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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. ill No. .8Y 0 � - `E Alterations
NORTHAMPTON, MASS. l l �,_ zv LS 0 -- 1 Additions
° i
%4' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 2-S . 9 C S n ""... Fa.° os-ck Lot No.
%it wner's name F r! e v' e c((_ :T Q - - ∎Address Ste-„. _
3. Builder's name --- Address
Mass. Construction Supervisor's License No. Expiration Date
4. Addition
O Alteration ..Cnr■ - t,
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
0 3. Siding house
I . Estimated cost -
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
,1 LH (41 ,,,...A.....-7.‘....979.s.2„./( & ature ofresponstble appicant
Remarks
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zirat, DEPARTMENT OF BUILDING INSPECTIONS 4 nl_�- -
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 `''s
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: Al CAI - yd 1 t Q .
JOB LOCATION: 2 � 1 ( /S C 93
Map) (`Parcel) (Subdivision)
HOMEOWNER: e r� c le J (931-Y-0,4-5 K.1
(Name & Address)
S �� e .Sg`f - D r L(
(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 AND SHALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE °
BUILDING PERMIT #
_
-- . c z.;,;.:1)
Date Filed • File No.
ZONING PERMIT APPLICATION ( 10.2)
1. Name of Applicant: t ' ` ,,,. „l
Address: i 'O,,�+� . Telephone: • .
a -- .
. 2. Owner of Property: .
• Address: • • Telephone: Shy 0%/6(/ .
• 3. Status of Applicant: Owner Contract Purchaser
Lessee Other (explain ).
4. Parcel Identification: Zoning ap Sheet# 1Q C- arcel# 13. ,
Zoning District(s) (include o erlay )
Street Address vL Wrn . � (Required •
5. . : Existinq Proposed by Zoning .
Use of Structure /Property A,c, eut. o -�Ju _ � (if project is only interior w ski to #6) J
Building height /
%Bldg.Coverage (Footprint)
Setbacks - front
. - side L: R: L: • •.
- rear
Lot size 2-1! 40 4
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) , ve C .. r", ci-ti r � , _ V A « "- / -
r
- c t-' _ ( _ -
7. Attached Plans: Sketch Plan Site Plan .
. 8. Certification: 1 hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: G.) 2-o - (qq Applicant's Signature: -.....s2,2„/ 3,.62,..,...,„*.....i._
,,/ THIS SECTION FOR OFFICIAL USE ON Y: •
Y Approved as presented /based on information presented
Denied as presented—Reason:
S • : cial' Pe +t and /or Site Plan Required:
•
-� r- n. , g Re. r- Variance Required:
S
�'gnatu e `ui ldin.g - Inspector t s 75
to
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 800rd of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
. /e11..
PERMIT APPLICATION CHECK LIST
- ... �.,, / ,,, YES NO DATE
qq
3 rs xkA., ' R.0 �8 S 1 O
4, 3 SETS • = - OT PLAN
5, NEW. CONSTRUCTION
6, CURB CUT
7, WATER AVAILABILITY FORMS
8. REMODELING INTERIOR
9. ADDITION
10. ACCESSORY STRUCTURE
11, SIGN / AWNING
12, PERMIT FEF — ��� ���
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 — CMR 780
15. FORM A
6. ILL
CO MEN S ,z.� ,.
g"i"o Ci of Northampton REQUIRED INSPECTIONS
• A �� ! '. 4 -41.4! 1. Footings and Walls
v p BUILDING DEPARTMENT 2. Stnactural Com onents in Place*
• ` . �1 ^"
3. Complete Building*
No.
416
Office of the Building Inspector
Zoning Form No. 004295 Date 5/25/95 Fee $10 Check # 5147
Page, 18C Parcel , Zone URg Section 127 D Yes 0 No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Frederick Ostrowski before Building Inspections
has permission to Remove in ground pool & reseed Inspection on Site — Foundations
situated on 28 Gleason Road 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection— Finish
roofs and woodstoves. Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC , • US 'LACE 9 ,, ) - 1 PREMISES
Certificate of Occupancy --
1i iiding Inspector 517 nn_