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17A-076 (4) MAY z 199T r r� LOT# 39 R PAUL CEMETERY 102.5' PETE (' N�F STOCKADE FENCE N. O rn t t/2 r''o = STORY m v HOUSE � D LOT# 31A a r s 28.8'± Z r� DRIVE µ FENCE STOCADE � rri 136' '--I LOT# 31 '� NOTE: This plan has been prepared from deeds and plans of record, for mortgage purposes only, and does not constitute a property survey suitable for recording in the Registry of Deeds. TITLE: MORTGAGE INSPECTION PLAN SCALE: 1" = 30' OWNER: Mary M. Grden LOCATION: Northampton, STREET: 8 Cloverdale St. TOWN: Florence COUNTY: Hampshire STATE: MA. DEED BOOK: 2993 PAGE: 0013 PLAN BOOK: 29 PAGE: 34 REPORT TO: Source One Mortgage Services Corporation and Lawyers Title Insurance Corporation I hereby report that this plan shows the results of a Mortgage Loan Inspection performed in accordance with the Technical Standards for Mortgage Loan Inspections adopted by the Massachusetts Association of Land Surveyors and Civil Engineers, Inc. Furthermore, I have inspected the premises shown hereon and appropriate deeds and plans of record. Accordingly, record easements and encroachments of buildings or improvements across boundary lines, if any, are indicated on the plan, and the buildings are not located within a Flood Hazard area as defined on Federal Insurance Administration Maps. INSPECTION AND PLAN DATE: April 17, 1997 BY: HERITAGE SURVEYS, INC. _ COLLEGE HIGHWAY ��of�+As SOUTHAMPTON, MASSACHUSETTS � BBUCE A -4 COOMBS 27614„ Q �ONAt lAN4 Job # 3647-970408 Dwg. # 3647WA01 Map # 3647-970417 a % L4 C M n Z > > O )- x �► m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. M�'`� 1937 Additions % ! Repair ' APPLICATION FOR PERMIT TO ALTER J Garage 1. Location 0-1 oy e-y-doJ e S f- Lot No. 2. Owner's name �i'" A- Wo.F y\ Address 3. Builder's name Address SGt.{'V'� C &S 8 ✓C� Mass.Construction Supervisor's License No. Expiration Date 4. Addition !` 5. Alteration ll!�l tyiGj bLA C e- 6. New Porch tat 7. Is existing building to be demolished? N 8. Repair after the fire 9. Garage a 0 OJ5 No.of cars Size 10. Method of heating t� 11. Distance to lot lines 12. Type of roof C"I 13. Siding house_�'��(<<r �`_f $ 14. Estimated cost:- no 0. 4' The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signa re of responsible app-lcani Remarks ' O��ttAMp�O � s ((�y $ � � � �Tassachnsctts - 199 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Ft Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT Oiccensee/permittee) with a principal place of business/residence at: 7� (f LOLL.b 4Ci5 '-- 7— A&T'`fwy LaYphone#) `� 3 (street/city 1sta1&2ip) X+ If) "))"„ ,,I 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 or homeowner (circle 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 addfdoaal shed if necessary to include info[matioa pertaining to all ooatrad ) ( ) I ain a sole proprietor and have no one worming for me. ( a home owner performing all the work myself. NOTE:please be aware that while homcownera who employ person:to do maintenance,oomtr action or repair work on a dwelling of not mote than throe units m which the homeow=resides or on the grounds appurteau t thereto arc not generally oo=daed to be employers under the wocltet's compensation Art(GL152,ss 45)),application by a homeowner for a Hoc=or permit may evidence the legal status of an employer under the Worker's Compematkn Act I understand that a copy of this statement may be forwarded to the Depart=nd of Lxkofrial A=doo&Office of Insurance for the cove rage verification sad that failure to swAre coverage under section 25A of MGL 152 can lead to the imposition of criminal penalties 000ib;ting of a fine of up to S 1,500.00 an&or imprisonment of up to one year and civil penalties in the form of a Stop Work order and a fma of$100.00 a day against me Signed this___.