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17A-193 (3) Z) Z � � Z n Z > C� Z • C r � O � rv. � A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5,V—-004L Alterations NORTHAMPTON, MASS. AvG . '�; 19`►� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 30 ?o(t-)EL,L. S'l Lot No. 2. Owner's name GC-RNP-D R• �` UAWC't VA1JA555/- Address 30 FOWP- _t-. ST', 3. Builder's name tGc DWI Be-AR ROOD. Address 4l IF-AST. ST• CI-+t_ C� YYI14 Mass.Construction Supervisor's License No. Expiration Date 4. Addition 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 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledee and belief. Signature of responsible app.icant Remarks ,I � S Sh/C--D T � fa � P pT0 V 6 � ,�asrRChnrctlr DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: RUC. JOB LOCATION: 3a Pawa"L_ 5T: -fL6peI)ce rrt A (Map) (parcel)) (Subdivision) HOMEOWNER:_GERARD R.' t:, WANC`! VRNRSSL (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 m_ ay 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 Annotate AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNA BUILDING PERMIT # 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES, describe size,type and location: 11 . AL.L INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to be filled is by the Banding Department Required Existing Proposed By Zoning Lot size J Frontage % Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minas bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kno Ledge. DATE: . 7 /443 APPLICANT'S SIGNATURE NOTE: Ise anoe of a zoning permit does not relieve an applicant's burden to comply with all zoning re uirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # �a File No. Ww) ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: (�,ERA.RD :R. 01AyR5567- Address:,Bo �OtJE�.�- 5T- Fc4gen)c.c Telephone:—,5 R.-004 1. 2. Owner of Property: GERARD R . VAl0R5S Address: 30 'F64ucLt- 5'r. 'FG,0REIVCE Telephone: ,55G-0046 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain):: 4. Street Address: Parcel Id: Zoning Map# Parcel# District(s): NLRB (TO BE FILLED IN BY THE 13UILDING DEPARTMENT) 5. Existing Use of Structure/Properly 6. Description of Proposed UseMork/Project/Occupation: (Use additional sheets if necessary): PuT uP iS' tmT smyr. GR6(j#vb Pc to)L- 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 Permit/Vadance/Finding ever been issued for/on the site? NO DON'T 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 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 # APPLICANT/CONTACT PERSON: 'Ls ADDRESS/PHONE: :C> PROPERTY LO ATION: t e-C MAP /7 PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE TIE,F.OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: ` 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 pn Permit from Conservatio ommissi S' A/01�� Signature of Building Iprector ate NOTE:lesuanoe of a zoning permit does not relieve an applioant'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 appiioable permit granting authorities. A �� "•� City of Northampton REQUIRED INSPECTIONS Footings and Walls v► , BUILDING DEPARTMENTr 2. Structural Components in Place* 3. Complete Building* No. 661 Office of the Building Inspector Zoning Form No. 960094 Date 8/7/95 Fee$20 Check#718 Page, 17A Parcel 193 ,Zone URB Section 127 ❑ Yes ®No BU]ILDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Gerard yanasse before Building Inspections has permission to install an above ground pool Inspecti,)n on Site—Foundations situated on 30 Powell St. Florence Inspection of Plumbing—Rough provided that the person accepting this, permit shall in every respect Inspect.,on of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildin,;s in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Insp-.action of Wiring—Finish Y of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be yssued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Bui.ding Inspection—Finish a a16 ** Install per Manufacturer's informati&i: windows, vinyl siding,roofs Smoke Det-ctors (Fire Department) and woodstoves Other THIS CARD MUS =F4$VL YE D IN A CON$PJCVOUS PLACE ON TH ISES Certificate of Occupancy Building Inspector off,*,,Lwafw` I