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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 +'. y 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