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17D-019 (10) a T y I v � O• X 3 Z r7 ZI i Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19e-el— Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location ,�I 7 S Ile CC « Lot No. 2. Owner's name r �, S l� Address // S ✓a L /��r "IC-14 ~`� 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? 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:-, 3"4 o f. The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. r Signature of responsible app,icanl Remarks (Pr0 APR 4W6 e S DEP,-RTMENT OF BUILDMG INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Macs. 01060 HOMEOWNER LICENSE EXE14PI'ION / f (Please Print) DATE: ;�5 y, � >( l �'�� JOB LOCATION: � - (Map) � (ParcJd ) ( Subdivision ) HOMEOWNER: 1 f f C , le'4 J>7 -f 1^d w c (Name & Address ) 03 s T-y- ztFe ( Ho re Phone ) (Work Phone ) The current exemption for "homeowners" was e,-:tended to include Owner-occupied Dwellings of one ( 1 )or two (2) fami 1 �s and to allow such . homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor . G1R780 Section 509 . i . 1 DEFINITION OF HOMEOWNER: Person(s) )ho own a parcel of land on which he/she resided or intends to reside , on ch 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 Berson who constructs more than one home in a two-year ,eriod shall not be considered a homeoi�ner . Such "homeowner'' shall s _: mit to the Buildino Official , on a form acceptable to the Building 0=_-icial , that he/she shall be responsible for all such work performer 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 Chanter 152 (Workers ' Compensation ) and Chapter 153 (Liability of Emplovees 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 . 4 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 SUPERVISOR. HOMEOWNER SIGNATURE �v�- •-- �� ]BUILDING P1?RMIT 4 � 10. Do any signs ebst on the property? YES NO k " 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. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cot— to be f122ed in by the Bui2dia9 Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: �Lotarea minus bldg ' &paved parking) # ; f. 'Parking spaces # of Loading Docks Fill: (vol-dme--& location) '13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DAVE: APPLICANT's .SIGNATURE NOTE: Issuance of at zoning permit does not retiev applicant's burden to oompFy with all zoning requirements and obtain all required per from the Board of Health, Conservation Commission, Department of Publio Works and of er applioable permit granting authorities. :' FILE # l , A 1996 P'3 File No. � � ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION s 1. Name of Applicant: J j"---' -C L . Address: U E Telephone: 3-Y Y z f 2. Owner of Property: ; 7 d<� Address: Telephone: �d 3. Status of Applicant: _ — owner Contract Purchaser Lessee Other(explain): 4. Job Location: , Parcel Id: Zoning Map# Parcel# District(s):,,,:j�L.'L�-6 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property d 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 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. S. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 5( 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 k 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) nn FILE # -/y 4 „ APR 41996 APPLICANT/CONTACT PERSON:-4a�yI2G�J ADARESS/PHONE: PROPERTY LOCATION: 117 MAP. l 2 D PARCEL: Z2 ZONE THIS SECTION FOR.-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee Pnid C ✓� TI3E,FCLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: ` L-' 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 from Conservation ission oe ,111 Signature of Building for Date NOTE:lssuanoe of at 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 applicable permit granting authorities. — iREQUIRED City of Northampton INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* o 3. Complete Building* No. 224 Office of the Building Inspector Zoni>>g Form No. 960814 Date 4/8/96 Fee $40.00 Check# 12483 Page. 17D Parcel 19 ,Zone URB Section 127 ❑ Yes ® No BUIULDINGPERMII * Plumbing and Electrical Inspections required THIS CERTIFIES THAT James Russell before Building Inspections has permission to strip, sheathing, & re-roof house. Inspection on Site--Foundations situated on 117 Straw Avenue - Florence 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,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 PLACE ON THE MMMIS Certificate of Occupancy Building Inspector -