17A-181 (3) /7A - /e /
For ALL buildings within Fire District and for other buildings costing $10,000.00 or more,plans
and specifications must be submitted to the Inspector of Buildings for examination and approval.
If building is to be moved give details relative to proposed location as for a new building.
�� /_4 -
Application for Permit to Build
Northampton, Mass., ......Af..4. .......193°..
To the Inspector of Buildings:—
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
' ».lee /N ............ �'. ..........:1.t1 _t'.`..»...............................»......................................
1. Owners name .....................
/%, . AL r �._...... . _............_....��..........:..:.........».
2. Owner's address ................_.... ..... . ' .....��, �',u� � ....................................
3. Architect's name .................................................. .........................._..........................................._..........................................._..........................
4. Builder's name ........... X4..4:E...... ...._............................_....................................................................... .........
5. Builder's address ............P4'44P&49.�....». .1. ..k.............»........C'.1 �,.e.r;.!F...,............... .......................................
6. Location of Building. Street No. .................ZU........ ......... .............sS..7...................................................
..
7. Is this a removal or new building..............................I.......................................................................................................................
8. If removal, from where ............................................................ ...................... ................... ............. ...................».. ....:..........
9. What is the purpose of building ..........:......... ...... . . :.........................................
10. Material of building ................... ._L...A..........................................._.............».......................................................................
11. If a dwelling, for how many fami ....Number of rooms
12. Is there to be a store in the building ..................... -.._...........................................................................................................
13. Size of building, No. of feet front .......:.-:........;No. of feet deep ...... No. of stories ..........._........
14. Size of ell, No. of feet front ........................: No. of feet deep .................»....•; No. of feet high ...........».............
^ P
15. Size of Lot ........_............ :,7..�.,�-.1�:��.,!' t�..Feet Wide .............6_21........ Feet Deep ........ ......
16. How near the-line of street ........................................................................................... .... »........... ..........._.......................
. . .. ........
. r
17. How near the line adjoining lot. Right........., 4../..........; Left...... . ................................
18. Nearest building is .....»......................... feet in a...................................................... direction ..................................................
19. Material of the floor ......................................................».................................................................................................................
20. Size of timbers, 1st ...........»....»..:.; 2nd .....................:. : 3rd .............::::=; 4th .............................; 5th ................_...........
21. No. of feet span ........... ............._............................_.............. ; Distance on centers .._. _..
22. Will the building be erected on solid or filled land .....w� ` G��� _ »..................................................
23. What is the material of foundation ....._-----..'=....»......................................................: Footing ........................
24. Will the roof be flat or pitched ..............»...............,r-:.........._...........; Covering...................._................................... ........
25. Heat; steam, hot water, furnace, stoves »........................................ Power oil burner...............................................
26. Fireplace .....»................................................................: Insulation ............` ....................................................................................
27. How many sinks , Toilets .....»....., Lavatories ..»....., Bathtubs........., Showers............: Settubs.........
28. City Service; Water ........................ Sewer ........................; Road Surface ...........................; Sidewalk ........................
29. Is lot on accepted street ................... . .... ..............................._.....................................».............»................................
30. Estimated cost (must be filled out) ........_... ................................................»...............................................
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building._ TVisbuilding will conform ,to.--th,requirements of the law.
Signature of applican � r �:. �:.�:.::...»..��...:..._... f ....... .............» ................
No....... (57............
REMARKS
.............. ,..._..._.»....».......'......:... - _...................... ...........................».............
.. ........ ........
... .. ............... ......._.».............
........................................................... .......»....»...... .............»..........»......._.............................................
I L k;i L
0. 1.C)t
APPLICATION j -i
-71
Zoning crdiw�],ce ,(,Cti,;]] 1-0.",
A I i c;-,,)t
vner
Address- A-13 r e s
Telephone
This section is to be filled Out in accordance -;it.), t1Ae 11'-N�blo of Dimensional and
Density Pe latione:. (Z.Q. A!,TICLE VI)
Zoning Uoe Lot Front Death
t s ax.F I I-Tin. Op.
Dist ric t Area "JlUl Front-- qD V e r Space
t Existin-
%
Present Pro ilr ol-c e d
Mark the appropriate box to indicate the i1sc of the reel:
Edon-Conforming Lot :,nd/or ot-r,,j Ccify— -------
U cture. 13 1;
Residential
-3int;le F;-,-iily Unit =1';Ulti-F,1rJjlY
Duplex 0 thel
Business
Industrial
Institutio-1-
Subdivision 0 ReCu 3 -;r l) .U.D.
