35-214 ERMI7 APPLICATION CHECK S
G E J a1V r kv1 S YES NO DAT
1 . ZONING 0 IC IO
2 . PE Ll
3 OW 0
3 S
NEW CONSTRUCTION
6 CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
0 . ACCESSORY C
11 , SIGN / AWNING
2 . PERMIT FEE - moNEY ORDER �Z?)
13 . SPEC REQUIRED WITH DEED IF APP ICAB
4 . UNDER SECTION 127 - CMR 780
5 FORM A
6 , FILL
COMMENTS :
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DEPARTMENT OF BUILDD�G INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 `
HOMEOWNER LICENSE EXEMP`.PION
DATE: lJ
/��j ff (Please Print)
JOB LOCATION-
(Map (parce ) (Subdivisi o)
HOMEOWNER: esr
U�AA (N me & Address)
C)co
(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 andrLocal Zoning La s, d State of Massachusetts
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General Laws Annotate WD_ SHALL E O T E JOB a SUPERVISOR.
HOMEOWNER SIGNATURE (�� �,
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
il APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 100 West Farms Road Lot No.
2. Owner's name Edgar J. Lesko Jr. Address 100 West Farms Road
3. Builder's name Edgar J. Lesko Jr. Address 100 West Farms Road
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration Changing use of second floor from attic storage area to two bedrrooms.
6. New Porch
7. Is existing building to be demolished? No
8. Repair after the fire None
9. Garage No.of cars Size
10. Method of heating Oil heat forced hot air.
11. Distance to lot lines Same
12. Type of roof Gable with dormer.
13. Siding house
14. Estimated cost- $3,600.00
The and igned certifie that t abo a scat ents are true to the best of his, her
Ulb know g d belief.
JS( $ignature of responsib ap�,icant
Remarks When this house✓was originally built in 1985 the dormer and all the plumbing
s=ly pipes and drains heating system and electrical supply wires were installed
with future conversion from attic storage to bedrooms in mind.
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Date Filed File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: Edgar J. Lesko Jr.
Address: 100 Wes�t Farms Road Telephone: 586-0607
2 . Owner of Property: Same
Address: Same Telephone: Same
3 . Status-°of Applicant: X Owner contract Purchaser
Lessee other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District(s) (include overlays)
Street Address /G
Required
5 . Exis-ting Proposed by Zonin
Use of Structure/Property � r
(if project is only interior wo k, 'skip. to #6)
Building height
%Bldg. Coverag -4-Footprint) I-x3o ip I a t "
Setbacks - front .96 ilk
side L: k: (? L: R: 3W,fi
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) The addition of walls to the(attic) second floor to convert the
space into two seperate bedrooms and one bathroom. The water,electrical and heating
systems are allready in place.. These systems were installed during the original
construction process with future expansion in mind. A��eing added is insulation &
sheetrock, along with doors
7. Attached Plans: XX Sketch Plan Site PUan
8 . Certification: I hereby certify that the info;:patio n ont ine he ein
is true and accurate to the best of my knowle
Date: Applicant' s Signature
'THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special- Permit and/or Site Plan Required.
Finding Required: Variance Required: _
S. gnature of ildi g Inspector mL to
NOTE: issuanoo of a zoning porn$does not relieve an applicant's burden to comply whit all zoning requirements and obtain all required permits
from the Board of Hoalth,Consomation Commission, Npartmont of Public Works and otltor applicable permit granting avthorltias.
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