17A-201 (2) PERMIT APPLICATION CHECK I
PAGE 17*4 PLOTe�/ ZONE UA 7 YES NO DATE
ZONING FORM APPLICATION 7 Q�
2 . PERMIT APPLICA110 L—
3 NOT
5 . NEW S
CURB CUT
WATER 7 .
8 , REMODELING INJERIOR
9 . ADDITION
0 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
PERMIT — MONEY RDER C-
3 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 . UNDER 80
1b FORM A
6 . FILL
COMMENTS:
4 B IM +
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DEPARTMENT OF BUILDING INSPECTIONS �
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 ' "
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: 7
JOB LOCATION: �LQr
(Map) (Parcel) (Subdivision)
HOMEOWNER: r9 I-t %-O 6 Cp
f (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
BUILDING PERMIT #
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c— Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. J T Alterations
NORTHAMPTON, MASS. Z/ I 1-77`1— 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 %L L 0 C E/-,'-)10EAII t A4 Lot No.
2. Owner's name 1 11 jlr(� Address J TJfl(fit `L L�
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration /7%rAJ GAaJ IU 85-1-S I n/ /z-I 4L'HE-111 i 26Ai �V A16:"U 1 l! Z,
6. New Porch
7. Is existing building to be demolished?i„n
8. Repair after the fire Af®
9. Garage Z C;AJZ- No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost$ G
The undersigned certifies that the above statements are true to the best of his. her
knowl d belief.
Mo
Signature of responsible app,icant
sY .,
Remarks ,[)rww r A Pwu C7S / I t&IAf id �2)21j%A/ (;.612,Qcl I
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Date Filed 7 — Zd — v r 003000 File No.
ZONING PERMIT APPLICATION (§10. 2)
1 . Name of Applicant:
Address :_ 1 11 r„�;6 Telephone
2 . Owner of Property: .
Address : - elephone: q
3 . Status of Applicant: "'-Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District(s) (include ove =rlays
Street Address
Required
5. Existin_q Proposed by 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: R:
- rear
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) >"cGF /c—J G H lb
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 knowle
Date: �� — Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
2yn ecial' Permit and/or Site Plan Required:
in g Re ed: variance Required.
, 7
gnat o r Buy Idin � � e
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,conservation Commission, Dopartmont of Public Works and other applicable permit granting authorities.
e l*)-
City of Northampton REQUIRED INSPECTIONS
DEPARTMENT 1. Footings and BUILDING
2. Structural Components in Place*
3. Complete Building*
No. 692 Office of the Building Inspector
Zoning Form No. 003000 Date 7/20/94 Fee 40 Check# 40
Page, 17A Parcel 201 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDING PERM I'l
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Sarah Pogq before Building Inspections
has permission to Replace kitchen cabinets, enlarge closet, construct Inspection on Site—Foundations
situated on 17 Powell street 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,ifnot 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 CONSPIC PLA THE PREMISES
Certificate of Occupancy
Building Ins r -
Co�+t IP2P,If;(I(