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17A-221 (5) PERMIT APPLICATION CHECK LI T PAGE PLOT .% 7.0NF vPc Kin nAr;: I . ZONING FORM APPLICATION �---- � 2 . PERMIT APPLICATION L--- 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT 4 . 3 SETS OF PLANS /PLOT ,PLAN `-- 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 1 . SIGN / AWNI 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 6a' 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : u •p4K PTp Cllzf� of Nox#lTalliptoll s lLiss sclN11501s s. DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: j�,t,�-tZ ��C1 �7 JOB LOCATION: l �I )A j Vit 3 (Ma ) (Parcel) (Subdivision) HOMEOWNER: zza z< S711,14- >','-e=1 L-4 C 4-- (Name & Address) (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 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 ✓'� �' < L� BUILDING PERMIT # CONSUMER LOAN DEPARMENT AN HERITAGE BANK F O R S A V I N G S 317 MEADOW STREET, ANNEX 5•CHICOPEE, MASSACHUSETTS •01020 IR Ala, `2 0 'o "3 0 ' C y v b o r a o S. M '"l O aa M x � C4 Y .. C �o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S�t/`woZ Yh Alterations NORTHAMPTON, MASS. 1)719ze 3© 19973 Additions APPLICATION FOR PERMIT TO ALTER so Repair Garage 1. Location l`d llle t# M"Ir Lot No. 2. Owner's name eo 6la p-f Kc6f S Address h� Nae d IVAPI-e Sf" 3. Builder's name 6.10f Al E Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? y{S 8. Repair after the fire 9. Garage ) �� 'atw t, Qom_ q2�1 p No.of card Sized 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- /U� 000 The undersigned certifies that the above statements are true to the best of his, her knowledge and b�elief�� Signature of responsible app,icant Remarks Qt,w T • arCfSG4 �y i 0 0 0 3'_i Date Filed File No. ZONING PERMIT APPLICATION (510 . 2) 1 . Name of Applicant: 1615-6 7/- Address Z�Ed DI/odl,� " P Telephone 2 . Owner of Property: SR_,VIL Address : Telephone: 3 . Status of Applicant: ),/- owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# r7A Parcel# a-,) / , Zoning District (s) (include overlays) Street Address_ c N, MI-0I r: �� Flo Required 5 . Existing Proposed bv Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front 781 - side TJe, R 1,�� L 60 R W .. - rear _ ie2o /00 q 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) �c'mo�is/¢ �Xis�i.�c / c,r,�,[ 609-44 6, 1?ee A<�- 6*4E zo• ` ` J 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: / i 3o 1993 Applicant ' s Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: ZApproved as presented/based on information presented Denied as presented R so for vial: gnat of Buildin or � � Date NOTE: lssuance of zoning permit does not relieve an applicant's burden to comply with all zoning requiremonts and obtain all required pormils from the Board of Irlealth, Conservation Commission, Department of Public Works and oilier applicable permit grunting authorities. 7/92 FxAS City A e of Northampton REQURED INSPECTONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place 3. Complete Building* No. 187 Office of the Building Inspector Zoning Form No. 0 0 0 3 6 4 Date 4/9/93 Fee $40 Check# 2761 Page, 17 A Parcel 221 ,Zone u R B Section 127 ❑ Yes No BUI]LDINGPERAM *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Robert x 1 a e s before Building Inspections has permission to Demolish 1 cai7 garage, replace with 2 car ew.r, A,lspection on Site—Foundations situated on -'-8 2 North Maple S T r e e t garage Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 CONSPICU PL N THE PREMISES Certificate of Occupancy ng Inspector 7''_t1 Silta7