 1998
�'ti R oP HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET- — HADLEY — MASSACHUSETTS
5
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.
Thin column to be filled i.
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Z.n' C1 C R
Frontage ly 1r
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height r
Bldg Square footage ,
5
%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
P
DATE: APPLICANT's SIGNATURE "
NOTE: Isaumnoe of a zoning permit does not relieve an app 'ioanr*` "rd to oomply wit" 4111
zoning requirements and obtain all required permits from he Bo rd of aalth. Conservation
Commisalon, Department of f ublio Works and other applioablo p m granting authorities.
FILE #
NOV - 2 1999
®� �� Electric,Plumbin
Northam toA 1 Gas Inspections
Fi 1 e No. MA 01060
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Vii° ' "`1 4c11 °YI
Address: Cif .` >t ^ , Telephone:
2. Owner of Property: ' Er= `
Address: Telephone:
3. Status of Applicant: t Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: y & ALk
Parcel Id: Zoning Map# �� Parcel# District(s):_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT,i
5. Existing Use of Structure/Property `'
6. Descnptipn of Proposed Use/WorkJProject/Occupation: (Use additional sheets jf necessary):
Al eZ7
P2 r
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 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/oar'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-2000-0475 \
APPLICANT/CONTACT PERSON MONTGOMERY JESSE
ADDRESS/PHONE 46 OAK ST Jrd2—�tf�,2
PROPERTY LOCATION 46 OAK ST ,
MAP 17C PARCEL 002 ZONE URB
THIS SECTION FOR OFFICIALi,USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled o
Fee Paid /,6--
LTeof Construction: REBUILD&REPAIR 2 PORCHES SAME FOOTPRINT
New Construction _
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Lo'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
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co si /
Signature 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
46 OAK ST BP-2000-0475
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-002 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0475
Project# JS-2000-0825
Est.Cost: $1000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Sizes . ft. : 19602.00 Owner: MONTGOMERY JESSE
Zoning: URB Applicant.
AT. 46 OAK ST
Applicant Address: Phone: Insurance:
ISSUED ON:1119199 0:00:00
TO PERFORM THE FOLLOWING WORK.•REBUILD & REPAIR 2 PORCHES SAME
FOOTPRINT
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 11/9/99 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo