15B-036 (7) PERMIT APPLICATION CHECK L ST
PAGE 1 k) PLOT A ' `Zt ht L " <"4;; „ S NO DATE
1,
� r
2 ! A
3 , 0 ° • * 0
4. 3 SETS OF PLANS /PLOT PLAN
5 . NEW COItSTgUCT I ON
6. CURB CUT
7. WATER AVAILABILITY _FORMS
8, REMODELING INTERIOR
9. ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
12. PERMIT FEE . 4 , * ON L Y — MONEY ORDER • g"
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 — CMR 780
15. FORM A
1 6 . FILL <.. s ;r
COMMENTS :
o ttAmp z , &x
A t (iii fir of Nor 1� * _u
' �/w.,,,,,, ��a 11Y�r tYIt
�� �� 11 ��` B : r s
4 w °' Pa f�al4HC1 }usrtte — !
DEPARTMENT OF BUILDING INSPECTIONS = 1 '
INSPECTOR 212 Main Street ' Municipal Building _
Northampton, Mass. 01060 am
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: / 21. 3
JOB LOCATION:
r � (Map) (Parcel) (Subdivision)
HOMEOWNER: (} J j ((j C i /7'/4R r L. L- •- /1 G'C/_ _ S
(Name & Addr s)
L e _e tS ) m (o s 3 5 - X 65 5',2 7- y
(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 61�� rc•
/ ,
BUILDING PERMIT #
,
v
tr tv
o b o• r
z o
c ° z
r
n ° R x w et
z
. C/")z
v o
c o
y
et
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
""Pi 7 NORTHAMPTON, MASS. 1 Additions
»" APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 9 LLAikec:—.K ° fir • Lot No.
2. Owner's name W 1 I ( t Min-7 1419 -12rr Cy Address 9 0/ i t c' Cie 5`7 l L e P OS
3. Builder's name Address_
Mass. Construction Supervisor's License No._ Expiration Date
4. Addition ,, __
5. Alteration , )1.(.,�.t,x ! 4. i , -_t {' i x.. i/�
�
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
13. Siding house
14. Estimated costs '�q 0 f)
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
U 1(_ ( -i--k d
Signature of responsible appii( ant
Remarks —
w
•
•_ u
1
Date Filed s ' 001`1 :4 7 File No.
ZONING PERMIT APPLICATION ( §10.2)
1. Name of Applicant: W,l f2) ce Gam` - 7`"l -C 7
Address: Ct D /Arioe' /L 57' 1-- Telephone: 55(
2. Owner of Property:
Address:
C S - 64 . 1t-Q_____
Telephone:
3. Status of Applicant: L_Dwner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# jl parcel# ,
7.nni na District (s) (inclu overlays) t.t.
q I t °r r'r C (c.
Required
Existing Proposed by Zoning
_ty
3 terior work, skip to #6)
print)
t (5'
L: R: L: (off,{ R: too - ql i ql
a minus
rill k vviu,n , - pion)
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if necessary)
/l -.4_ _ I L. iL
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 knowledge.
Date: ip_2_167 Applicant's Signatur __ a E 44,, _....../
THIS SECTION FOR OFFICIAL USE ONLY: 1
Approved as presented /based on information presented
Denied as presented -- Reason:
S;ecial and /or Site Plan Required:
/^� :'in•i;'red: Variant Required:
Arr 0 7 / /7) gnat �e .f Buildi / ate
NOTE: Issuance o 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.
re
# °'� : City of Northampton REQUIRED INSPECTIONS •
47 1. 2 . Structural Com p 1. Footings and Walls t
=� �'
BUILDING DEPARTMENT J'` -; Components in Place*
3. Complete Building*
No.
634 Office of the Building Inspector
Zoning Form No. 001447 Date 7/23/93 Fee $20 check* 2038
Page, 15B Parcel 36 , Zone URA Section 127 ❑ Yes a No
BuiLDING PERMI
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Hartley before Building Inspections
has pernussion to Install an above ground pool 24' in diamete Inspection on Site — Foundations
9 Dimock Street Inspection of Plumbing—Rough
situated on
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 CONSPIC -'!� '• PL a * 0 THE PREMISES
Certificate of Occupancy
Bu' • • • : s spector
cot 41 991111 2100