17A-127 (4) t .
` 00313 ;
Date Filed ; /2 ' G�J �'" File No.
!—' ZONING PERMIT APPLICATION
1. Name of A pl 'cant: C���GI Clf9
Address : D_ / � Telephone:
2 . owner of Property: a`w u C .
Address : Telephone:
3 . Status of App fi cant: caner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#� Parcel#
Zoning Districts) (include overlays)
Street Address
Required
5 , Existina Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage AFootprint)
Setbacks l= front
7 - side L: ✓ L R: 4
rear
Lot size
Frontage.
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
06 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
x
'r
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:
THIS SECTION FOR OFFICIAL USE NLY:
Ap roved as presented/based on .information presented
s presented--Reason:
l'' P n Required:
Variance Required:
l
gna.tu e of ui1l nspector D e ;
NOTE: Issuance of a zoning patmk does not rettave an applicanCs burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Dopartmont of Public Works and other applicable permit granting authorities.
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Z ^' me
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. '> `~ " y�r Alterations
NORTHAMPTON, MASS. a �� S � /f 19
Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location C/ Y t °� �r. Lot No.
2. Owner's name , r a� f ".'r ( A; 1 11Address
3. Builder's name o Address
Mass.Construction Supervisor's License No. Expiration Date f
4. Addition .t G 1? V
5. Alteration
6. New Porch
A
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size i
I
10. Method of heating
11. Distance to lot lines
12.''Type of roof
13. Siding house
14. Estimated cosL '✓ ��, r' fi` i
The undersigned certifies that a above statements are true to'ylie best of his, her
knowledge and belief.
Signai7 responsible appicani
Remarks �((
i
,j
PERMIT APPLICATION C ECK LIST
�l �'�-
PAGE 1714 PLOT /.� ? ZONE -YES NO DATE
1 . ZONING FO ICATION
2 . PERMIT APPLICATION
3 . OWN .._ IF NO
4 . 3 SET 0 PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
10 . ACCESSORY
11 . SIGN / AWNING
2 , PERMIT FEE - - MONEY ORDER
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 , FORM
16 , FILL
COMMENTS :
4 B,
of 'Wart4aillpfun
� �tsaRCausetts
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EYYMP 'ION
(Please Print)
DATE:
JOB LOCATION:
(Map) (parcel) (Subdivision)
HOMEOWNER:
(Name & Address)
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one (1 )or two (2) fami I 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 m_ ay 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 AND SHALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE /^ {
BUILDING PERMIT #
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00313;
Date Filed.4 - /� ' �� 7 File No.
ZONING PERMIT APPLICATION (Si0. 2)
I. Name of A pl ' ants AAlal t t
Address: U_ / Telephone:
2. Owner of Property: 0ianl 'adrl. 0 C -
Address: (1 " Telep one: -
3 . Status of Applicant: caner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet#—iL4 Parcel# 1.1
Zoning District(s) (include overlays)
Street Address `,• t° ,
Required
5 . Existincr Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
°sB1dg. Coverage (Footprint)
Setbacks front
side L: ✓ L: R: q`r
rear a Zz ' )
Lot size
Frontage.
Floor Area Ratio
. %open Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
. X
t
7 . Attached Plans: Sketch Plan Site Plan
S . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
t
Date: Applicant's Signature:
t. /esented--ROFFICIAL THIS SECTION FOR USE Approved esented/based on information presented Denied asp eason:
Special** Permit and/or Site Plan Required:
inding Re 'red: Variance Required:
gnatu a of ui.ld nspector D a/t e
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiromonts and obtain all required permits
from the Board of Health,conservation Commission, Dopaitmont of Public Works and other applicable permit granting authoritios.
g��� ��V City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Swccttugral Walls Components in Place*
3. Complete Building*
No. 1000 Office of the Building Inspector
Zoning Form No. 003135 Date 10/11/94 Fee $40 Cieck# 2 checks
Page, 17A Parcel 127 ,Zone URA Section 127 ❑ Yes ❑ No
BUI]LDINGPERNM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Richard Wanczyk before Building Inspections
has permission to Construct 13 x 6' canopy Inspection on Site!--Foundations
situated on 305 Bridge 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
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. PLA 'O THE PREMISES
Certificate of Occupancy
_ Spector
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