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17A-182 (4) a -9 0 70 'v v M z a zm > $ cn O A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. -'4/-2Z 19 -'�� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. a Z,2 2 ff-a4b Lot No. r 2. Owner's name ct Cc ( G ry Address l X7 00 Pyla,?+c S �'t"��phptrr�TYl W 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition + 5. Alteration -�k5fia.11.K U " 4 { '' 6c v ew--I dc,Ci' 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 X14.;EstimatedcosL- '106. cc, The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. C Signature of responsible app,icant Remarks 1 p-0 r 8 6if-7 of 'Narfilampfon BasaRCf�us�lia DEPARTMENT OF DUILDrNG INSPECTIONS INSPECTOR 212 Main Strcct ' Municipal Building ' Northampton, Macs. 01060 HOMEOWNER LICENSE EXEMPTION y c, (Please Print) DATE: JOB LOCATION: (Map) ('P reel) ( Subdivision) / HOMEOWNER= Lt �" CC Lt L t)ia �P� ( 6Z IZC) YYIC�'D �� �rt - r T- lLYt'.ucsLt � CH (Name & Address ) ( Home Phone ) (Work Phone ) The current exemption for ''homeowners" was extended to include Owner-occupied Dwellings of one ( i )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 . CK780 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 twc-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Buildinc 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 AND SHALL BE ON THEE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT 10 Do any signs exist on the property? YES __ NO v IF YES, describe size, type and location: 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 colssmm to be filled :n by the Bnildi.nq Depax'tment Required Existing Proposed By Zoning Lot size Frontage Setbacks frnnt side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # .of -Parking Spaces of Loading Docks Fill: �-(vol-ume -& location) 13 . Certification: I hereby certify that the information contained herein rf is true and} accurate to the best of my kno ledge . DATE: ��-©Z�— % JAPPLICANT's SIGNATURE c�-Crc NOTE: Issunnoe of a zoning permit does not relieve n pplioant's burden to oomply with all zoning requirements and obtnin all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other npplioable permit grnnting authorities. FILE .�` — i 3r R @ a 5 File NO. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: I ?, 7 L L V le fi Telephone: J F4— -7 q J T v--M u c.e , ii vl W 2. Owner of Property: S t -Tm Address: S6�L yytJl Telephone:.Kn e- 3. Status of Applicant: V111Owner Contract Purchaser Lessee Other(explain): �SCt m t' 4. Street Address: Parcel Id: Zoning Map# Parcel# District(s): Llf- (TO BE FILLED IN By THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Z ELY,,, 6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if n ssary): 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 Files. 8. Has a Special PermitNadance/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 DON'T 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 # 96050 APPLICANT/CONTACT PERSON: ✓�2� e - 9 j ADDRESS/PHONE: PROPERTY LOC TION: MAP PARCEL: Z �--- - THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZDNTNC�FORM ETTLED OUT Fee Pnid Rnilding Permit Filled nvvt jYew Cnnctrn,-1-j-0n � ;tempriPlin� TntPrih�'-_ .i THE FOLLOWING 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 �Pe it from Conse on mmission Signature of Bui to NOTE:Isauanoa of a zonin permit does not relieve a applioants burden to oompty with all zoning requirementa and obtain ail required permits from the Board of Health, Conservation Commiaelon, Department of Publio Works and other applioable permit granting authorities. — H" City of Northampton RQUIRD INSPECTIONS $ ! 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1045 Office of the Building Inspector Zoning Form No. 960501 Date 11/30/95Fee $20 Check# 1635 Page, 17A Parcel 182 Zone URB Section 127 ❑ Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Susan owles before Building Inspections has permission to install replacement garage doors. Inspection on Site—Foundations situated on 187 North Maple Street Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough_ Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCVQUS - A THE PREMISES Z. i Certificate of Occupancy Buil&ftg=hor G N s ?