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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �l Alterations
so NORTHAMPTON, MASS. ��y 191 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ys X i t%Z V T Lot No.
2. Owners name h�✓'G? (SFaU /1/ �L�/2 Addresses
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition /NSCL �� �9�D�/vC G.+?0//4/O AOL
5. Alteration
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, her
knowledge and belief. a
j— ` Signature of responsible applicant
Remarks
PR P
Y - • w
BAl 1i$a AC It U U P t to �
l:
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 main Street ' Municipal Building
NTOrthampton, Mass. 01060 ��-
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON. '
BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
Signature & Date
t
a ►. i
Date Filed File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant:
Address:ys///7V �' �l�r� .eyc�' Telephone:5'g-V'�6 �
2 . Owner of Property:
Address: 41il -�/�- T lephon - ` 6
3 . Status of Applicant: Awner Contract Purchaser
Lessee other (explain: )
4 . Parcel Identification: Zoning Map Sheet# �% Parcel#
Zoning District (s) (include overlays) (A/2
Street Address
Required
5. Existina Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks _ - front --
side
rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) < �,,v 1,15-F7-
7 . Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: p5-eM_ Sot. Applicant's Signature• •��
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
_ZApproved as presented/based on information presented
Denied as presented
on for nial:
Signa uil�dnot pector at
NOTE: Issuance of a zoning relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Departrnem of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
s 1 . Footings and Walls
BUILDINGDEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 249 Office of the Building Inspector
Date May 6, 1992 19
B U1 DING P RMI
THIS MAY CERTIFY THAT Martha Senser-Blair Insp. on Site — Foundations
has permission to . Install an above ground pool 18' in diameter Insp. of Plumbing — Rough
situated on 45 Lilly Street Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started.
Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSP U U PLACE ON THE PREMISES
r Certificate of Occupancy
Bu nspector
� r a
✓ 1
Page No. 1 of �. Pages.
THE JUBB CO., INC. d.b.a.
LARRY JUBB'S
IMPROVE-A-HOME PROPOSAL
7 Devens Street 18 North Hatfield Road
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-0429 MA Registration 100001
(413)772-6217 Northampton,MA MA Cons. Sup. Lic. 055333
(413)584-3716 _
PHONE DATE
-o Jackson Karen 535- 0239 12/06/00 _
45 Lilly Street JOB NAME/LOCATION
Florence , Ma . 01062 REPLACEMENT WINDOWS
45 Lilly Street
Florence , Ma . 01062
JOB NUMBER. �` i JOB PHONE
e hereby submit specifications and estimates for:
---SUPPLY & INSTALL_ ALCOA/MASTIC TRULOK PLUS 4750 VINYL REPLACEMENT WINDOWS-,�I
-112 screens , ( double hung only ) -titanium dioxide .
--locking screens . ( double hung only ) *-welded sashes .
-tilt in sashes . ( double hung only ) *- welded master frame . III
-hi-tech intercept glass system . 7/8 thermo pain , !
-block & tackle balances . ( double hung only ) -insul padded f'T aif-ie1� _
-Sun Shield vinyl compound . ( Alcoa exclusive ) -virgin vinyl- .
-double, locks & sash limit latches on all dottbl > hung windows over 32 " wide .
--lifetime transferable manufactures guarantee:, on vinyl window frame . I
-20 year manufactures guarantee on glass against seal failure .
Zabor guarantee as required by MA ,VT ,NH coati-actor regulations . `I
white , bright white , ( alrnond , brown [extra charge:]
I . AL UNITS REPLACED : 03 double hung to living roorft .
GRIDS : none . ( beveled--- or f lat__—__-,
._OW "E " GLASS . yes . ,
THERMO BREAK SPACER yes . Hi--tech intercept glass . ( best thermo glass made )
INSULATION : as needed . ( into weight pockets ) �
ALUMINUM CLAD EXTERIOR CASINGS: no .
v
STORM WINDOW REMOVAL : yes .
OTHER :
SERVICE FEE : $125 .00 ( includes permit & disposal of all job related refuse . )
[service fee not included in total at bottom & is to be billed as separate .]
WE IFIll'(DPDO(B hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Seven Hundred Twenty and 00/100 Dollars dollars($ 720 .00 1.
Payment to be made as follows:
1/3 DEPOSIT UPON ACCEPTANCE , balance in full upon completion . An interest
z�ha.rge of 2% per month ( 24=-. per annum ) on past due balances , plus all costs ,
including reasonable attorney 's fees , incurred in collecting any sums owed .
