37-004 (3) PERMIT APPLICATION CHECK LIST
?AG j ;� YES NO DATE
1 .,�� 'ON
3 0.. \e" . IF NOT
4, 3 SETS OF PLANS /PLOT PLAN
5, NEW CONSTRUCTION
6. CURB CUT
= - • :u
8. REMODELING INTERIOR
9. ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
�.;`_ : '
1 2 . PERMIT FEE - LY - MONEY ORD :� •'t
13. SPECIAL PERMI REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL
COMMENTS:
N
I
>
Z 'fl
X
e7
T AD
CV - '4 o• "7
CI
_ i 7:
3 Zm
- F R I =' S
F > = to O
7
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
%r NORTHAMPTON, MASS. 19 Additions t/
t' APPLICATION FOR PERMIT TO ALTER Repair
Garage
7 q 1. Location "S +--_ 16 reoc ( 'RI 6 f d-1/ vY\ p. q-f,n Lot No.
E4 2. Owners name vi n� 1.V} Of_ LAP Address 5 'f( f-1t-oe,,c� Nc r , 1 -I ,.. (0 rwt,
3. Builder's name I1 e If` r 0 `-, , Address
Mass. Construction Supervisor's License No. Expiration Date
r
4. Addition
D I
) C ; 16, -1P- re l tsSe, --ri rk 12ei
5. Alteration
6. New Porch
7. Is existing building to be demolished? lki ' r
8. Repair after the fire
9. Garage No. of cars Size
10. Method of heating
11. Distance to lot lines 1 h _
12. Type of roof S. 1'14.tl r '
13. Siding house i e,,(4-1} 1 I I
14. Estimated cost- <),,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. M D
.,-,) `?-
Signature of responsible appicant
Remarks
°
ti
4 /A j L�i \Yz± iif Nlartliampfen
b4; .44.0 + P1assacftusctts _ � '=
c: � Wi
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal al Building
INSPECTOR Northampton, Mass. 01060 rr •
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: )7 «-y 3 l (7G N
JOB LOCATION: 1
(Map) (parcel) (Subdivisign)
HOMEOWNER: 1 vl fl / (v) De Lve, ¶ 7 - 1O ) f or t. t'J_ 11)U ('a - tic.. 4clf ?v
(Name & Address)
58.5 C151 loci " 76 13-c
(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 a 12 YI' j7 e
BUILDING PERMIT #
. P a 6
•
1,r.. 00
Date Filed File No.
ZONING PERMIT APPLICATION ( §10.2)
1. Name of Applicant: - nori f'Y\ CVi1 tom,
Address: 57i i' ( p , Cd Telephone: , -s (1(j{( .
2. Owner of Property: C=? ro A al f L
Address: ,-- 1ci FL-16;�' ce . t , Telephone: , _5 S Cyr; lc,
3. Status of Applicant: ✓Owner Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# ? Parcel# ( ,
Zoning District(s) (include overl ) / )
Street Address 571 c ...- �r • ,
Required
5. Existing Proposed by Zoning
Use of Structure /Property L -il i i-r1 Shod
(if project is only interior work, skip to #6) _
Building height g g a lo
%B1dg.Coverage (Footprint)
Setbacks - front /Se `' /5'
- side L: R: L: /3s' R: /t" /(» /0/
- rear /4 Ili
Lot size ;/y y1,
Frontage.
Floor Area Ratio ;� 01
%Open Space (Lot area minus t;
building and parking)
Parking Spaces
Loading
Signs .
Fill (volume & location) •
6. Narrative Description of Proposed Work /Project: (Use additional sheets
if necessary) (r' C<.ss Erv,r{)/.0h JO i b' 1( / 0,,c1
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.
/"- a
Date: M 0,11 3 )ic1 Applicant's Signature: ( 1. 1 / / �
- _1,(,,
THIS SECTION FOR OFFICIAL USE ONLY:
(/"Approved as presented /based on information presented
Denied as presented -- Reason:
Special'Pemit and /or Site Plan Required:
,.. Fin ng R,Itiir d: Variance Required:
Signature of Bu' g pector ...-,, a
N OTE: 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 Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
r
? o'; City of N ort h ' m on REQUIRED INSPECTIONS
4
BUILDING DLPARTMENT 1. Footings and Walls
2. Structural Components in Place*
`mm. 3. Complete Building*
No. 336 Office of the Buiiriing inspector
Zoning Form No. 002545 Date 5/5/94 Fee $20 Check # 1
Page, 37 Parcel 4 ,Zone SR Section 127 ❑ Yes 1J No
BUILDING P ERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Anna DeLue before Building Inspections
has permission to Install a preassembled shed 10'x16' Inspection on Site- Foundations
situated on 579 Florence 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. Ar
,, 4
** Install per Manufacturers information: windows, vinyl siding, Building Inspection Finish 0 if
roofs and woodstoves. Smoke Detectors (Fire Department)
Other
THIS CARD ST ED . 'L A YED IN A (TONS 'CUO A 0 I PREMISES
Certificate of Occupancy --
Buildin: I :. or 7 , : , , s t__
i