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25C-053 (8) 9 PERMIT APPLICATION CHECK LIST PAGE a5� PLOT 51' ZONE c.t .�'�j �� �..z�^.z a-� ,� _. S NO DATE 1 . ZONINQ FORM C IO 2 . FERMI AEPt ck I9{—" S 3 . OW ER OCCUPANT STTEME-kt'f` / L IC , 11 IF NOT 4 , 3 SETS OE PLANS /PLOW PLAN 5 . NEV CONSTRUCTION 0 . CUgs CUT AVAILABILITY 7 . WA195 O S f , REdODEUT G INTERIOR 9 . ADDITION i SQL ACCESSORY STRUCTURE 1 , SIGN AWNING 2 FEE C 0 - 0E ORDER -3(4 4140 ` 13 SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 , U DER SECTION 127 CMR 780 15 FORM A 16 FILL COMMENTS 70 "C C b C r � � m W c o =i z a � o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � _ -� Alterations_ s , NORTHAMPTON, MASS. f �7 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a / Garage 1. Location .5'1 V1V Cn16 Ave, V%'T6tX C 3 ,� �� ��Lot No.,0 2. Owner's name QJY�' _ Q ��� Address rj��jn e dtr, 3. Builder's name Address s(+Y116 Mass.Construction Supervisor's License No. ------------- J Y Expiration Date 4. Addition 5. Alteration komq_4. 61- 6. New Porch 7. Is existing building to be demolished? �r 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:- z;�St00 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app, cant Remarks / 20g`'C A'I'L Crif� of Nart4aillptan s � �AS>S AC��ll8 ttt8 n rr. DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: , JOB LOCATION• C.r (Map,) (Parcel) + (Subdi ision) HOMEOWNER: v-V-1, Name & Address) t�c'1<R4a. ate\ a R . „ C7 9 ' i� _ Ocs >) (Home Phone) TWork 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. CMR78) Section 109. 1 .1 DEFINITION OF HOMEOWNER: Person(s) who own a parcel of land on which he/she resided 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 7.52 (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 # U,lf 00111 Date Filed ' ""� File No. ZONING PERMIT APPLICATION (510 . 2 ) 1. Name of Appl ' nt: C Address : ivlGd - Telephone :_,,t 2 . owner of Property: ` *AE Address ` Telephone :� 3 , Status of Applicant : " Owner Contract Purchaser Lessee other (explain ; ) 4 , Parcel Identification; Zoning Map Sheet# Z S- arcel# = , Zoning District (s) (inclu�overlays) Street Address ! _ f Required Existin Proposed b Zonin Use of Structure/Property - !7 _ (if project is only interior work, skip to #6) Building height S1dg . Coverage (Footprint) Setbacks - front side L: R: L; R:� rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 , i Narrative Description of Proposed Work/Project : (Use additional sheets c n iC-' mac;.- ar _ D if t ne essary) - VJ 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify L-hat the information contained herein is true and accurate to the best of my knowledge . Date : :> Applicant' s Signatu� ; �.�Z �= - - - - - - - - - -THIS SECTION FOR OFFICIAL USE ONLY: - - - _ - - - - Approved as presented/based on information presented Denied as presented--Reason ; 4gn ial' Permit and/or Site Plan Required : _ Fin Ming Re red: _ Variance Required: o ui1di or to NOTE: Issuance of a 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, Doparlrnont of Public Works and olhor applicable pormil pranling authorities. A�o0.s `�°tip City of Northampton REQUIRED INSPECTIONS A BUILDING DEPARTMENT I. Snvccttugral Components in Place0 3. Complete Building* No. 371 Office of the Building Inspector Zoning Form No. 001113 Date 5/26/93 Fee $40 Checkrr��# 3437 Page, 25C Parcel 53 ,Zone URB Section 127 C] Yes u No BUI]LDINGPERMIT James McKeever * Plumbing and Electrical Inspections required THIS CERTIFIES THAT before Building Inspections has permission to Replace existing window 3' wide with one 5' wide Inspection on Site--Foundations situated on 51 Lincoln Ave. Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 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,ifnot started. Building Inspection—Rough 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 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC S PLACE ON THE PREMISES Certificate of Occupancy B s for