The URL can be used to link to this page

17C-093 (5) a z T � D `b =• m 70 a CA C y Z a � I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.S' `y g Alterations NORTHAMPTON, MASS. TU/V 3 19 8 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 13 0 CH Lot No. 2. Owner's name Fj Address 13 d C4-1—5 T r 5-7_ F c- 3. Builder's name d Address 15�'g A-7 Mass.Construction Supervisor's License No. Expiration Date 4. Addition /VO 5. Alteration /;.v)s ,r 6. New Porch /U 0 7. Is existing building to be demolished? NG 8. Repair after the fire /y c 9. Garage—Y C---s CAJ o T U 5 E D 2 Ai i-r 1 No.of cars 1 Size b `u 2 0 > 10. Method of heating v N 7u,4/-e- V C-- X95,- 0 6/9 D 11. Distance to lot lines 3 0,V H%C-5 !v D�e l N v R —rt !i D O ti'Sa -rr-I 12. Type of roof T,v o /��'✓af� } 13. Siding house At C- Aloiv 14. Estimated cost:- The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of responsible app,icant Remarks LxCEF-'f �v.� sriau /itJ 5,C7=cy,u -[ r1,s2 1J�Jti'DL7G•s CA E /Uri r ta. O p DEPARTMENT OF BUILDMG INSPECTIONS INSPECTOR 4 1998 212 Main Street ' Municipal Building Northampton, Mass. 01060 r,, HOMEOWNER LICENSE EXEMPTION �j (Please Print) DATE; L U JOB LOCATION: (Map) (Parcel) (Subdivision) HOMEOWNER: /"?l CH 0- /� .77 Poo, -7-,z (Name & Address ) / _I--3 i lJ 77 r88 1 3�/ ( 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. o Also be advised that with reference to Chapter 152 (Workers ' Compensation) and Chapter 253 (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 S I GNATURE BUILDING PERMIT # x t. 4Ctt/V rPJ 4 1993 Crib laf �nx#��nt��>xn a _ t AX55Xchnsrtla m DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORZCER'S COMPENSATION INSURA-NCE A 't AVIT (li ce nsee�perm;tzcc} with a principal place of business/residence at- 1 ,3 CD (::,H C5Tiuu t' ST- . oe��✓c �a (phone#) L//3 5 Lf-y/guy (st1-t--c/city/state/ap) o/OeS3 do hereby certify, under the pains and penalties of pcquy, that: O I am an employer providing the following workerjs compensation coverage for my employees worming 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 worker's compensation policies: (Name of Conrmctor) (Insurncc Company/Poicy Number) (Frpireaon Date) (Name of Contractor) Cu surmcc Company/Poticy Number) (Expiration Date) (Name of Contractor) (Insivancz Compaay/Pokcy Number) (Exptmaon Date) (Name of Contractor) (Incur-ace Compauy/Policy Number) (Expiration Date) (etLith additieail sheet if nocmuy to ine}utic infocmeti oa pertaining w all«:etradon) ( ) I am a sole proprietor and have no one working for me. I am a home owner performing all the work myself. NOTE:plcaac be aware that wfrilo bcc,�wtw cmpioy panc=to& • wzt,,,6oa:cr rcpav work on a&Yrniag of not moo than tbrw trait,in Whch the hom,,Owncr,c &,or oa tbo U,:K hs appurtcnaal tb,,C arc out g�1ly oowiducd to be --ploy—tinder tbo wor�oompen54ca ALL(GL152,5a 1(5)),application by a homeowner fare 60=a-«permit may cvidcme the lc921 rtahrt of an employer under tho Wccicols Comp..Lioa Ad I undazLLnd that a copy of thin rUlt cat may bo f«warded to the Deparimcvd of InrS»isie;Aoadcnrl 01500 of Imaiinc000 for rho covay.gc VCri atioa and that failure to tcatrc covcrngo tmdcr suction ZA of MOL 152 czar lcsd to tbo'impositioa of criminal pcmltics oomisinta of a-1Dne of tip to S 1�00.00 aO&oe imprisoamcut of tip to 00-year end civil pem2lia in the form of n Stop Work Oider.and a film of s 100.0o a dry tgninil ma For dcp�tsio caly P l czmt Number SigaErsc afLt criniti.c F �. i O fan z QiN 05. O m a n I i ova �a Moahtr� � z��d 91'�►a tai+ � ^v/ S no TP 0 Sir t aD Yi 4 N l� 1 f - # f 9 { _.. �.. �3 � 1 o Fr !0 A n�t� LaoR PP L4 H7- � y RAvr�QS � tr►6 P"ROpaSED '� S �✓�E,r1R►j°fi' f,��rtr� K,��,,,�� 5 X�� o w�wne K✓ a a a El f1EP[�,S�i4c.