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13 , SPECIAL PERMIT REQUIRED WITH DEED* IF APPLICABLE
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UNDIER SEQTION 127 - CER 780
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations_
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 77 S±iLn c l 1 e-- Lot No.
2. Owner's name �a6e�t 14- W j�i a,-i S Address
3. Builder's name .9�-vii e Address
Mass.Construction Supervisor's License No. ` Expiration Date
4. Addition vE'cLC d� Cc 2t'C�« �C, Pmt �c t X 'S �h� �cc� �� �'2 4y1�
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
ry
11. Distance to lot lines c,, �� � � `� r �, `t'
12. Type of roof n
13. Siding house
14. Estimated cosj I DOD ,
The undersigned certifies that the above statements are true to the best of his, her
knowledg d belief.
Signature of responsible app,icant
Remarks
O�'C1iAMP�O
(riff of 'Narthallipt n
� �lasaadtusetts
w J
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01000
HOMEOWNER LICENSE EXEMPTION
DATE: S
(Please Print)
�Z.
JOB LOCATION: :Z 7 S l ✓ti f 4
(M
HOMEOWNER p) (, arcel) (Subdivision)
( ame 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 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 #
u
1 }ditYa
Date Filed File No.
ZONING PERMIT APPLICATION (510 , 2 )
1 . Name of Applicant:
Address : '77 yrj X-e Telephone:
2 . Owner of Property: Su"I f
Address : Telephone :
3 . Status of Applicant:-L/—Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# rID Parcel# ,
Zoning District (s) (include
Street Address 7.7 _. c�.
Required
5 . Existina Pro osed —by Zoning
Use of Structure/Property 16"'1
(if project is only interior work, skip to #6)
Building height /0 ff G'-,z.NcS f�_,l
_ADldg . Coverage (Footprint) ^ , Z S
Setbacks - front
- side L: 151 R: � L: I'j R: I'�L I +
- rear
Lot size 170 14
Frontage �n
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) c A � , � &h" k,
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 : f:7-7 / Z7 Applicant' s Signature : � �(.
ZApproved TH28 SECTION FOR OFFICIAL USE ONLY: - _ r - - - - r -
as presented/based on information presented
Denied as' presented--Reason :
Special• Permit and/or Site Plan Required :
nding q ired : Variance Required :
g Ef u e of Buildi ec or � to
NOTE: issuanca of a zoning permit doos not roileve an applicant's burdon to comply with all zoning roquiromonls and obtain all required pormits
from tho Board of Hoalth, Conservation Commission, Deparlrmmt of Public Works and other applicable permit granting aulhoritlos,
Ago �°°ti9 City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 2. Strucntural Components
in Place*
3. Complete Building*
No.
387 Office of the Building Inspector
Zoning Form No. 001167 Date 5/28/93 Fee $20 Check# 373
Page, 17D Parcel 26 ,Zone uRt3 Section 127 ❑ Yes No
BUI]LDINGPERMI F-I'I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Robert Williams before Building Inspections
has permission to Add a deck 16'x12' & a 12'x12' gazebo Inspection on Site—Foundations
situated on 77 Straw 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 CONSPICUOUS PL ON THE PREMISES
Certificate of Occupancy
�Inspector