23D-163 (10) eMatio°I. City of Northampton REQUIRED INSPECTIONS
��.; ,, t 1. Footings and Walls
--1. : - BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 848 Office of the Building Inspector
Zoning Form No.
001712 Date 9/17/93 Fee $b0 Check# 2662
Page, 23D Parcel 163 ,Zone URB Section 127 ❑ Yes 0 No
BuffiDIN.G PERmIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Nora Israeloff before Building Inspections
has permission to Add Dormer & reconfigure upstairs bedrroms, relocate Inspection on Site—Foundations
bathroom 0;{/f—`�".C� �,�,
situated on 127 Maplewood Terrace Inspection of Plumbing Rough
that the person accepting thispermit shall in everyrespect Inspection of Plumbing—Fin � -'1b _ �
P g G�')Aol e'f�'4►�t� �
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 ,1���f! /'
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 ,/-/ ^ v
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Roue) - 4."
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection 6 / Z ,, <;
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD ST E a 5 D IN A CONSPICU S LA , N THE PREMISES
Certificate of Occupancy Q --
-7._. spector —
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9 / 1 V ,
Date Filed �4/ 0 0 01 11_
File No.
ZONING PERMIT APPLICATION (§10 . 2 )
1. Name of Applicant: NICA7SA r r-�€ Icy - /f i, I,'p Koc, ,
Address : 127 Mao 1,(_L-cr ct. n-,r (_e Telephone: sKy -3S i 1
2 . Owner of Property: _,�:,y
Address : Telephone :
3 . Status of Applicant: ;,/Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# ,23.O Parcel# 4,3 ,
Zoning District (s) (include ove lays) 04'6
,'?Street Address / 7 ) )r., 6 l,.r. . ,?-_ ''.
Required
5. Existing Proposed by Zoning
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
Lot size
Frontage
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) B�,id d >„_ .- vY--, ne.c3r ( e k c:«s�, (.e P, u
bte. i---,,-"1-5 irz) i — EP-olrr.,,-- -) . - bl'�rr_,o.+ i-i cI«dAt�cs ti r—(cc9♦�-vn
!! L II'' J p L
c T b�'rn r-c,e),- 7, NC C rF.:z_.S(= ,ll c'I A--C c T .i+7;, .,:a .! . Pia C.� k`(i,r{ki-Cs)
y i.� k,f her-,, T f
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: S<- ,I-. 13, 1r/ c/ a Applicant' s Signature: '+�v ,,2ci_,_, -1 � i+-
,� THIS SECTION FOR OFFICIAL USE ONLY:
K Approved as resented based on information presented
presented/based
Denied as presented--Reason:
S ecial' Permit and/or Site Plan Required :
i ing Re red: Variance Required: ,
gnatu of Build ' pector • Ok) X/?P:'
NOTE: Issuance of a ning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. .-S b-68"1°7 (w) Alterations
.a'"_""'Tos NORTHAMPTON, MASS. 19 Additions
;it;��,.. Repair
»V ,, APPLICATION FOR PERMIT TO ALTER Garage
g
1. Location r27 M apt ec,yc oc T�+rra.ce Ito -.p4-c;,r-1 Lot No. 163
2. Owner's name lJor-& zs ra...e1D-C-c /Pk a i ;(> Kor- A-,, Address i Z -/ frIa(al e e.3-no CA I-e-r-+-a.�-�
3. Builder's name Co I.1r) Qro,..,)r4_ Address I% i p I SI-. -#I 1 RosLhdfa.te i M A
Mass.Construction Supervisor's License No. S 6 3 $1 ,Expiration Date 7/31 /7'4
4. Addition
kilGl Gic�rr�,v{ s Place slcylrt3h#ls, ON ici�ckcn
5. Alteration ap i-a_4s h-1 r-�ur /r-Cco-A��r-e_ t,ps#zssrm rftchre_�i -'roe,'v.) /cl a.-‘.ge._ rfse_en Tfall-
6. New Porch
7. Is existing building to be demolished? Mo
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:-
S QO0 The undersigned certifies that the above statements are true to the best of his, her
`\% knowledge and belief.
V(1) 42-e(
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4atu
re of responsible a p icant
Remarks
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, 0.1--,io• of Northampton ,_.,.....=..r.,.
t S(i a Alassacflaseits �:� 't
DEPARTMENT OF BUILDING INSPECTIONS 4 W_!
INSPECTOR 212 Main Street ' Municipal Building _
Northampton, Mass. 01060
•
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: Se -F, 131 l ?c1 3
JOB LOCATION: i C l 1,
(Map) (Parcel) (Subdivision)
HOMEOWNER: 1"Io ra =s t ..=l / P I-,, I p •Y, --
(Name & Address) /4, ��-(
127 (aD L J((& T - � _ (") Sn- `-{-3`,5 II (+-1) 4 6 C7 t-73I-O760
(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. ,%/�D
HOMEOWNER SIGNATURE /� ket4 G �1 _
BUILDING PERMIT #
PERMIT APPLyICATION CHECK LIST
PAGE 3 ° PLOT /(" ZONE .E 1E'4 '-fiktili„,c
AYES NO DATE
1 . ZONING FORM APPLICATION 9/t'qf�,
2 , PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT / LIC , # IF NOT
4 , 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 , CURB CUT
7 , WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMIT FEE - CHECK/ ONLY - MONEY ORDER 0-6(0A leo v
13 . SPECIAL PERMIT REQUIft D WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
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