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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 19 Alterations
NORTHAMPTON, MASS. 4 19 ` Additions
' �
APPLICATION FOR PERMIT TO ALTER Repair
��11 Garage
1. Location °��lcl�`7 N �? i- y:�C':� A Lot No.
2. Owner's name -ANN C(<1:E A ,.i Address Y�<
3. Builder's name 1✓&14 ✓ lam-' = Address Pi) 5( 0-y'
Mass.Construction Supervisor's License No. Expiration Date - 1
4. Addition
5. Alteration
6. New Porch gaz a f`, U.krc� �;�l e= =L1��'� 'c)/ c '
7. Is existing building to be demolished? o
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:- a-
i
The undersigned certifies that the above statements are we to the best of his, her
knowl belief.
y Sig'natu of responsible appicant
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Remarks L-1A tl~�:� lac^t� 17C?/k f' j r� lk e'�� a ru f�c, � w -�>i ��--•
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u, DEPARTMENT OF BUILDING INSPECTIONS
..n.. 212 Main Street ' Municipal Building
Northampton, Mass. 01060 'v,y
WORKER'S CUPOTENSATION INSURANCE A
+ AAVIT
(licenserJpermittce)
with a principal place of business/residence at:
l t2i�d 14 ��T. i�.�T�.�j�. �"�,�J� 0 10 0 2- (phone#�, ,
�4 t `✓
( city/statelap)
do hereby certify, under the pains and penalties of peoury, 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 Contrnctor) (Insurance CompanyiPohc-y NurriCcr) (Expiration Date)
(Name of Contractor) (Inure= CompaiiylToricv Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(N e of Contractor) (Lnsurance Company/Policy Number) (Expiration Date)
(attach 'oail sbcei ifnoc = to include iafvrmiiioe pertaining to all rogation)
( I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that whim homeouvcm who cmplay persom to do mint construction or repair work on a dwelling of
not morn than thr o units in which the hom owner rcudes or on the gfoua is appurtcnard tha cto arc not Gc»crally 000sidacd to be
etnployaa under the worker`s.c000pcosafion Act(GL152,ss 1(5)),application by a homeowner for a liccise or perm maY evidcnoc the
legal rwu of an employer under the Wodcods Compmsafion Act.
I understand that a copy of this crat—rd may bo forwarded to tho Departmra2 of Industrial Aecidca&Offioo of Irrxuanoe for the
coverage vmficstiov and that failure to aoatre wvcrago under sccUoa 23A of MOL 152 can lead to tbd imposition of criminal penalties
coosistivg of a five of up to S1,500.00 and(or imprisa�of tip to one yar and civil pcnattia in the form of a Stop W orit Order and a
find of 5100.00 a day against me
For dcgart az=tal use only
Permit Number
�-� N(ap# Lot#
crnscc/P
Si ofLiermittee
10. Do an signs ebst on the roe YES NO
Y 9 property?�
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO v
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 Balding Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkingi
# of 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
D?II'E: ( APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an a lioant's b rden t o0o mply wltf)1 ,+pli
zoning requlrements and obtain all required permits from the Board�f Health. Conservation
Commission, Department of Publio Works and other applioable rmi granting authorities.
FILE #
r_t 5 lndg�
Fi 1 e No.,�
PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
�p
Address: V 0 3 �T 16-14m, J- M Telephone:
2. Owner of Property:
Address: 0�����EF-Ncyjelephone: D
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): C:Q w`r'
4. Job Location: l?rfa 'P.c�oc — )rt
Parcel Id: Zoning Map# ! '7 C-- Parcel# 15 Ci District(s): �� -
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �7 i {✓r.►'z';rpr t
6. Descdiption of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
c-a
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 Perm itNariance/Finding ever been issued for/on the site?
NO DON'T KNOWS tl 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 L� 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-1999-0299
APPLICANT/CONTACT PERSON Raymond Seager
ADDRESS/PHONE P O Box 372 (413)549-1873
PROPERTY LOCATION 78 CHESTNUT ST
MAP 17C PARCEL 159 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out i/
Fee Paid �'
Type of Construction:
New Construction
Non Structural interior renovations 4a AI
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE VX]LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
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
2 is Approval Board of Health Well Water Potability Board of Health
Permit from Conservatio ommission
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.
Department: Reference No: BP-1999-0299
...................................
Building,Electrical & Mechanical Permits
.-•--•-----•----•....................................................................
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000755
..........................................................................
id 'P'a-id-i,n*Full-0,n:-----------
Raymond Seager 'rue sep .1.5,1998
...... ...... ....
.. . ...... .....
eceived By .Check. . .No ...................
Linda Lapointe 2327
.........................................................................................
.......................•••....••......
DEPARTMENT'S COPY Amount: $40.00
...........................
DEPARTMENT FILE COPY 78 CHESTNUT 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:
BP-1999-0299 $40.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
1791 17C 159 001 78 CHESTNUT ST URB 9801
Contractor: License Type: Insurance:
Raymond Seager CSL
Address: License No.: Insurance No.:
P 0 Box 372 071081
City: State: Zip Code: Phone:
AMHERST MA 01004 (413) 549-1873
Pro iect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0627 Non structural interior renovati $1,500.00
Description of Work:
REPLACE ROTTED WOOD ON EXISTING PORCH
GeoTIVIS@ 1997 Des Lauriers&Associates,Inc. Signature:
+� City of Northampton
Buildin g Department
m.-I'lino H+��'�Mi i Office of the Building Inspector
Permit No: BP-1999-0299 Date issued 16-Sep-1998 Fee$40.00
Map 17C Block 159 Lot 001 Zone URB Section 116 ❑ Yes ❑No
BUILDING PERA111T
This certifies that Raymond Seager CSL071081
has permission to REPLACE ROTTED WOOD ON EXISTING PORCH Inspection on site-Foundations Over❑
at 78 CHESTNUT ST
provided that the person accepting this permit shall in every respect Inspection of Plumbing-Rough Over❑
conform to the terms of the application on file in this office, and to the
provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing-Finish Over❑
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Gas Inspection Over❑
of this permit,Expires six months from date of issuance,if not started.
Inspection of Wiring Service Over❑
Inspection of Wiring-Rough Over❑
Note: A certificate of occupancy will be issled by this office upon return
of this card by the Plumbing,Wiring and Building Inspectors. Inspection of Wiring-Finish Over❑
Building Inspection-Rough Over❑
*Plumbing and Electrical Inspections required before
Building Inspections Insulation Inspection Over❑
Building Inspection- Finish_ if f,;r ver❑
Smoke Det
This card must be u0§4ed on site visible f m ublic way
Certificate of Occupanc
Buildin mmissioner