(, !�i.cSl?2�ajss5 emu,YAK 3` L 7o 4. u - �.� ---�-- V\ 1c) tL o 'C �- '�' x t5TfA) Wi�vDew 3 d .e p U _ BHT 2 Q x o U `� NJ k © U � n 11 cam. 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__Z IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola= to be filled in by the Banding Department Required Existing Proposed By Zoning Lot size Frontage �� M Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) # f Parking Spaces f of 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 �DAZE: g APPLICANT's SIGNATURE NOTE: Iss anoe of a zoning permit does not relieve an applioant' urden to ply wito,,pll- zoning requirements and obtain all required permits from the Board of Health, Conservtstion Commission, Department of Publio Works and other applioable permit granting authorities. FILE # iv 41998 File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: P C o N-%67Q- s ✓ /2_ Address: 130 C'P!e-5 --tiu ?- / z6 '!'phone: 2. Owner of Property: 51q-1 Address: 5,4 -1 a Telephone: .5"A 3. Status of Applicant: �4wner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# 6 District(s): (TO eElFILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property -5-76X>--'4 C- it 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •�,v H1 .�f'i�.�� .��cs u,2 iZvF� c�� 2 r4�� Tl? 7. Attached Plans: V/ 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/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) 4 @98 8 FILE # 963630 , APPLICANT/CONTACT PERSON: �� ADDRESS/PHONE: PROPERTY LOCATION: /Ser MAP PARCEL: ZONE THIS SECTION FOR_OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZQNTNCI FORM VULED OUT Fee Pnid IRnilding Permit Filled mit -RPrnndPlin2 Interior Additinn to Existing 2:2E Y'l Arressnr34 Striirtlir, 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: § —PLANNING BOARD ZONING BOARD Received & Recorded at Registry of Deeds Proof Enclosed Finding Required under: § wIZONING 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 lPer ' from Conservation mission Signature of Building Da NOTE:Issuance of as zoning permit does not relieve an applicant's 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. P ,v ., TM, REQUIRED INSPECTIONS g i t - 1. Footings and Walls B L 2. Structural Components in Place* 3. Complete Building* $t �; ha 5 3ec 'l3'@ No, 1674 Zoning Fornu No. 963630 Date 6/10/98 Fee$40.00 Check# 505 Page, 17C Parcel 93 ,Zone URIC Section 127 ❑ Yes No "41 M1 * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Richard �'owUrs before Building Inspections finish 2nd f r a garac tc ruby has percussion to room — _ Inspection on Site—Foundations situated on 130 Chestnut sr Inspection of Plumbing—Rough provided that the person accepting tins � r Ott �' :li i�t Inspection of Plumbing—Finish P Pe P � 1._x= . conform to the terms of the application on roc in t!;:s off icv, o t 1e Gas Inspection provisionsof theStatutes and theOrdinances n:1a6i-Ag-Lo n:la6i-Ag utheC :�a ti -ir, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Noy a�nhton. Any violation of any of the terms above noted;s an i in,mediate�-;vocation Inspection of Wiring—Finish of this permit.Expires six months from dtste of issiLfince,if uii t . yid. Building Inspection—Rough Note:A certificate of occupancy will be issu d by tli s office uli;o n v"'w;a Insulation Inspection of this card signed by the Plumbing,Wirin-< d Building, Building Inspection—Finish ** Install per Manufacturer's information: v,/ idows, vinyl si i:,g, -Uofs and woodstoves Smoke Detectors (Fire Department) Other THIS CARD MUST LE D1 LA PLED r.-N A CONSPICUOUS-PLACE ON PREMISES ,Certificate of Occupancy But Q Ting Ins