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17C-300 (2) i PERMIT AP CHECK LIS NO DATE i 2 . NEW 3 . Z LICA IF NOT 4 . 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 CURB CUT 7 WATER 8 . REMODELLNG INTERIOR 9 . ADDITION 10 . ACCESSORY 11 , SIGN / AWNING I 2 , PERMIT FEE - 13 . -SPECIAL PERMIT REQUIRED WITH DEED 'IF APPLICABLE 14 . UNDE SEUION 127 - C R 780 i 15 . FORM A i 16 . FILL COMMENTS : I t 1 t 1 i t ,� ell r � I /Y�' w 8-:r �© � ,max%ST-%�� 7-1017 'v Date Filed File No. ZONING PERMIT APPLICATION (§10 . 2) 1 . Name of Applicant: Address: Telephone: 2 . Owner of Property: . Address : Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Ot er (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# , Zoning District(s) (include_ ov ' 1 s Street Address , Required 5. ExistincT Proposed by ZoninLq Use of Structure/Property (if project is only interior work, skip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front ' - side L: R: L: R: -- rear r Lot size Frontage. Floor Area Ratio oOpen Space (Lot area niinus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 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'sSignatur THIS SECTION FOR OFFICIAL USE NLY: Approved as presented/based on information presented Denied as presented--Reason: Special.' Permit and/or Site Plan Required: Finding Required: Variance Required: S gnature of Building Inspector Date NOTE: Issuance of a zoning permit does not repave an applicants burden to comply Willi all zoning requirements and obtain all required permits from the Board of Hoalth, Conservation commission, Dopadmont of Public Works and otitor applicable permit granting authorities. i JI . I i i I I I I I f i i I i i i I I I i I I I I i i i I i 1 I I I I i i I i 9� � lla Ena� UiP� s%z�s �P�rox V �v LY I i i I i i i I i I I i I OAS t1/a(PLO 9 B /y� yhQE6RC�i1E[IIQ DEPARTMENT OF BUILDING INSPECTIONS - INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: HOMEOWNER: CL°y/_h �n Address) ,585-6" (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 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 AND SHALL BE ON THE JOB AS I R. HOMEOWNER SIGNATURE BUILDING PERMIT # > II T z v -a X �► m � r v a � Zoning 3F�Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S�S Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �j�4 R E' S �.�/ C°�C Lot No. 2. Owner's name �E�ij'I 9• ����°.a Zee//1/ mss �� C �� S% o/`C��Ce 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? /V 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines % d 7 12. Type of roof 13: Siding house 14, stimated cost: J S� The undersigned certifies that the above statements are ue to he best of his, her know led a an Lief. 300 ~ / Signs ure of responsible app icani Remarks �/ " F R rri ►° f bE t2 �LpGS si��,��� J i i I i i I I i i I I i I I I I i i I i i i i i Date Filed File No. ZONING PERMIT APPLICATION (510. 2) t 7 `J I . Name of Applicant: ���/ ✓7 riC� �P� �v� i / (°/ ' Address: C7 Telephone: �o 2 . owner of Property: Address: Flo 415�Ce­ Telephone: - g —a 3 . Status-'of Applicant: Owner Contract Purchaser Lessee 0 her (explain ) 4 . Parcel Identification: Zoning Map Sheet#J' Parcel# Zoning District(s) (include overl s r Street Address 1AW2 , Required 5. Exis In Proposed by Zonin Use of Structure/Property .'_ 5 (if project is only, interior work, skip to #6) quilding height /& �(o Bldg.Cov-erage (Footprint) = etbacks - front o - side L: V R�, L: R: - rear 5 Lot size Frontage. Floor Area Ratio open Space (Lot area minus building and parking) Parking Spaces Loading signs Fill (volume & location) 6 . Narrative Descriptio f Proposed Work/Project: (Use add ' ionarl sheets if necessary) 4 ` tci, f d " oa t r r J2 erg^ 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 Signature: THIS SECTION FOR OFFICIAL USE ONLY! !/Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: Finding R uire variance Required: 5 gnature of- Building Inspector Date NOTE: tssuonoa of a zoning pettnit does not tellove an applicant's burdon to comply with all zoning roquiroments and obtain all roquirod potmhs from the Board of Health,conservation commission, Department of Pubtic Works and otlior applicable permit vrantinq atAhoduos. le?*)- I w I i i I I. i i i i i i i I i I i i I I i i i i i i City of Northampton REQUIRED INSPECTIONS $ 1. Footings and Walls • BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 300 Office of the Building Inspector Zoning Form No. 004133 Date 4/21/95 Fee $20 Check# 1549 Page, 17C parcel 300.Zone URB Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Kevin Bouthilette before Building Inspections has permission to Add 81x101 to existing shed Inspection on Site—Foundations situated on 40 Lake street 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 CONSPICUOUS PLA ON RE ISES Certificate of Occupancy Building Inspector �_ MOW