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17A-093 (3) > ? T � M 3 c orl Z n � z 5 > Polil m � ° a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage I. Location �)/¢ �`� S Lot No. 2. Owner's name /)-//? L C S 2 Address 3. Builder's name C,4 ( A, t a Address ZY Mass.Construction Supervisor's License No. Expiration Date 4. Addition In 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 S //11 L 13. Siding house Pt- /`l 14. Estimated cost- /Q Q The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 13, L", Signature of responsible app scant Remarks �0"-(1lNi),20 3 8 1 Z D'fDZI�&111 t07i F csrit cburrIts DEPARTMENT OF BUILDrNG 1NSPEC'TIONS INSPECTOR 212 Mnin Street ' Municipal Building Northampton, Macs. 01060 HOMEOWNER LICENSE EXM,PTION (Please Print) DATE: - /--' - T+ JOB LOCATION: l�a " /a,�4 /� (M a.0) rcel ) ( Subdivisi n) HOMEOWNER: Gh cy, cam /1LG�zJ- (Name & Address ) ( Home Phone ) (Work Phone } The current exemption for "homeowners" was extended to include Owner-occupied Dwellir)Qs of one ( 1 )or two (2) fami )§i'es and to allow such . homeowner to engage an individual for hire who does not possess a ` license , provided that the owner acts as superviso- . r;,Sg780 Section 109. 1 . 1 DEFINITION OF ROKEOWNEER: 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 shah not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a f = form acceptable to the Building O_ cial , 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 recuired 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 and4State of Massachusetts General Laws Annotated ANq SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE ry ✓� BUILDING PERMIT t 1 1 l t l i i �J 1ST I r 1 10. Do any signs exist on the property/? YES NO IF YES,describe size,type and location: 1 Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola to be fil3.ed in by the Building Department Required Existing Proposed By Zoning Lot size / / � �4- Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) .P'f -Parking spaces of Loading Docks Fill: ':(vol-time--& location) ; 13 . Certification: I hereby certify that the information contained herein a is t e and accurate to the best of my knowle ge. DIf'E: JC,� APPLICANT's SIGNATURE -L4 - /I aLl�- NOTE: I anoe of a zoning permit does not relieve an applioant's burden to oomply wilki all zoning requirements and obtain all required permits from the Board of Health. Conservation Commissions Department of Publio Works and other applioable permit granting authorities. FILE if File No. 9W 19 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE, OR PRINT ALL INFORMATION Name : 1. N m of Applicant/' Address: �/2/ �` +�. }/ Telephone: - 2. Owner of Property: Address: Telephone: 3. Status of Applicant: �/�Owner Contract Purchaser Lessee Other(explain): (jam 4. Job Location: �____ � �� Parcel Id: Zoning Map#. l �� Parcel#_` -- District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 0 6. Descriptiop of Prop sed Use/Vyork/Project/Occupation Use additional sheets if necesaikry): 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 Fifes. 8. Has a Special Permit/Variance/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 DONT 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) FILE # 2 v UL 1 11996 J APP LICANT/CONTACT PERSON: �,/G��✓��J L..C.�f�-� ADDRESS/PHONE. PROPERTY LOCATION: `S� MAP 1.71Y PARCEL: g ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MLED OUT Fee PAid Fee Pnid Additinn to Existing 9 THi; OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: //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 Conservati ommissi Signature of Building for to ` NOTE:lssuanoe of a zoning permit does not relieve an applioants burden to comply with all zoning raquirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Public works and other applicable permit granting authorities. — City of Northampton REQUIRED INSPECTIONS A } ; 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 604 Zoning Form No. 961215 Date 7/11/96 Fee$20.00 Check# 1789 Page, 17A ParCel 93 Zone URA/WSP Section 127 ❑ Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Charles Carr before Building Inspections has permission to install 8' x 8' Shed Inspection on Site—Foundations situated on 24 Grandview 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 ** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors(Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T PRE ISES Certificate of Occupancy Building Inspector s