8Ubd i vision, With
= Planning Poard Approval:
F-1 Zoning Board Approval (Specipl por1,lit 1,).0• r i,-,3 c e
= Git:y council (Special Exccption q. - ,
. Watershed Protection District 0vcrlj.y: Z. Sect. XIV) F-1 Y e s ro
Parking Space Requirements: (Z.O. .:30ct. "%I) Requ ire
Loading 'Space Requirementc: -(Z.-C. ect. 8.2) R e q n e d
Signs• .(Z.O. Art.. VII) = Yes 170
,Environmental Performance Standards: (7.0, Art, XJI) [=Yes 11XV 0
Plot Plan Yes 170 Site Plan EA y e s
(S. 10.2) (S. 10.2 and 10.11
!Vaiver rraiitc�!:—D-te
M NO SW � KM EM RM WQ M SM K3 N= WU an MM KU M mm WM
This section for OFFICIAL use only:
Approval as presented:
L Modifications necco-,Scry for orprovil:
]Return: Wore information needed)
F-1 Denial Repsors:
Sign?ture of ApI-,Iic-lnt Date Sign tore )f Admin., Officer Date
) -7 lid I
PLOT PLAN
In accordance with Article XI of the Zoning Ordinance, an application for a ,
Zoning Permit muat includo a Plot Plan. The following characteristics of.the
parcel must be shown.
1. Dimensions of the lot.
2. Locations and size of all. buildings.
3. Average finished grade of all structures existing and proposed.
4. Use of all buildings existing and proposed.
5. Set Backs as indicated on the enclosed plan.
Abuttors Name G-P q l
Lot No.
Lot—L Ft.
6 /
Rear Yard
Abuttors Abuttors
Name tIM--1 _ ' Name E K 6. F_fi-o n
Lot No. Lot No.
If this is a �. Sideyard ., House Sideyard If this is a
corner lot, write corner lot, write
in the name of the in the name of the
other street.
other street.
w � w
S Set Back `en
+)
a
ao
Lot (,2 Ft.
Name of Street
Indicate location of garage or accessory buildings with a dashed. line.
Indicate location of Sewer hook–up
List all past plans, applications, permits, variances etc. and corresponding dates that
have been processed by this office.
I certify that the enclosed a ion and plot,..plen re complete and correct.
/ 7
Signature of Owner IYate
PageNo. Lot No.
PERMIT APPLICATION CHECK LIST
P CE 1'7A' PLOT 124 � E P'C,��j �cl 3 � `. rs NO DATA
ZONINQ FORM APPLICATION L� 7 (
2 . PERMIT 6PPLICATIQN
3 0,WNER OCCUP6NT STAT EMENT LIC , it IF NOT
3 SS TS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
Q . CURB OUT
7 W TER AVAILABILITY S,
8 . REMODELING INTERTOR
9 . ADDITIO
10 , ACCESSORY STRUCTURE
1 , SIG AWNING
2 , PERMIT FEE - CHECK ONLY - ' MONEY OR
3 , SPECIAL PERMIT REQUI D WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - CMR 8.0
15 , FOR A
16 , F ILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 4,� 5 J U Alterations
a NORTHAMPTON, MASS. 1 �-19 5 Additions
ix C7
APPLICATION FOR PERMIT TO ALTER Re p air
Garage
1. Location /'? 5 r-- Lot No.
2. Owners name f2G R r- 2 T _r 1-:1H E-4 FL Zf S T R Address l "1 3 A/c. P<.>=
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4._.Addition
5. Alteraf on
6. NewTorch
7. Is existing building to be demolished? //Y G it n c 1 v j. _222,�� 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 cost:Ai 00 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
1 f Signatu e of res nsible appicanl
Remarks
�Q.'S1�MP�O
°e Cri s of
0 4 �asaacllaaetta
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE 3
JOB LOCATION: %'3 1VG . «'J A,, '4 Z_ G iz E X1 C L
(Map) (Marcel) (Subdivision)
HOMEOWNER:17,118_e/2� ,T /-5 Zr-/Z.
(Name & Address )
�,4A�`� G 2L "VC 5:__ cr
(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
BUILDING PERMIT #
CW;I I !6�14 rY� 0013
'`r
Date Filed File No .
ZONING PERMIT APPLICATION (510 . 2 )
Name of Applicant: �ar ;J—
Address : J s /f/o.. i�Ail �L�; „� �- Telephone :
02 . Owner of Property:��,?
Address : j�Tf ,yc_ ,vr1f P� Telephone :
Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# Z arcel# j �31 ,
Zoning District (s) (include overl s) lC
Street Address %q ,
Required
5 . Existinq Proposed - by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- sid 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)
Narrative Descri tion of Proposed Work/Project : (Use additional sheets
if necessary)
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 : / � T- Applicant' s Signatu
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 :
n ' ng R uir Variance Required :
ignatur of spector � at
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pormfts
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit grantin47 authorities.
i i'71-
City of Northampton REQUIRED INSPECTIONS
i 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in,Place*
I Complete Building*
No.
571 Office of the Building Inspector
Zoning Form No. 001379 Date 7/9/93 Fee $20 Check#
Page, 17A parcel 181 Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERT M
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Robert J. Phelps, Jr. before Building Inspections
has permission to Remove an in-ground pool Inspection on Site--Foundations
situated on 193 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA ON THE PREMISES
Certificate of Occupancy
Building Inspector
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