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FORM 788-DESIGNED FOR USE WITH COMPANION#771 DU-O-VUE ENVELOPE JFrsA&Ta�
JETSETS-NEW ENGLAND BUSINESS SERVICE, INC., TOWNSEND, MASS. 07469
— DATE
�_ __ . ❑ URGENT
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JARVIS WELDING & MFG. CO., INC. ❑ SOON AS POSSIBLE
Millers Falls Road FILE NO. . .._...... REPLY NEEDED
TURNERS FALLS, MASSACHUSETTS 01376 ����/�
ATTENTION ..
TO Telephone: (413) 8 3-9541 SUBJECT . ............. ...... ............ ....... .................... .......__.
... ......... --- -- ---. __ ......;.1_0'14a4 7r..... .....-
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MESSAGE
' ........... a,Y/F�Q �e _.._._......
.... ............ ............._. .... ............._......................... ............. .............. ..................... _ _
REPLY
_.........,. .._.._....... ..........._.. ....._ DATE OF REPLY „ ....... �.............
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......._.__ ..._.. .. __.. ._", _. _.__ SIGNED _- -- - -- - - . --
PERMIT APPLICATION CHECK LIST
P 0 DATE
2 .
3 . TF NO
4 . 3 SETS OF S /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER A S
8 , REMODELTNG INTERTOR _
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 , SIGN AWNING
2 PERMIT E - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No � ti Alterations
NORTHAMPTON, MASS. 19 Additions
! Repair
' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location C-�,R A pi elf 15: (1--j S-f Lot No.
2. Owner's name S cnn���� Address 9 G L
3. Builder's name 0-tts Address .1hAAjS- 1104
Mass.Construction Supervi 's License No. Expiration Date
4. Addition
5. Alteration Loy 3a
6. New Porch
7. Is existing building to be demolished? lj y
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 cosh/ C-, c
The undersigned certifies that the above statements are true to the best of his, her
n knowle d lief.
Signature of responsible app,icant
Remarks /v4 �tv ,-� �(i `x 3a //'VgiC'Oil N� 1>GO�
Crz of 'Nazf4allipt n
BAass itch usetts
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE; /
JOB LOCATION: 7 A O
(map) faml)
(subdivision)
HOMEOWNER: L, � �O E
(Name & Address)
t � n, K-4 ko 1) 11 W <;.7 �5-3"41-d 9 __r_)_d 7- /c�34-1
(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 Annotated.
HOMEOWNER SIGNATURE r
BUILDING PERMIT #
Date Filed / 0003248 File No.
ONING PERMIT APPLICATIiON (§10. 2)
1 . Name of Applicant: :R±E
Address: 1 c( G iA r,j r L;, 5: �, 1�-T- Telephone: ` :?ly - „Z q 3
2 . Owner of Property: �-- ��P, C + Rc10 t AA L A_�Rc,c h F I
Address : -19 G (ZQ kub u l � t,./ S i Telephone: e!;�:R 51 - a 235-
3 . Status of Applicant: X-Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet` rcel,#
Zoning District(s) (include ove ays) IJ�
Street Address
Required
5.
Exis-tincr Proposed by Zonin
Use of Structure/Property Poo
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front )
- side L: 3 ( R: L:�30 R• ,- W
- rear '
Lot size p 1 X,
Frontage.
Floor Area Ratio
%Open Space (Lot area minus
building and parking) E I
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) j 'X 3a ' ,Ay G R v,v 2�, ,gyp 0 0
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
Date: Applicant's Signature:
�� r THIS SECTION FOR OFFICIAL USE ONLY: r
Approved as presented/based on information presented
Denied as presented--Reason:
Sp ial` Permit and/or Site Plan Required:
d ng Reg Variance Requ;De ,/:
gnat of uil actor V
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply wiUt all zoning roqulromonts and obtain all required permits
from the Board of Houlth,Conservation Commission, Dopartmont of Public Wicks and othor applicabto Pormh granting authorities.
tUW
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT
I. Footings and Walls
• 2. Structural Components in Place*
3. Complete Building*
No. 873 Office of the Building Inspector
Zoning Form No. 003248 Date 8/31/94 Fee $40 Check# 5068
Page, 17A parcel 101 ,Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Peter LaRochelle before Building Inspections
has permission to Install an in-ground pool 16'x32' Inspection on Site—Foundations
situated on 19 Grandview Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 CONSPI [JS PL ON THE PREMISES
Certificate of Occupancy --
g nspec o
�—