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25-055 (4) 10 r � t N J i 3 1♦ .- -{jam"•- , y 7 Y' '+ �. rl t /Jj ? k .,r 4 T � > w� 3 Z n r Z D cn O r•1 �► z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a �! Garage 1. Location l /r17 Cpl Lot No. 2. Owner's name_ /t(J Z46EI k AAL40 Address;2.I C-C-,d,2 10!5 VA �fck 3. Builder's name 1,5fg'rt-E. Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration &-XXA ,/LP��cC:� G'Cj bC/- l(/l�' 6. New Porch 7. Is existing building to be demolished? L/elo 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:- ` The undersigned certifies that the above statements are true to the best of his, her knowledge an lief. Signature of responsible app,lcant Remarks 3. The work described below,which includes all:part of the work descrloec n your reouest,is within the Buffer Zone as defined in the regulations.and will after an Area Subject to Protection Unoer the Act.Therefore,said work requires the filing of a Notice of Intent. This Determination is negative: 1. C The area described in your request is not an Area Subject to Protection Under the Act. 2. i/ The work described in your request is within an Area Subject to Protection Under the Act, but will not remove. fill, dredge,or after that area.Therefore,said work does not require the filing of a Notice of Intent. 3. O The work described in your request is within the Buffer Zone,as defined in the regulations, but will not after an Area Subject to Protection Under the Act.Therefore, said work does not require the fil,no of a Notice of Intent. 4. C The area described in your request is Subject to Protection Under the Act,but since the work described therein meets the requirements for the following exemption.as specified in the Ac:and the regulations, no Notice of Intent is required: Issued by Northampton Conservatiori'Comn ission Sianature(s) This Determination must be signed by a majority of the Conservation Commission. On this l day o; ter, 19 before me personally appeared to me known to be the person described in,and who executed,the foregoing instrument,and aCknnW1edaed tt:at he!sht executed thes�me as his/her free act and deed. ; Notary Public i My commission expires This Determination Goes not rel,eve ine apol cant from complying with alt other applicable teoeral.slate cr loca!statuies,ordinances. by-taws or reputaucns.Tnis Determination snail be valiC for three years form the Cale of issuance The applicant.the owner,any person aggrieved by this Determination,any owner of land abutting ine land upon wniLn the proposed work is to ba Cone,or any ten resioer,ts of ine city or town in whim such land is located,are hereoy notifieo of iner rich*to revues:ine Depanmen: C!Environmental P;oiec;ion to issue a superseding Determination of Applicability,providing ine reouest is made oy ceridiec mail or nand delivery to the Departmen:,wf:a the alprcprate filing tee and Fee Transmittal Form as provided in 310 CM=10.0:,{7 f within ten Bays from the Cate of rssuance of Ihis De;ermrna*ion.A copy of ine reouest shall w the same time be sent by cenifiec maii or nano delivery tome Conservation Commission end the t_,p*:car,:. 2-2A 310 CMR .0.99 Form 2 OEP File(Vp. L 246- (To be pmvwed Uy DEP) = `f Commonwealth City-Town North�amvton of Massachusetts Applicant l it J t L • Date Request Fled Determination of Applicability Massachusetts Wetlands Protection Act, G.L. c. 131, §40 & NORTHAXPTON WETLANDS PROTECTION ORDINANCE From Northampton Conservation Commi ssi nn Issuing Authority To F i -_)�,(n—��t��— )c�i r m� ( afV me of person making request) (Name of property owner) Address `Z C✓66 L a , �� Address ZI Cr-o-,� -Pa This determination is issued and delivered as follows:!� R/by hand deilvery to person making request on "��1 Ll�7 l 3 , �C' (date) by certified mail, return receipt requested on (date) Pursuant to the authority of G.L.c. 131, §40,the Northampton Conservation Commission has considered your request for a Determination of Applicability and its supporting documentation,and has made the following determination(check whichever is applicable): Location: Street Address t Cry 35 Pc.+k �c>act Lot Number: (MAP ID. n-)C, 0 21t r2arce_A J 1. 1:1 Determination r cribe below,which includes all/part of the area described in your request, is an Area Subject to Protection Under the Act.Therefore,any removing,filling,dredging or alterino of that area requires the fiiing of a Notice of Intent. f 2. = The work described below,which includes all/part of the work described in your request,is within an Area Subject to Protection Under the Act and will remove,fill,dredge or alter that area.There- fore, said work requires the filing of a Notice of Intent. Effective 2-1 i i i i T I ' I t � I W � ; 7a VI tT SL H N f � 1_ � i rj �. e �, _,_ ,_, _ __ __ � , __ __._ �, ��::� r �� ` �'-' E ��4� ,� �.-... �. �'' � �r.7 �, � iT_!i �� `, � �;:� � � �_�� ,�� .> .