43-135 (5) ...,,,.
A+° •y City of Northampton REQUIRED INSPECTIONS
:V,L7rt.
i^r-- 1. Footings and Walls
;.^�� BUILDING DEPARTMENT 2. Structural Components in Place*
�' 3. Complete Building*
No. 451 Office of the Building Inspector
Zoning Fonn No. 962284 Date 6/2/97 Fee$40.00 Check# 1858
Page, 43 Parcel 135 ,Zone SR Section 127 ❑ Yes ® No
BuILDING PERmIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kevin Ryan before Building Inspections
has permission to finish family room & add dormer Inspection on Site—Foundations
situated on 45 Longfellow Drive Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough .,s ��//6l�
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 sy A rr / h i I Y?
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough (3 X /0- PO-'-17
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish D K. 7 G-q Fe--oe
Smoke Detectors(Fire Department)
fr , $ Other
THIS CARD MUST BE DISPLA IN A CONSPICUOUS PLACE ON PREMISES
Certificate of Occupancy -
/ Building Inspector
96 ?
\ JL... ' I FILE # O
a MAY 2 21997 .#45-
'
APPLICANT/CONTACT PERSON: kL .5",F4-475-
t DE. .
PROPERTY •'OCATION: D
MAP "T3 PARCEL: � ZONE_,5T
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7ONTNG FORM FTL.T,F.T) OTTT A./--..
Fee Paid
Building Permit Filled nit /� — ✓'�
Fee Paid OX,/g5 yi 'T0 j/
Type nf ennetrnrtinn•
New...C44/44t-rur t.n n .--A,Iii.&a._ J26277/1---
emndeling Tnterin _
Additinn to Fxicting
I
Aececenry Structure
Ruildin. Plane Tneluded•
Owne-JOcrupant Statement nr Licence # ''' '/
'1 • Sete nf Plane /Pint Plan ✓/
THEOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
j/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
!Permit from Conservatio ommission
7-,
Signa e o r ate
NOTE:issuenoe o a zoning permit does not relieve an applioant's burden to oompiy with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Public. Works and other applioebl s permit granting authorities.
huh MAY221991
i DEPT OF BUILDING INSPECTIONS File No.Q ? L2vePy
I P 0RTHAMPTON.MA 01060 .v-
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE IOR PRINT ALL INFORMATION
1. Name of Applicant: K✓Vln, e/ INN
Address: 14.5 Lip Al 6tF6LLrJ 1)(2,1 VE.. Telephone: $L1 - I c-5 L)
2. Owner of Property: isI V1,� f ?A.r.\ & KA �-1--) (-- 6.r% 2ysk)
Address: •L-/.S LDAfrf6Li.-6,-) -NZ Telephone'. $g-y-I gSW
3. Status of Applicant: ?(... Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: I-J.S bd.Nllr i✓1,t..p.0 1 2i✓-
Parcel Id: Zoning Map# it., Parcel# /3 . ,,i District(s): :7) i-C
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property OL),\J€..(Z - Q cc,()P t I Dki-6L1-1i 6-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
S.E 1 frTicc N� �i- -2 n ctedi /' i/v,
d
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?gi
NO DON'T KNOW v 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 �13 Obtained /tJ if ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10 Do any signs exist on the property? YES NO X
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 column to be filled in
by the Building Department
!Required
Existing Proposed By Zoning
Lot size 3,24co Sly,fti 39 U1UD
Frontage 1 a5 / la-S 1
Setbacks - front 60 I
- side L: 3S R: 35 ' L: 3 s R: 3 S
- rear 1 30 / 130
Building height 1
c2 S i QlEs (36) a sT2,Es (3e) 'J
Bldg Square footage f0°'PR'-cc
L L-' 'L 2.),00 .2. 66.)--
%Open Space:
(Lot area minus bldg C_
&paved parking) ) 1 /L, q l%
# of -Parking Spaces u U
of Loading Docks 9
Fill:
(vol-ume--& location) N
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: S/a. -3 APPLICANT s SIGNATURE
NOTE: les+�anoe of a zoning permit does not relieve an applioant burden to oomPIY withall
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE #
g�� �::�;,"� -'1 4:141 , v--- it QZ� of krortIi&inf ouill=„.....7,__0=r
, '•io.- �• ,r,. , M1Y 2 21997 i'•iDSDA[IlIID tt1D _ -'_
'�''�`�y.� IEPA'TMENT OF BUILDING INSPECTIONS f
INSPECTOR 'OEpt OF SOS'Q«�G Ia.010 i,Q " g I ain Street ' Municipal Building
,1",...'f 01060 Northampton, Mass. 01060 "',.
tom.
