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s. DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01000 M '
l HOMEOWNER LICENSE EXEMPTION
DATE: /93 (Please Print)
JOB LOCATION:
(Map) (Parcel) (Subdivision)
HOMEOWNER
(Name & 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 resides 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 #
-NOTE-
THIS CLon CO
PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
sEll 5 ,F; SURVEY AND IS NOT TO BE RECORDED.
Foo int
140"sz 51 L_r
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33 \ C 1�r i re w a•-`-t `3� �
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'0: SPRINGFIELD INSTITUTION FOR SAVINGS &
FIRST AMERICAN TITLE INSURANCE COMPANY
I HEREBY REPORT THAT 1 HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
SURVEYOR_ __ �• PIK —NOTE—
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
tv Of —MORTGAGE LOAN INSPECTION PLAT—
RANDALL NORTHAMPTON, MASSACHUSETTS
E
tZER PREPARED FOR
'' 435032 THOMAS A. & MARIE H. MORIN
$ SCALE: 1 "=40 ' MARCH 17 , 1993
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
�• 235 RUSSELL STREET — HADLEY — MASSACHUSETTS
•
10. Do any signs ebst on the property? YES NO 'f
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 cc 71m= to be :ft 7 7 is
- by the Rm12d=g Department
Required
Existing Proposed By Zoning
Lot size
23,3 51
Frontage C,6 ,9 cc,
Setbacks S 1-F C C3
- side L:-9 ( R: V5 L: za R:
- rear
Building height 3
Bldg Square footage
`l r `ter d 1
%Open Space:
(Lot area minus bldg ( CIL�' a
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled�g ,
DATE: yl ° ( � APPLICANT's SIGNATURE �=� Cd = �-✓
NOTE: Lssuanoe of a zoning permit does not relieve an applicant's burden to oomph/ with all
zoning requirements and obtain all required permits from the Board of Health, Conservation _
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
$EP 51v..'�","
; File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: TH(mge? A. AoRiAi c.d MAOL P M CIN
Address: 3T7 2 y4N 01 FCpr-e-tUC& Telephone: _5 96 -
2. Owner of Property: 3 A11/1,E
Address: Telephone:
3. Status of Applicant: `Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: -3 7 7 t<
Parcel Id: Zoning Map#, Parcel# f District(s): �' C
(f0 BE FILLED IN BY THE 13UILDING DEPARTME T)
5. Existing Use of Structure/Property R 0 PC C s IJC Id�411 _
i.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
A9.Ar n4"l To Nou S, s rbJq Y w,il( A7T(& A-0 O EL01�)
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.
8. Has a Special PermiWariance/Finding ever been issued for/on the site?
NO 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 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)
• a
C
T ..►
1 Z �, v
A
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -5 6, 1/0 Alterations
NORTHAMPTON, MASS. J / /(% 19 ,16 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location ? 7 D Lot No.
2. Owner's name T o 4A:-, A' t"e-i w Address 3-7-7 YA&J D
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition �C ' h 3 6 ' JCl -(O A,'
5. Alteration
6. New Porch
7. Is existing building to be demolished? N i3
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 V+N YL
14. Estimated cost
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
r
Signature of responsible appicant
Remarks
. � _
FILE # r
LL 5
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: r. � ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
..................._ ENCLOSED REQUIRED DATE
]Rnilding Permit Filled ou
Fe
Addit*nn to Existing
rr
L .►�
C)wner/Clr iinant 4tntPment or Lirenge f#
Sek of Pinny I Pint Plan
�-
T FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
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 Commission
Signatur o r Date
NOTE: Issuance of 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. —
e
FILE # /
6
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: _d 3 5
PROPERTY LOCATION: '391) A�,,t
MAP PARCEL: ZONE �,�� , GL�
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM M ILED OUT
Buildingr Permit Filled wit
- W199 T
Type-of Construction-
New Cnmqtrnrflni3
ss���
Cf c j
V
THEE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
V 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 mmission
'+—rZZf ,- /,;V;,
Signature of Building Insr Dat
NOTE:issuance of a zoning permit does not relieve an appiioant'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. —
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