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17C-172 (8) PERMIT APPLICATION CHECK LIST YES NO DATE 2 3 , LICJ IF NO 3 SETS OF S PLOT PLAN NEW CONSTRUCTION 6 . CURB CUT Z . WATER AVAILABILITY FORMS 8 . REMODELING 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN / AWNING 12 , PERMIT E - MONEY O D 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - C R 780 15 . FORM 16 , FILL COMMENTS ; ' / PERMIT APPLICATION CHECK LIST PAGE 7C1 PLOT L �Z---ZONE G �'.- � lid' � '` ' ° `� ' YES NO QATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWN P E # IF NO 4 . 3 SETS OF PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER V S 8 . REMODELING 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN AWNING 12 . PERMIT FEE - LO L - MONEY ORDER 13 . SPECIA ERkT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - C R 780 15 . FORM 16 . FILL COMMENTS : 1 ? �o v T A 3 p cn Z � v O 1 r v 0 XX Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. U� Alterations NORTHAMPTON, MASS. _ tj,1�f 19 Additions • Repair • ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location -2 -7 0' 2/ _'_;4 CAA . G/ L e /11 fil Lot No. 2. Owner's name bt)j2V2C( 4 57'l�-2C'MC.CT Address SCtI"Y?e Ct J ( Cn ahGn 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration Clf a a D <2_L4 r'r�ee7 z)6tz&)06/7 6. New Porch 7. Is existing building to be demolished? 0 8. Repair after the fire ) O 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cosL- 06C The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. S E44,L Signature Jresponsible app icam Remarks C p 7r�TL-1k `q? t f ti 4��`rpT p Grit, d wort 4alilp to-A � B �lasa�cllasetla DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION , t (Please Print) JOB LOCATION: (Map) (parcel) , (Subdivision) HOMEOWNER: UU(2Ylct u C,7 -47- (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 buildinq 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 # '•' `' 0031'77 Date Filed File No. ZONING PERMIT APPLICATION (910 . 2) 1 . Name of Applicant: " V1� y S_(6/ Address : � i rtfrl ., �,( !'ele�hone: k� � r r,n� - - - 2 . Owner of Property: ct!� 12(t Address Telephone: 3 . Status of Applicant:_Y Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet#,1Z •Parcel# Zoning District(s) (inc ide overlays') �� ? j Street Address t 2- e .(1 . , _ ,1 , Required 5 . Existinq Pro osed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: R: L: - rear Lot size Frontage Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Pr p ed Work/Project: (Use additional sheets if necessary) ,5 - ��`� , n, C - c Y 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: Applicant' s Applicant' s Signature:�;_Jl J, THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S ial• Perm' and/or Site Plan Required: n Re ed• Varianc Required: 7-y ggignati*b of B pector to f 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, Department of Public Works and other applicable permit granting authoritlos. ic'9')- ttnM City of Northampton REQUMED INSPECTIONS $ 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Nom 835 Office of the Building Inspector Zoning Form No. 003177 Date 8/24/94Fee $40 Check# 312 Page, 17C parcel 172 ,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wendy Stein before Building Inspections has permission to Update bathroom walls, ceilings & floor Inspection on Site—Foundations situated on 27 Fairfield Ave. 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 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC l LA N PREMISES Certificate of Occupancy r City of Northampton REQUIRED INSPECTIONS • 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 835 Office of the Building Inspector Zoning Form No. 003177 Date 8/24/94Fee 40 Check# 312 Page, 17C Parcel 172 ,Zone URB Section 127 ❑ Yes ® No BUI]LDING PERNU11 * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wendy Stein before Building Inspections has permission to Update bathroom walls, ceilings & floor Inspection on Site—Foundations situated on 27 Fairfield Ave. Inspection of Plumbing—Rough 3 /-S 6j-m 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—RoughM- c � Maintenance and Inspection of Buildings in the City of Northampton. /al'"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 lnspection—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 O k G-2 3• flr.. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC LA N PREMISES Certificate of Occupan c ` or - G=-� �o�t I1.�11 Sll�)7