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: s/- I/97
JOB LOCATION:
�/ J► (41ap) (Parcel) . (Sub..ivision)
HOMEOWNER: l'� ' ') RYA�J y5 L'iJ bfF4.4.p Q D21✓. ,Al u2 ni, IhP'n,,) iv)A a to 6 o
(Name & Address )
3,4/-1 S y 336 - Ia00 i 8,4.0.9
(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.
1
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.
A ;, --__
HOMEOWNER SIGNATURE
BUILDING PERMIT if
oottAMp1O �_ ....� ,
(Th
�;..`. 1. nt
l #I#� �r#net ► __t
`:�,�,�� ((� AA`IV .iassacllnartta _:v_
7 I ''IA 2 __�__
2 199? DEPARTMENT OF BUILDING INSPECTIONS _ t
t DERT OF g"' � ,,...112 Main Street ' Municipal Building '
P;Ut21itA pen 9r SPECTIONS Northampton, Mass. 01060 um
n
WORKER'S COMPENSATION INSURANCE AFF'IDAVTT
•
I, Wel/I-) f y f,a
(licensee/lermittee)
with a principal place of business/residence at:
Lis LoJ b' -Lo�J 'D21�� (phone#) 5j I$S o1
(s u eet/ci ty/state/zi p)
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 Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifnecrssary to include information pertaining to all contractors)
( ) I am a sole proprietor and have no one working for me.
IC) I am a home owner performing all the work myself
NOTE:please be aware that while homeowners who employ persons to do msintc,,aiay construction or repair work on a dwelling of
not more than three units in which the homeowner reside or oa the grounds appurtenant thereto arc not generally ooasidercd to be
employers under the worker's ,s lice Act(GL152,a 1(5)),application by a homeowner for a license or permit may evidence the
legal status of an employer under the Wori or'a Compensation Ad.
I understand that a copy of this statement may be forwarded to the Depnrtmmt of Industrial Accidents'Ofoo of Insurance for the
coverage verification and that failure to secure coverage under seetioa 25A of MOL 152 can lead to the imposition of criminal penalties
oomisting of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of S100.00 a day against me.
• Signed this A day of Ih xl y , 199 7
IPPermit N •r 0 a.
.--_ Mapli Lot#
Signature of Li..-.:�• `ermittce
/ 1MAY22I997
Project Description INSPECTIONS
_'?�_,.MA 01060
Current Situation
At the time we had our home built approximately four years ago; we had a family room roughed
above the attached garage (see attached "current unfinished room" drawing).
Proposed Situation
Completing the room will consist of:
Insulating
Finishing existing roughed services (see attached "current unfinished room" drawing list)
Adding 6'X8' dormer with window
Wallboarding/painting entire room
Adding baseboard and window trim
Finishing roughed staircase
Adding built in bookcase
Adding access panels to small crawl spaces
Adding access door to large crawl space
Adding electrical circuit for wall outlets
Being the owner and occupant of the dwelling; I will be completing all work except electrical
work. The electrical will be done by a licensed contractor at the appropriate time in process under
a separate permit.
• C ?
75 'U
�`- �- 3 c o
f= R es OcV ^I
Z
m
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. s• - • Alterations
ilkr—o%r NORTHAMPTON, MASS. A 6/ 1 02�- 1 97 Additions
%41 APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location (4.5 ton/6" EA_L Ow DfZ"v- Lot No.
2. Owner's name t'£V'� (ZyfI & &TN t- a RYA") Address 'l S j L.0464fE.LL ) D RIVe
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration fAi t5'JlNZ f/q O1---, Ij l z- o�... jAr-jr7kj a t�-T7
G cye_.
6. New Porch
7. Is existing building to be demolished? A.10
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating od2L1 11ot A 112 (9 )
/
11. Distance to lot lines F Rom GQ / i U fr 3 5' t 2 t 6 µ i 3 5_', 'EAR 13 O
12. Type of roof AS PI-4 AL L S I-1 I J C L E
13. Siding house B R I GI: ' V i (v Y L 1 A Lu .
14. Estimated cost- 401,500.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Si a ure of responsible app scant
Remarks
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