17A-227 (3) 002945
Date Filed ? �� r File No.
ONING PERMIT APPLICATION (§10.2.)
1. Name of Applicant: 0 l
Address: iii //q/< ST /e Telephone:
2 . Owner of Property:_ r g:M I, Ewa 1?±
Address : ��7 �, .� ��-- � Telephone: T-fy
3 . Status of Applicant:XOwner Contract Purchaser
Lessee Other (explain: �
4 . Parcel Identification: Zoning Map Sheet# 1709 Parcel# ,
Zoning Districts) (include o�ays) AIM Street Address ,
Required
5. Existincr Pro Dosed by Zo in
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - - front !o o
side L:�rq.��r- R: _ L: 'S� R: '
- - rear '—`�-po
Lot size 2,70 Q
Frontage.
Floor Area Ratio ? 7
. %Open Space (Lot area minus
building and parking) ? 7
Parking Spaces
Loading ivE
Signs d,v e
Fill (volume & location) oivt
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
All
7 . Attached Plans : _ �C 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: 7- //- 9e. Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
roved as presented/based on information presented
as presented--Reason:
Acr -
natuf�e and/or Site Plan Required:
Variance Required:
of Buildin or ate
NOTE: issuance of a zoning permit does not reliove an applicant's burdon to comply with all zoning roquir ments and obtain all requirod permits
from tho Board of Hoalth,Conservation Commission,Dopaitrnont of Public Works and othor applicablo pormit granting authoritios.
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 "
HOMEOWNER LICENSE EXEMPTION
DATE:
(Please Print)
- // �-S�
JOB LOCATION: '7/¢ 22 7
(Map) (parcel) (Subdivision)
HOMEOWNER: X .///
(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 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
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BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. —7 Z6--19jj1 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ',/ 1-42Z�e C5'tlys Jij I-Lv(Quo Lot No.
2. Owner's name � YnZ� /�1 A�-ei f Address /I/ AaKLi ..S'I r-e- f Fk reji6-e-
3. Builder's name t��LZ�'Lt es !7 ,('., AP; .t Address /i/ I X 11Vi^--1112.f �LD!"ra1r1G
Mass.Construcuon Supervisor's Licensee No. (� Expiration Date
4. Addition 'rUZyjda,0 X -;!�»rr9'7 � Y- 2-Z
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
13. Siding house
A4. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
Iknowledge and belief.
�?
Signature of responsible applcant
Remarks
Date Filed 7- mss`- ?,�Z File No.
ZONING PERMIT APPLICATION
1. Name of Applicant
Address:
,.�U _11,_
/r �f tL�xeo(7 Telephone:
2 . Owner of Property: '
t
Address :.- Telephone: may-
3 . Status of Applicant:XOwner Contract Purchaser
Lessee Ot her (explai.n )
4 . Parcel Identification: Zoning Map Sheet# /7/� �arcel# �
Zoning District(s) (include over a s
Street Address
Required
5. Existin
Pro nosed b Zonin
Use of Structure/Property
(if project is only interior work, skip-to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: ;; R: L: A—A1,1 R:
- rear a�
Lot size X
Frontage.
Floor Area Ratio 1
• oOpen Space (Lot area minus
building and parking) _?
Parking Spaces
Loading
Signs �d soh
Fill (volume & location) tioaer
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if
Zack 0/
necessary) �X -AJ '
Y
7 . Attached Plans: X 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:- 7 - 5 - yam_ Applicant's Signature: /`' l.�o�.r� �• �1'��
ZApproved THIS SET FF CION FOR OICIAL USE ONLY:
as presented/based on information presented
Denied as presented--Reason:
Special*' Permit and/or Site Plan Required:
F'nd 'ng Require ; Variance Required:
S gnatbi: o Building ector ate
NOTE: issuance-66a zoning permit does not rcliove an applicant's burdon 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.
c'V-
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Sttruccttugral and Components in Place*
3. Complete Building*
No. 712 Office of the Building Inspector
Zoning Form No. 003035 Date 7/25/94 Fee $40 Check# 380
Page, 17A Parcel 227 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kathleen Benoit before Building Inspections
has permission to Install a wooden terrace 12" high, 20'x22' Inspection On Site--Foundations
situated on 111 Lake 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 tenors 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 CONSMe PLA ON THE PREMISES
Certificate of Occupancy
(,i ��jl t