29-502 PERMIT APPLICATION CHECK LIST
PLOT ZONE w'r YES NO DATE
ZONING FO I0 <�...(�Ccz.i�� e�� �r-, �fa r-�7� c:�. i--_ •%_I�-j- --�i�.
PERMIT L--'
OWNER C U NT STATEMENT LIC. # IF NOT L--
3 SETS OF S /PLOT P � e�r_
NEW CONSTRUCTION
CURB CU
WATER AVAILABILITY FORMS
REMODELING INTERIOR
ADDITIO
0 . ACCESSORY STRUCTURE
1 . SIGN IN
2 . PERMIT FEE - - -MONEY ORDER
c'�• '�C��`t-- '��C1-o0 1---
3 . SPECIAL PERMIT REQUIRED WITH DEED --IF APPLICABLE
4 . UNDER SECTION - CMR 780
5 . FORM
6 . FILL —
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WORTHINGTON OBERD
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HOLYOKE and PHONE
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J. RUSSELL&N°c. 413-781-5800
MASSACHUSETTS °
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 584--1 297 Alterations
so NORTHAMPTON, MASS. 14 July 19-92 Additions Deck
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 2 Matthew Drive Florence, Ma. Lot No.
2. Owners name Joan I. Joka.son Address 2 Mattkew Dr, Florence, Ma.
3. Builder'sname James a. Joya.l Address Z Mattkew Dr. Florenee, Ma.
Mass.Construction Supervisor's License No. Expiration Date
4. Addition 10' X 10' pt Deck wit]a railing
5. Alteration
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 cost:- $ '� �•
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signat e of responsible applicant
Remarks A13:plieatiox is to extend tke present deck a* rear of house to tke end
of tkp koinp. Addition to bo same widtk as present deck and Af same type
Pfl YN, _T�SHOP
(rft� of Narf alllptan M ,
�RBSRCItU8tII8
cM�
zs. DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR
212 Main Street ' Municipal Building
`
Northampton, Mass. 01060 '
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: 14 Ju l3c 199
JOB LOCATION• P R/ W'p
(Map) (Parcel) (Subdivision)
HOMEOWNER: Ja2m T Jelavanin 2 Xattliew Dr. X16=648e-y3F a
(Name & Address)
584-1297
(Home Phone) ( )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of six ( 6 ) units or less and to allow such
homeowner to engage an individual for hire who does not possess a
license, provided that the owner acts as supervisor.
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 to six 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 m_ ay 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
BUILDING PERMIT #
d ;
v
Date Filed 14 00000 July 1992 File
ZONING PERMIT APPLICATION (§10.2) WS P
1 . Name of Applicant: Jean T Johnson
Address:_ 2 Matthew pr__ plerL*_� � Telephone:_�R �
2 . Owner of Property: jeax r Telmxrg®,m
Address: 2 Matt]jew Dr. F1erMVet•. V2_ Telephone: 584-1297
3 . Status of Applicant:yOwner Contract Purchaser .
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Q Parcel#
Zoning District(s) (include overlays) R R/W-G P
Street Address 2 matthew Dr. Flerence ,,,_
Required
5 . Existina Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to t6)
Building height Dec 4 w1rail 31
%B1dg.Coverage (Footprint) 10tX101 IGIX2@f tatal
Setbacks - front
- side 1.10 R 201 L Of R 2ot
- rear 101 lot
Lot size 761XRnf
Frontage t
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) p to nd Dremen c'011 rear of house present deck
is set back 101 froze end of house Extension will bring' dark ever
with Prd of house, Extension to consist of IMA CQ'nCrP-iP fUtiln-a )
witl; 4"Y411 osta. 2ttX n joists. 21IX62 to rgi7 9t--_11jil
mid-rail, 1 "X2F1 verb Cal slats 911 on center. 211X10IIX4 ' steps at house end
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: 14 July 1992 Applicant ' s Signature: i OF
- - - - - - - - - - - - - - - - - - - - - - - - -
- - � - - - - - --
THIS SECTION FOR OFFICIAL USE ONLY. -
s JUL 1 4.
Approved as presented/based on information presented.
Denied as presented
ea on f D nial: '7
gnat e of Buildij nspector ate
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 Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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