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17A-119 (2) PERMIT APPLICATION CHECK LIST PAGE [7,4 PLOT / '7ZONE '' ffettA_o ". YES NO DATE- il,W-1 0 1 . ZONI > I'0 2 RM I� *P' pLrOATroN 3 . ' NO 3 SETS L 5 . NEW CONSTRUCTION 6 . CURB OUT 7 WATER T S 8 . REMODELING 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN G •`b x 9 12 PERMIT FEE - MONEY .c . 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 27 - C R 780 15 . FORM A 16 . FILL COMMENTS : ti ({; ' DEPARTMENT OF BUILDING INSPECTIONS - INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 V HOMEOWNER LICENSE EXEMPTION (Please Print) DATE• JOB LOCATION: ? /07 (Map (Parcel,) (Subdivision) HOMEOWNER:, u�6t 5 , C_ (N e & Add;ess) (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 at 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 SIGNATI BUILDING PERMIT # a c n� T a r� > O m ::C- r 0 O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage g wnanon ��-� ' �- Lot No. er's name Address qL, 3. Builder's name 'Y e� �1 Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 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 Siding house 14 Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. V �W" < ,V-31 ii Sig Are of responsible appican( Remarks ��C li v -1 G J es Date Filed °° File No. ZONING PERMIT APPLICATION 1). Name of Applica�'�t��: -115 Ai:�46tt-LleL Address : l ctL�. Telephone: 2 . Owner of Property: '✓ - Address : Telephone: 3 . Status of Applicant: L_-Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet#_ Parcel# to , Zoning District(s) (include ov lays Street Address � �c r Required 5. Existinq , Proposed by Zonin Use of Structure/Property — yr (if project is only interior work, Pkip t P #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 Description of Proposed Work/Project: (Use additional sheets if necessary) Ve-AQ „ ^A5N�LC-,-N ta,1�' idc: wee.v 'r,o.Me '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 I s Signature: ��.iy5,-1 ��r-wr,o� t THIS SECTION FOR OFFICIAL USE ONLY: Z proved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: nding Re ed: variance Required: /6 gnat r f Building Ins ec r to NOTE: Issuance of eiin ng 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. Footin s and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No, 347 Office of the Building Inspector Zoning Form No. 002469 Date 5/5/94 Fee $20 Check# 1698 Page, 17A parcel 11L,Zone Zone URA Section 127 ❑ Yes No BUI-ILDING PERmi r *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Hans Gregorski/Fitzgerald Fences before Building Inspections ****Must meet required setback or URA zone (15'fron sides & rear has permission to Erect a fence in excess of 6-, feet in height Inspection on Sites—Foundations situated on 46 Claire Ave. Inspection of Plumbing—Rough provided that the person accepting this pemnit 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 teams 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 CONSPICU PACE N PREMISES Certificate of Occupancy g Inspector - _ �o�f 9.��i1j Sil�)1 City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 347 Office of the Building Inspector Zoning Form No. 002469 Date. 515/94 Fee $20 Check# 1698 Page, 17A parcel 119 ,Zone URA Section 127 ❑ Yes U No BUILDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Hans Gregorski/r itzgeral.d Fences before Building Inspections ** *r4Ust rileet requ;red setback or URA zone (15'fron sides & rear has pernlission to Erect a fence in excess of 61-, feet in height Inspection on Site—Foundations situated on 46 Claire Ave. 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:loted 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 CONSPICU PACE NREMISES Certificate of Occupancy g Inspector �ndfl )1