� y� � � �- , �, �� -. , - , _ _ _-. _�._ �-- �� y �� 1 1� �~� ,_ �` Vii. E '�..w t'�,, '� i � � s �f� ��,� . i . �.._. __ -�. A-y CZIY t 1 i r � .ne rt 1 f r j. `0 Crzfg fan 4 8 QfZicss�cc4�itrl;r DEPARTMENT OP BUILDFNC INSPECTIONS INSPECTOR 212 Main Strcct ' Municipal Building ` Northampton, Macs. OlOGO HOMEOWN7ER LICENSE EXEMPTION DATE; )411't�A (Please Print) f JOB LOCATION: (Map) (parcel ) �-� ( Subdivision) n HOMEOWNER= t� >v ZOe,;� 7?V d/ (2:r S ff (Name & Address ) ( Hon•-e Phone ) (Work. Phone ) The current exemption for "homeowners" was extended to include Owner-occupied awellir_Gs of one Moir two (2) fami l?ies and to allow such . homeowner to engage an individual for hire who does not possess a ` license , provided that the owner acts as supervisor . rMR780 Section 109. 1 . 1 DEFINITION OF ROKEOWNER: Person( s ) who own a parcel of land on which he/she resides or intends to reside, on wh :lch 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 Buildi na Official , on a corm acceptable to the Building 0=_ cial , that he/she shall be responsible for all such work performed -L 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 , and4State of Massachusetts General Laws Annotated AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE , s BUILDING PERMIT U ) 10. Do any signs exist on the property? YES NO_� 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: Z1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This Colman to be f!Jlcd in by the Building D-partzent Required Existing Proposed By Zoning Lot size 1Mci Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height C Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) / _gf Parking spaces fof Loading Docks Fill: (voI-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DAVE: 124,ely 'APPLICANT's SIGNATURE LL NOTE: 1 un e of a zoning permit does not relieve an nppli nrs burden to comply with all zoning recluirementu and obtain all required permits from the Board of HaWth, Conservation Commission, Department of Publlo Works and other applicable permit granting authorities. w!r FILE if 3 File No. -� ZONING PERMIT APPLICATION (§10 . 2) PLEASE =V' 'R PRINT ALL INFORMATION j✓Y 1. Name of Applic---' Addre!zc• i 10 Telephone: -:se6 QQV 7 2. (Y rj0j Telephone: 3. :ontract Purchaser Lessee IVA Ircel# J District(s): BY THE BUILDING DEPARTMENT) 5. 6. upation: (Use additional sheets if necessary): 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 Permit/Variance/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) FILE # C 1n 5 �` APPLICANTICONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: ,gz (� �.Z�L X-- i , MAP cad_ PARCEL: ,? ZONE J THIS SECTION FOR-:OFFICIAL USE ONLY: PERNHT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM Vff TRY) OUT Fee PAid Building Permit Eillp4 oig Fe Type of Constnirtion- — ✓ rU 6; B 3 4Pts of Pinnc /Pint Plan TII ,,,FOLLOWING ACTION HAS BEEN TAKEN ON THIS APE ICATION: `� _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 Conservatio❑ mission iv7 ? cam, Signature of Building Date' / ` NOTE:1"uanoa of a zoning permit does not relieve an applioanta burden to comply with all zoning raquivaments and obtain all required permits from the Board of Health, Conservation Commisslon, Department of Publio works and other applicable permit granting authorities. l7 `d A' p Z p y b O b y N `17 00 X04 CD a� t.i �...� f7 � � �• � O. cad. a (b � D '. to ON 0.0 5 ° cn UI UI � o� 510 u, n cn � Q• bd g. ro 23, F-j o IQ rt R ) N � p \ 1 �-• 0 R cn J (D (D O d aQ : o a rt • qq �� ° • 5' � £ n c C7 aQrs ~' Q' O A p O O l� A� 0 rD b � y �8 PAWN C:i o o o cn o sss r CY � � s b d o td Oil 5 E o. 7d 5 ail c N Cf. c c c. c p s "C O ( cmg cn UQ O to Cm p p ti H tz Q 9 a 5 S " 0 ON ° 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: 1 / Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: ZI. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola to be filled in by the Bnildiag Dcpa.rtment Required Existing Proposed By Zoning Lot size .0c) Frontage Setbacks - side L: R: L: R: - rear �C Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) # pf 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 knowledge. -D_�'E: 'APPLICANT's SIGNATURE � -- NOTE: 1 un e o f as zoning permit does not relieve an appli nYs burden to oomply with all zoning requirements and obtain call required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appllonble permit granting authorities. -t , FILE # , File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TY•PrE, OR PRINT ALL INFORMATION 1. Name of Applicant:_ Address: ",)/ Telephone: 3/_5 '�, OCOt?7 2. Owner of Property: 6•IQ F Address: Telephone: 3. Status of Applicant: ✓ Owner Contract Purchaser Lessee Other(explai 4. Job Location: o'/ /?( Parcel Id: Zoning Map# c;2J- Parcel# 5 District(s): J �- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ' 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Z Cat 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 Permit/Variance/Finding ever been issued for/on the site? NO V 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) i I ! j j ,- -- _ I , ' I M � F Qt s