All material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above specifica- Authorized
tions involving extra costs will be executed only upon written orders, and will become an Signature
extra charge over and above the estimate. All agreements contingent upon strikes,accidents or
delays beyond our control. Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be
,#O"Ws are fully covered by Worker's Compensation Insurance.
withdrawn by us if not accepted within 30 days.
K
Avcapamm(C(9 sT IPIP®IP®m$lil —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
l Signature
Date of Acceptance: ` \ I L"
( i
4.ttiA1lP�,
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zt• , $ Crx� � ��Z'���11i�1�DIT V
�a3a$CllnStttfi
m DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKEWS COMPENSATION INSURANCE AFFIDAVIT
I,
(Iicensee/permittee)
with a principal place of business/residence at:
(phone#)
(str'ret/city/sta&2ip)
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)
f.
(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 ad&6=21 sled ifnacenary to include infocm.rion p=Uining to all oodractors)
( ) 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 while homeowners who employ person:to do inn kden n ce,consuvctioa or Rpair work on a dwelling of
not mote than throe traits in which the homeowner resides or on the grounds apputtennnt thereto are not Swerally m-Bered to be
employees under the work tes oor pe nu4ca Act(GL152.=1(5)�application by a homeowner fora license or permit may evidcaoe the
lesal status of an employer under the W"kaes Compensation AcL
I understand that a copy of tbia ctatemmt may be fm warded to the Dcpnrtmm2 of L,-&�el Ao6dea&Ofhoo of lase for the
coverage vcnficuion and that failure W aeatre covcrago under section 25A of MGL 152 can lead to the imposition of criminal penalties
000sistiag of a fine of up to S 1500.00 and/or imprison of tip to one year and civil penalties in the form of n Stop Wort Order and a
fine of 5100.00 a day against the
For d use only
permit Number
Lot Al
Signatx are of LicenseeJPermittee .t
Y
�TION7SER VICES
_.1 Licensed Construction Supervisor: I -T Not Applicable ❑
Name of License Holder :_ W.2 nC� r r`�S L✓� J 0 SS 3 3 3
0
License Number
�C� x
4-4,3,5 Cr� f'�1�. of �� S - a/ -G
Address Expiration Date
Signature Telephone
3 WO ..: . .. .... ...E.._... Not Applicable ❑
aoob /
Company Name Registration Number
b C (, - F - G�
Add esss'\ Expiration Date
Telephone W3
613C-Z
SECTION,1C W0,FiIfERS!0.0MPWATION'INSURANCE AFFIDAVIT(M.G.L,c. 152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of th ding permit.
gned Affidavit Attached Yes....... No...... ❑
d �Y
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.CMR 780, Sixth Edition Section 108.3.5.1.
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
y
-- a
T P D ' . 1 a Iica 1
New House ❑ Addition ❑ Replacement ows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work:=r+'fS�G'�� `� � ' r�D C mP - CA.) V-I L'c' -�
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
h
dr
A,NOW
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTIONla-.OWNER AUTHORISATION -TO BE COMPLETED WHEN
OWNI_RS AGENT OR CONTRA APPLIES FO 16UILDING PERMIT
I, as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
1, Lq r r-r'J as Owner/Authorized Agent
hereby decla that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
f
Signed under the pains and penalties ofj erjury.
Print Name
r7 - G
Signature of Owner gent I Date
{
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Fi�dier 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 #
B. 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:/'
C. Do any signs exist on the property? YES NO _�!
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
x
r
EC E hampton
Q
Buildi partment
FEB 7 Zffl12 Street
R om 100
ton, MA 01060
OEP�jQf ? I 240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address:
}
G40 >
F
SECTION 2- PROPERTY OWNERSI IP/AUTHORIZED AGENT
2.1 Owner of Record:
ame(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
�Q4 1?7 1�
Name(Print)i Current Mailing Address:
Signature Telephone
SECTION ESTIMATED CeQNSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total'Cost of
Construction from&
3. Plumbing Buiiding Permit Foe
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(I + 2 +3 +4+ 5) o Check Number
This Section For Official Use Only
Building Permit Number: Date Issued;
Signature:
Building Commissioner/Inspector of Buildings Date
.►
45 LILLY ST BP-2001-0679
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-270 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category'windows replaced BUILDING PERMIT
Permit# BP-2001-0679
Project# JS-2001-1230
Est.Cost: $720.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO INC 100001
Lot Size(sa.ft.): 7753.68 Owner: JACKSON KAREN
Zoning,:URB Applicant. THE J U BB CO INC
AT. 45 LILLY ST
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREENFIELDMA01302 ISSUED ON:217101 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS
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 Sisnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 2/7/010:00:00 4684 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo