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17C-133 (5) PERMIT APPLICATION CHECK LIST PAGE r �� PLOT / ZONE «GF' c- - �: YES NO DATE n 1 . ZONING 0 APPLICATION F j n Y- , 2 . PERMIT APPLICATION l� 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT l� 4 . 3 SETS OF PLANS LOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 0 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 2 . PERMI FE - CHECK ONLY - MONEY ORDER 14c, 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 , FILL COMMENTS : M A 1�ASBAC�'llSttf9 Yi DEPARTMENT OF BUILDING INSPECTIONS a INSPECTOR 212 Main Street ' Municipal Building ti S`e� Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE• 4� k<7f 2 (Please Print) JOB LOCATION: 1 r7 C 1 �� (M p) (Parcel) / (Subdivision) HOMEOWNER: ( (,4 (n/ -e Y 6 �' /4' L (Name & ,Ad ress) (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 al 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 Annotated. ,, HOMEOWNER SIGNATURE C� -> �2 c/t BUILDING PERMIT # v ►d � a -h y r Ozr1l N z - d Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. - 6 (�i Alterations NORTHAMPTON, MASS. Y 2 t 19 Additions APPLICATION FOR PERMIT TO ALTER Repair /` r Garage 1. Location i /7 T `i i c 2 7� (N / / Lot No. 2. Owner's name t 4 � ' �/Cl /'✓ Address (3 /`t �6 3T F/61 3. Builder's name t t( ( / 77��b�L�IL �'y r( j Address 57 1, Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 14 I ,�< G'1' (� /c'G� f P C 11 S 7 e 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 13. Siding house 14. Estimated cost:- 5&,-" 4 0 G The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of r onsible app and Remarks (Ir nvti 'y 0 0 0.0160 Date Filed �� `� ��;', File No , ZONING PERMIT APPLICATION (510 , 2 ) �t 1 . Name of Applicant ; Address ; � / Telephone : j 2 . Owner of Property: ( �; /:,� f^� . v N Address : -`I, 8 S % Telephone : 3 . Status of Applicant : Owner Contract Purchaser Lessee Other (explain : ) 4 , Parcel Identification ; Zoning Map Sheet# i ,7 Parcel# , Zoning District (s) ( include overlays) Street Address g_ e_; S .y_r�, Required 5 . Existinq Proposed b Zonin Use of Structure/Property ,, ri,, C t (if project is only interior work, skip to #6 ) Building height %B1dg , 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 Descripti n f ProposedWor.k/Project : (Use additional sheets if necessary) i � ( k (, o"I +- S f' 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 knowledge , Applicant ' s Signature :; G, c ^ ,L J - - - - - - - - -- - - - - - -� -� THIS SECTION FOR OFFICIAL USE ONLY: A,-'Approved as presented/based on information presented Denied as presented--Reason ; pecial ' Permit and/or Site Plan Required : i ing R ired: - Variance Required ; .5 gnat e uildin spector - at NOTE: Issuance of a zonin 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, Departrnont of Public Works and other applicable permit granting authorities. i0T)- NMI City o f Northa REQUIRED INSPECTIONS z w BU—ILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* ` 3. Complete Building* No. 273 Office of the Building Inspector Zoning Form No. 000980 Date5/6/93 Fee$40 Check# 1802 Page, 17C Parcel �,Zone URB a Section 127 .❑ Yes 0 No BUI]LDING i *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Elaine Young before Building Inspections has permission to Repair front porch & stairs Ins pec lion on Site—Foundations situated on 95 High 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. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC S P ON THE PREMISES Certificate of Occupancy uilding Inspector �..CII�Silt�1 Gty of Norifiampton REQUIRED INSPECTIONS BU, LDING DEPARTMENT 1. . Footings ual and Components in Place* 3. Complete Building* No. 273 Office of the Building Inspector 000980 _ Date5/6V93 Fee$40 Oieck# 1802 Zoning Form No. Page, 17C Parcel 70ne URB ;section 127 ❑ Yes 0 No BUI]LDING PERM111 * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Elaine Young before Building Inspections has permission to Repair front porch & stairs Inspection on Site--Foundations situated on 95 High 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 applicazion on file in this office,and to the Gas Inspection provisions of the Statutes and the Orc snances 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 pennit.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—Finis(o' 5 Smoke Detectors(Fire Department) Other THIS CARD MUST E DI PL YED IN A CONSPIC S P ON THE PREMISES Certificate of Occupancy In` spector (0"4r-_- r - 16 L 2 U