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17C-137 (5)
a II T a Z m ° R MS Z C4 O Z m -3 o M Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.S�6 ��� Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location o10 ,A1, 17 AiaL de C , rf*r4yC,,o9r Lot No. 2. Owner's name A t s A Address 6'V Al� 111#16e r—/ ,, 3. Builder's name 5! AAyi,-e Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition S. Alteration / 6.--blow Porch �i?Ai/, A07-Tir:D �6 c `° d� A-IISG �/9rT D` S�l! r;vwt� 0/V 4-44 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 13. Siding house 14. Estimated cost:- The undersigned certifies that the above sl=mcnts are we to the best of his, her knowledge and belief. Signature of responsible app,lcant Remarks proti �r B �AHHAC��llBt«8 W .Al 7 . DEPARTMENT OF BUILDITIG INSPECTIONS - INSPECTOR 212 Main Street ' Municipal Building 'w Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION 94' (Please Print) DATE: l�ho -12, JOB LOCATION: (Map) 4bex's Parcel) (Subdivision) HOMEOWNER: ' p�,R, Z_'- O (Name & Address ) •syG--1110D co /'l} 5�6 _ �,�-Sc (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 resides 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. HOMEOWNER SIGNATURE BUILDING PERMIT # Ol S ©,vo C4 0 A,cr tT� r �'f/1c�tcrN� Irg/(T/N9 1 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-2<, IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To LACK OF INFORMATION. This column to be filled in by the Bn,IAing Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R• - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) Parking spaces of Loading Docks Fill: Avol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE. ! APPLICANT's SIGNATURE, -> NOTE: Issuanoe of as zoning permit does not relieve an applioant's burden to oomply witlx n�l zoning requirements and obtain all required permits from the Board of Health, Conservation. Commission, Department of Publio Works and other applioable permit granting authorities:.. ; ,,;: FILE # File No. "/.,,.'�,3 1 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: "e fi '0L ar-4',h� Telephone: 2. Owner of Property: 440v4 Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): �j 4. Job Location: (P //G' �Z -�'?i`°"``� Parcel Id: Zoning Map#_ Parcel# 7 District(s):� ✓1 ' (TO BE FILLED IN BY THE BUILDING DEPART NT)� 5. Existing Use of Structure/Property k r 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): GRO 7_✓jW-6 Drc-ij 7. Attached Plans: Sketch Plan 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/Variance/Finding ever been issued for/on the site? NO DON'T KNOW_ 'L-1� 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 t/ 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) FILE APPLICANT/CONTACT PERSON: & � �" ADDRESS/PHONE: PROPERTY LOCATION: t W �' - MAP ��! PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 70NING FORM T,FD ()ITT Riiolding Permit Filled ipit Cr> ( Addition to Existing �'�Q�nf Plans I Pint Plan . , THE LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedfbased 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 afrom Conse�rv'atio m is Signature of Building Ins or Date NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS g 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 899 Zoning Form No. 961534 Date 10/1/96 FeS40.00 Check#1846 Page, 17C parcel 137 Zone URB Section 127 ❑ Yes 0 No BUI]LDINGPERM]rl * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Ronald Hodges before Building Inspections has permission to repair rotted porch Inspection on Site—Foundations situated on 60 North Maple St 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. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON P ISES •Certificate of Occupancy Building Inspector