18C-093 (4) PERMIT APPLICATION CHECK LIST ^ '
PAGE / 47-/ ' PLOT ' � ZONE r'141%r'141%.6.) x* ���� `~� ' YES N{) DATE
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1. ZONING FORM APPLICATION
2. PERMIT APPLICATION
3. OWNER OCCUPANT STATEMENT / LIC.# IF NOT r
4. 3 SETS OF PLANS /PLOT PLAN
5. NEW CONSTRUCTION
0. CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INTERIOR
S. ADDITION
1O. ACCESSORY STRUCTURE
11. SIGN / AWNING
- 4/511 °~�^�
12. PERMIT FEE - (74 K ONLY - MONEY ORDER � ��(2
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
1 4. UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL '
COMM ENT S:
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56 MAIN STREET —SUITE 218
ALAN VERSON NORTHAMPTON, MASSACHUSE I lb 01060
ATTORNEY AT LAW TELEPHONE (413) 586 1348
1 r � ? ,:
CLOSING STATEMENT
BUYER: Frederick J. Ostrowski
SELLER: H. Peck Buckley and
Patricia A. Buckley
DATE: June 1, 1993
PROPERTY: 28 Gleason Road
Northampton, Mass. 01060
PURCHASE PRICE: $155,000.00
Plus, oil in tank;
68.75 gals @ $.90 61.88
Plus, real estate taxes paid
6/1/93 - 6/30/93; 30 days @ $7.0724 212.17
$155,274.05
BUYER'S DISBURSEMENTS:
Alan Verson $450.00
Municipal Lien Certificate 25.00
Recording fee, deed 25.00 $500.00
AMOUNT NEEDED TO CLOSE: $155,774.05
Less, deposit: (7,500.00)
CASH NEEDED TO CLOSE: $148,274.05
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. - -0 ti 6 <( Alterations
NORTHAMPTON, MASS.
Ti vtit 2.4 19 3
Additions
4 `' ` ` APPLICATION FOR PERMIT TO ALTER Repair
Garage
g
1. Location 2 5 / .00,5 v /, GZ u O, Lot No.
2. Owner's name ff' e r , c /L- J 0 57 S /Lt Address , S /Zei1 h -e1 n o ,d( / .o -Vs
3. Builder's name S u $3....e Address
Mass. Construction Supervisor's License No. Expiration Date
4. Addition Ma
5. Alteration Str f .c:I- rp /a ... roof , .,, - A, t( y S K, l r5 is ` C lo‹, o�
6. New Porch MO 14.--/.4o.� 4., J. i.4. -e /e
7. Is existing building to be demolished? No
8. Repair after the fire lie?
9. Garage No No. of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof f ce 4 a (>-
13. Siding house
14. Estimated cost: -t f 00.6
i
The undersigned certifies that the above statements are true to the best of his, her
J 11 1 knowledge and belief.
do td,
Of Signature of responsible appicant
Remarks
OQ IttAMp TO
* . oj �+. e ,.. j 4 AIassacI;usetta = `
�,. O DEPART OF BUILDING INSPECTIONS 4 _`_ `=
INSPECTOR 212 Main Street Municipal Building
Northampton, Mass. 01060 No"' `
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: J via ZI If'Y3
JOB LOCATION: 2 g S j4, S o,, o c, ,,/
(Map) (Parcel) (Subdivision)
HOMEOWNER: f " 7.r" at P f k J 0 51 i.v SK /
(Name & Address)
5.5 k ' e ni QJ5 GZc, ( /,,2 2.,1s Shy" ayc: `(
(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 '--,---(- 6
BUILDING PERMIT #
u
w y
, l 0012 A- ,,„
Date Filed ‘// 9 3 File No.
ZONING PERMIT AP PLICATION ( §10.2)
1. Name of Applicant: ri- -- 4. 0 (eF,c / . ,.j 057"/-0
Address: s- -c //e%,- y � = Telephone: -cc.Y- -o'c Y
2. Owner of Property: f; e - d fe c-, r (_ �J 0-51.-0 '--s/4 I --
Addr ess : 2-7' 5/-2c,,„: w Q Telephone:
y
3. Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# /8(�. Parcel# 73
Zoning District(s) (include ovfirlays) e4'
Street Address iLlei_ k._
Required
5. Existing � . Proposed by Zoning
Use of Structure /Property z feC - a2. cam,
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint) ,,-f
Setbacks - front .„-,'
- side L: R: L:
- rear
Lot size /
Frontage `'
Floor Area Ratio `�.
%Open Space (Lot area minu
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if / necessary) Sli-,0 . ? p /a.� Roof — .7`;, /f z 5' /e /i 5 ,< - f -s
C /QS e n -f .- I 4V , ,-.44 0 �...� P _a 0 /6c c ( I A. 2L.✓ e .
JJ ,
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 knowled e.
Date: / 2_ r —q3 Applicant's Signature: -�_ •
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented /based on information presented
Denied as presented -- Reason:
Special and /or Site Plan Required:
Finding Required: Variance Required:
Signature of Building Inspector AC( q Date
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 Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
i..T )-
0 City of Northampton REQUIRED INSPECTIONS
F
$ . . a te Footings and Walls
& BUILDING DEPARTMENT 1 2. Structural Components in Place* •
3. Complete Building*
No.
499 Office of the Building Inspector
Zoning Form No. 001283 Date Fee $ Check # 4521
Page, 18 C parcel 93 ,Zone URB Section 127 ❑ Yes ® No
BuILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Frederick J. Ostrowski before Building Inspections
Strip & replace roof, install 2 skylights,
has permission to close off winder & replace 1 window 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.
Building Inspection— Finish
Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUC U PL ON THE PREMISES
Certificate of Occupancy
_ :•iii • ng Inspector —P21;117;11-04