�o _r day of 1Q 199' gPermit b e"use only ��— Number Lot# Siguahue of L emit tce Crlt� of 'Narf4alitptatt d ,-_„��` �l�asasclpisrtls T z f(�` ��A-QBPARTMENT OF BUILDING INSPECTIONS ' iT � �� e 'J �Vt5 r INSPECOR °� Main Street ' Municipal Building { MAY 2 ? ft, Northampton, Mass. 01060 +e HOMEOWNER LICENSE EXEMPTION (Please Print) DATE• JOB LOCATION: / (Map) (Parcel) ( bdivision) � p J L '_ L. � HOMEOWNER: � ' 1,V A 2 T b > (Name & Address ) --K F 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. 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 PERMIT # 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 cola= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size S . S ,,ul s9c) o J 8-&� Frontage Setbacks - frnnt 3g ' 3 - side L:-,3 R: I& L: _R: 1 - rear Building height / 1 Bldg Square footage k�lb 1 5 j6 53,5 © %Open Space: (Lot area minus bldg ' &paved parking) # of -Parking Spaces -, # of Loading Docks Fill: 4vo1-ume--& location) U d 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. D21TE: APPLICANT's SIGNATURE NOTE: Issuanoe of an zoning permit does not relieve an a lioan burden to oom wit PP PfY !l,.,+RII-, zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting euthoritlea:.. !: FILE # 3 LS MAY 21997 s r File No. t 20 3NING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: --rp r:i n "l �;k V.)6 e Address: 'l f '" Telephone: " 4, 2. Owner of Property: a Address: oye r.} Lf;- "' Telephone: I f 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# _ Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property , TMs . 'f T 6. Description of Proposed UseMlork/Project/Occupation: (Use additional sheets if necessary): U--t! ore _ �4}r{� I {f . Wit ? - ()fs I ; 7. Attached Plans: ✓f 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW U ''�®' 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) FILE # 962189 - MAY 2miCANT/CONTACT PERSON: ' 3 A.DDRES,S/PHONE: �ORTY LOC TION: PE MAP PARCEL: 7 (o ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM Ell LED OUT Fee pnid Adriitinn to Existing T TI-JE Ltr LOWING ACTION HAS BEEN TARN ON THIS AP ICATION: 1' 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-Bd of Health Well Water Potability-Bd Health Pe ' fro ons on Signature of Building for Date NOTE:laauanoe of ea zoning permit does not relieve an applioant'a burden to oomply with all _ zoning requir-amenta and obtain ail required permits from the Board of Health, Conservation Commisaion, Department of Publio Works and other applioable permit granting authorttles. ��. «�. _ . a�� ��'` � '. F� City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Strucn Components Com a nents in Place* 3. Complete Building* No. 358 Office of the Building Inspector Zoning Form No. c)621 Sc) Daie S/2/97 Fe&i01.00 Check* 307 Page,. 17A Parcel 76 ,Zone�WSP R 14 BLT'f,,_Jju1NGx ajRl,. 1 * Plumbing and F1-ctrical Inspections required HIS L'AT L'rac:ey W on _ _ More Building Inspections construct 14' X 18' one _,L�+_y addit_�on w/bath, has permission to strip & reshingle roof,iiL.2_all vinyr siding Inspection on Site-Foundations iii'✓ �,,� �:� r situated on 8 Cloverdale Street Inspection of Plumbing trough 7 7 P rovided that the Pe rson ac,e P tin this xn-nit shall in every respect inspecti��3 -,FPlumbing—Finis ?��A- conform to the terms of the application oli file in this office,and to the Gas Inspection provisions of the Statutes and the Ordinanc-s relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough 7- s 4 ? Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection Q d- 7 7 of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish O<; . /Q- /, 7 7-,z��, Smoke Detwors(Fire Department) Other - THIS CARD MUST UE DISPLA ONSPICUOUS PL.A.CE ON TIWPREMISES Certificate of Occupancy =tom„ Building Inspector