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18C-101 (2) a I n T to D •: •r7 O w -I J ,c ^ j > _. 74 -i rti i Ci 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 ovwfp, S\ J `4.14- •Ct Crx oaf Naz#ijampfrin 1 = * ,4 — i Q :1C P d RS6RChi�aetle - : :_ 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_