28-012 (2) ERMIT APPLICATION CHECK
PAGED PLOT ZONE / YES NO DATE
1 . ZONING FORM APPLICATION
2 . PE I
3 1 /6WNER OCCUPANT IF NO
4 . 3 SETS OF PLANS PLAN
5 . NEW CONSTRUCTION
6 CURB CUT
WATER 7 .
8 . REMODELING INTERIOR
9 . ADDITION
0 . ACCESSORY
11 . SIGN / AWNING
2 E - z7
HI/
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 2 - C R 780
15 . FORM A
16 . FILL
COMMENTS :
O�K11A1NA�O +'.
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01000 "
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE;
JOB
(Map) ( arcel) ( ubdivisicn 17
HOMEOWNER:
(Home Phone) (Work Phone)
The current exemption 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 ma 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 #
70 �
T �
37
D
Ln 0
rn
q Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.J-97 �a 16 1 Alterations
NORTHAMPTON, MASS. 1— / S 19 gy Additions
APPLICATION FOR PERMIT TO ALTER Repair //"-
Garage
1 ation -2Z t. 2t/ Lot No.
2. wner's name �J�°i( l?kd �rAl LB3 A e9k-/Address
uilder's name I t S L° Address 5 e
ass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. -h-
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
Siding house � z
14. stimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. y�
Signature of responsible app,tcant
JG ��
Remarks
' - •turn. �
0029jG
Date Filed v
File No.
ZONING PERMIT APPLICATION
Name of Applicant:
Address: ,27d, Tele one:
Owner of Property:
Address : G E'S ' Telephone: -
3 . Status of Applicant: A Owner Contract Purchaser
Lessee Other (explain: �
4 . Parcel Identification: Zoning Map Sheet# arcelf l `;
Zoning District(s) (include over )
Street Address 7' "7
Required
5•
Existinct P o eased by Zo in
Use of Structure/Property
(if project is only interior work, sk p to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R:
- rear
Lot size
Frontage
Floor Area Ratio
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
66. Narrative Description of Proposed Work/Project: (Use additional Ahe ets
if necessary)
•r
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 knowle ge.
Date: A y�! Applicant's Signatu`
THIS SECTION FOR OFFICIA US NLY:
v'Approved as presented/based on information presented
Denied as presented--Reason:
S vial" Permit and/or Site Plan Required:
ind'ng Requi c�: variance Required:
gnatu e_-a l ding Inspe. � ate
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply witli all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission, Dopartmont of Public Works and other applicable permit granting authorities.
i011-
City of Northampton REQUWXD INSPECTIONS
• 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 670 Office of the Building Inspector
Zoning Form No. 002936 Date 7/15/94 Fee $40 Check#t Money Order
Page, 28 Parcel 12 ,Zone RR Section 127 ❑ Yes ® No
BUIULDING PERivu r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bernard Blakesley before Building Inspections
has permission to Replace existing porch 8'x221 , replace 5 windows door. Inspection on S1te�—Foundations
situated on 272 Sylvester Road 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
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 CONSPI PL !11-9N THE PREMISES
r
Certificate of Occupancy
spector