25C-240 (3) Date Filed , s `7 - / `� File No.
i
ZONING PERMIT APPLICATION 10 . ;0
I . Name of Ap lican
Address : ,:5' Z Telephone:'.
/
2 . Owner of Pro erty: `- Q =� -
Address: - Tele hone:
3 . Status of Applicant: nor Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# ; C, Par el ,--1 dr
Zoning District(s) (include overlays) -,
Street Address '1 f ' ATk4 ,
Required
5 . Existing Prop osed b Zonin
Use of Structure/Propertyc
(if project is only interior work, skip to ##6 )
Building height
oB1dg . Coverage (Footprint)
Setbacks - front
- side L y.. , R. L R y
- rear � •
Lot size
FrontacJ'e .
Floor Area Ratio
ocp-�„ 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)__
7 . Attached Plans: y Sketch Plan Site Plan
8 . Certification: I hereby certify that the informat ' n contai e herein
is true and accurate to the best of my knowledge.
i
Date: Applicant' s Signature:
THIS SECTION FOR OFFICIAL USE ON�y:
approved as presented/based on information presented
Denied as presented--Reason :
S ecial' Permit and/or Site Plan Required:
nd,ing Re uir d: Variance Require :
gnatu of Bu g -Inspector Date
NOTE: Issuanco of a zoning perrnR does not renave an applicant's burden to comply witli ail zoning roquiroments and obtain all required permits
from the Board of Health, consorvallon Commission, Department of Public Works and other applicable permit granting authoritlos.
/i?-)-
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-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
NOTE: A PORTION OF THE PREMISES IS LOCATED WITHIN A 100 YEAR
FLOOD ZONE ( ZONE A) , THE STRUCTURE IS NOT
LOCATED WITHIN A FLOOD ZON
8.
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O: EASTHAMPTON SAVINGS BANK &
COMMONWEALTH LAND TITLE INSURANCE COMPANY
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS LOCATED :WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167 -
—NOTE—
SURVEYOR: 4F. -104A, THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
of —MORTGAGE LOAN INSPECTION PLAT—
PAN ALL NORTHAMPTON, MASSACHUSETTS
DER PREPARED FOR
{35034 HAMPSHIRE, FRANKLIN, HAMPDEN AGRICULTURAL SOCIETY
SCALE: 1"=30' NOVEMBER 4, 1993
sum' HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
�• -� 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
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DEPARTMENT OF BUILDING INSPECTIONS -
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
DATE �l ! (Please Print)
. )
JOB LOCATION: 07
(Map) CP ce
HOMEOWNER: Q
(Name' dd ess) S� 1�
1 /V 114 (Home Phone) (Work Phone)
he . current exempti n for "homeowners" was extended to include
owner-occupied Dwellings of one (1)or two (2) fami 1 ies 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 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 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 AND HALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE G
BUILDING PERMIT #
-NOTE-
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
NOTE: A PORTION OF THE PREMISES IS LOCATED WITHIN A 100 YEAR
FLOOD ZONE ( ZONE A) , THE STRUCTURE IS NOT
LOCATED WITHIN A FLOOD ZON
q
�J
0
►ot
-4q7G
0: EASTHAMPTON SAVINGS BANK &
COMMONWEALTH LAND TITLE INSURANCE COMPANY
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS LOCATED :WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 290167
SURVEYOR: R'f '" 'F- —NOTE-
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
of —MORTGAGE LOAN INSPECTION PLAT-
RANDALL NORTHAMPTON, MASSACHUSETTS
E PREPARED FOR
#335032 HAMPSHIRE, FRANKLIN, HAMPDEN AGRICULTURAL SOCIETY
f� SCALE: 1"'=30' NOVEMBER 4, 1993
�qNO to HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
�• �- 235 RUSSELL STREET — HADLEY —MASSACHUSETTS
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. '4--'C�J'� 1q� Additions
APPLICATION FO PERMIT TO ALTER Repair
/7 Garage
1. Location �°? / Lot No.
2. Owners name ss
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage V___ No.of cars Size `� Z
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
6o0 Od
The undersigned certifies,.that the above statements are true to the best of his, her
knowledge and belief.
_7e�
Signature of responsible app ica
Remarks
Date Filed ��:�7 9j File No.
ZONING PERMIT APPLICATION J0 . 2)
1 . Name of AP lica
Address: 04. e7 Telephone:
2 . Owner of Property: lk ,
Address: 2 Tele hone:
3 . Status of Applicant: ti Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheetf C; Par ,e if
Zoning District(s) (include ove lays) /L�
Street Address % ,
Required
5. Existinq Proi3osed
bV Zoning
Use of Structure/Property
(if project is only interior work, skip to 116)
Building height
%Bldg. Coverage (Footprint) 1`fL10
Setbacks - front to
- side L:_�)_o ' R: L: �5V4- R: '
- rear =t) , -
Lot size
Frontacg'e.
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)
Y
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informat ' n cont
ai e herein
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ON Y.
proved as presented/based on information presented
Denied as presented--Reason:
S ecial•' Permit and/or Site Plan Required:
ping Re it d: variance Require :
gnat of Bul -ector Date
NOTE: issuance of a zoning permit does not retlove an applicant's burden to comply wills all zoning requirements and obtain all required permits
from the Board of Hoalth,consorvation Commission, Doparlmont of Public Works and outer applicable permit granting authoritios.
FOR
A.M.
DATE TIME P.M..
M
OF
PHONE
AREA CODE NUMBER EXTENSION
MESSAGE
SIGNED
UTHO IN U.S.A.
TOPS W FORM
v -
ON
Now
Susan M . K
9� MAR 1 41996
of lam_
G� /