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17A-220 (8) a T �► a ., z > _ � o -a XI Z mC v Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 5� 7 19 Additions Qk APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location s G'G — 17 � r 1 T u 0 t p- S-7`" Lot allo. 2. Owner's name fl tJ� l�� - G g k l,— Address f 7� Alo 2 Tt1 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition ;E- �C c;�C F I 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 t 11. Distance to lot lines l 1+- Y - /D 7- i-2a y EA. 12. Type of roof (' 13. Siding house 14. Estimated cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and ef. Signature of responsible app,icant Remarks o S« ro v� ©c L s s Crzf, .af Wazf4&11VPfan 8 " �t«ssKChuactt« DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 " HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: J7 !9,+ JOB LOCATION: SIB L (Map) (parcel) ( Subdivision) HOMEOWNER: V l,19 /q , CC` a2&F-7- -; (Name & Address) l (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 W SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE ` //. BUILDING PERMIT # r w ,nn Is4.t � V 7 k;j "000°"" j -- -7> » 1. File No. ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION Applicant:Name of A - t 1. pp V a �. Address: 17A G -i`h� 4PZ di Telephone: 4 2. Owner of Property: T,4U L4- Address: 17-'� A/b 27- Telephone: 3. Status of Applicant: Owner _Contract Purchaser Lessee € Other(explain): 4. Street Address: Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): $u oo L 5 �� d' Lam. �s w ce-a/VaR 0;r_ 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 DONT 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---,V,-- 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 # 9609-65 APPLICANT/CONTACT PERSON: -- ADDRESS/PHONE: PROPERTY LOCATION: MAp /2�2 PARCEL:_ C> ZONE THIS SECTION FOR-OFFICIAL USE ONLY: _ PERWr APPLICATION CHECKLIST ENCLOSED REQUIRED DATE vni►rrwrn MR m T Fn nirTT FPP Pain FPP Paid TVnP of C onstruction- NPw C'nnetrnrtinn RPmndPling-InrPrinr Addition to Fiict_2 ArrPccnry StrnrtnrP _ tPmpnt nr U `� 9's - -3 sets of Plan Plot Plan T E^LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: I /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 Permit f m onserva ' Commxss' n Signature of Buil i for Date NOTE:lssuanoe of at zoning permit does not relieve an applicant's burden to oomply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. — °�s��"•� City of Northampton REQUIRED INSPECTIONS 1. $ ` BUILDING DEPARTMENT 2. Struct Footings al Components in Place* e , 3. Complete Building* Noy 799 Office of the Building Inspector Zoning Form No. 960265 Date 9 18 95 Fee 20 Check# 2002 Page, 17A Parcel 220 , Zone URB Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paula Corbett before Building Inspections has permission to build an 8 x 20 Shed. Inspection on Site—Foundations situated on 172 North Maple St. - Florence 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$PJC PLA O THE PREMISES Certificate of Occupancy Buildin or