12C-054 (2) s{ I ATIO CHECK
AGE PLOT �f ZONE `
ATE
1 . ZONING FORM APPLICATION
2 . PERMIT t--
3 NOT
3 SETS OF PLANS /PLOT PLAN
NEW S
6 . CURB CUT
WATER 7 .
8 . REMODELING INTERIOR
9 , ADDITION
0 . ACCESSORY STRUCTURE
SIGN / AWNING
2 E '"'
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , UNDER E - CMR 780
15 , FORM A
6 . FILL
CO ME
a
H �
' > > z
T �
3 C u
Z
> v� O
X �► M `C
...1 m
et
-s
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
aNORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Rcpair
l .} �/� Garage
1. Location di( '(yam c'oVee oftl F �'1 Pt P^N►'hf 1�tz . A"' 11� Lot No.
2. Owner's name Address Clove gD i e !!�; u
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 No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof c°
13. Siding house
14. Estimated cos47.1U ,
�.
The undersi ed ertifies that the above statements are true to the best of his, her
ledge d lief.
Signature of responsible app lcanl
Remarks �� ��
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '4
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
DATE:
(Please Print)
�����'��
JOB LOCATION: � ( "a 7j C, layepu: Le S�
. (Map) (P rcel) (Subdivision)
HOMEOWNER:_ Pe EtZN 191' I�A�y0
z C\oyerb c (Name & Address) Sgt -ozos-
(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 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 Annotat
HOMEOWNER SIGNATURE eA�_
BUILDING PERMIT #
Za. ----.--_
003117
Date Filed File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: FEAP-R qN??xAtvo sa--
Address: z.1-2-3 -Telephone: 58+ozo$
2 . Owner of Property:
Address: \ Telephone: o2,D5'
3 . Status of Applicant: \//"Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# l (< Parcel# '_4 ,
Zoning District(s) (include ove , Sys) 4
NV
Street Address - �f
Required
5. Existin 1 �7 Pro nosed by Zoning
Use of Structure/Property
(if project is only interior work,'is ip to #6)
Building height
%Bldg. 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. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) 5Av,.9 61p. RocF ReR I,ce w rF14 ME k) ,
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informati n contained herein
is true and accurate to the best of my knowledge.
Date: e8'kk-0\,1 Applicant's Signature:
rT
- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
,P Approved as presented/based on information presented
Denied as presented--Reason:
S cial' Per and/or Site Plan Required:
n R u Variance Required:
Q f:
at of Bu!l \ D e
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
to ulro ants and obtain all required permits
from the Board of Health,Conservation Commission,Depattmont of Public Works and other applicabl per granting authoritios.
ie*71)-
g�o� ,ploy City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 792 Office of the Building Inspector
Zoning Form No. 003117 Date 8/11/94 Fee $20 Check# Money Order
Page, 12C Parcel 54 1 Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Peter Fappiano III before Building Inspections
has permission to Strip and reshingle roof Inspection on Site—Foundations
situated on 21-93 Cloverdale Street 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,if not 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC S P A ON THE PREMISES
Certificate of Occupancy --
Buil pector «_
i