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03-004 (2) i-/� � �� __,. �: 1 � Y � ' 4 p ,� �5 t. 1. r ; 5 % .« i �� t�+I r. � .. \\ � � �\ t �` '.` k ,.:�.... -.__..___....L .. .:. t k �. ` 3 � l �' �� � ` � y ';, a ,' '�. f� 1 a'' J v h _�;.. _ .r:_... t _ �.: 3 I ,. �_-_-_--- �' 47 WR 2 a Oro DEPARTMENT OF DUILDrNG INSPECTIONS INSPECTOR 212 Main Strect ' Municipal Building 'g Northa,npton, Mass. 01060 HOMEOWNER LICENSE EYEMPTION (Please Print) DATE JOB LOCATION: �� 'I 1� (` 1 ��'1�/ G1;'y✓� (Map) (Parcel) (Subdivision) HOMEOWNER: Li'ND44 ( M(!-GL(;ME1 P-540 SOLES MEW0(13 'i;llopb (Name & Address ) 1yORN-H�At. P-1WN g0 33 5gq 3�lob ( Home Phone ) (Work 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. 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 persons) 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 SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT 9 a > Z Z f"1 OD s^ s Q Z O cn O r. m o O v a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations / NORTHAMPTON, MASS. /2g 191 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location '�d C�C?/QS I167,4)bC�L c/' ,lS ItIeP/ 1-14 -W107V ,� Lot No. 3--&104- 2. Owner's name /L�/t-'dam 1 / ty��L/ �E Address SYL) �,� S /�/�f /�C)Lc� 11P 3. Builder's name I_1A 9 !� /`7 Q ��� Address 5� C%Ul�� /�f % � 4�) Mass.Construction Supervisor's License No. Expiration Date 4. Addition :677 45_/J T-ne 5. Alteration Nn 6. New Porch Ny 7. Is existing building to be demolished? Wl� l 8. Repair after the fire !)a 9. Garage !Uo No.of cars Size 10. Method of heating A)6A,1 11. Distance to lot lines Z7q)' 350 I—ROA.27 SC�L)J7/ GL 12. Type of roof /k 457 L _S467 13. Siding house 14. Estimated cost:- � The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature ofres onsibte appican! Remarks 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO__X_ IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO LACK OF INFORMATION. This colu= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L:`f0 R:� L:}- d R:� l� - rear 109-5- FT 9IX36 Building height Bldg Square footage oy) %Open Space: '(Lot area minus bldg &paved parking) -/ C1 #, ,pf 'Parking Spaces i 6f Loading Loading Docks Fill: ':(vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein _ G is true and accurate to the best of my knowledge. a. D21TE: -2-e APPLICANT's SIGNATURE 6'l NOTE: lssu noa of as zoning permit does not relieve an applicants burden to ply with all zoning requirements and obtain all required permits from the Board of Health, Conservation _. Commission, Department of Publio Works and other applloable permit granting authorities. `4` r. FILE # WR 9 File No. G PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address 0 6 � /�� -c 1 �C� Telephone: 2. Owner of Property: Address: Telephone: 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): �A (TO BE FILLED IN BY THE BUILDING DEPARTMENT) J 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): PQ/U-21-RU rE 3 S /LEL) ,f VZL O/6i� F&V 1-16b2SE 16" /6 7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW ✓ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook,body of water or wetlands? NO DON'T KNOW YES _ IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) m:9 =N, .5.- FILE # 960" 77 G � PLICANT/CONTACT PERSONr - ` _NOS PROPERTY LOCATION: Q MAP 11-3 PARCEL: ZONE `� f THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 111vii1ding Permit Filled ni�t 3 t > t/ THE f OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received& Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservation Co i ion Signature of l3tilding hii&Or Date NOTE:lssuanc a of a zoning permit does not relieve an applioants burden to oompty with ail zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioable permit granting authorities. — City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 183 Office of the Building Inspector Zoning Form No. 960777 Date 3/28/96 Fee $20.00 Check# 439 Page, 3 Parcel 4 Zone RR/ SP/WP Section 127 ❑ Yes ❑ No BUI]LDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Linda McElaney before Building Inspections has permission to construct a 16' X 16' 3 sided building. Inspection on Site—Foundations situated on 540 Coles Meadow Road Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this`office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. © Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish /1 of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. M Building Inspection—Finish O ** Install per Manufacturer's information: windows., vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCIJOUS LACE ON TUE PPMISES Certificate of Occupancy Building Inspector