29-524 (4) low a
z 'fl
T �
z
a
V I ww
V
I. > 7 Vi
X Z ^► rn
a
I
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location-1 a, �' '� -' �-t f- ���� - Lot No.
2. Owner's name--ff ri 6L , ( -SA NX 0;-�10G.s Address
3. Builder's name 9', Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration T4Y-V t') VV°1 t-f
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 cosL
The undersigned c ies that the above statements are true to the best of his, her
knowled a an tef.
Signature of responsible app,icant
Remarks
' t
Ii
' � I
- i
_1
VIEW WE-STIT)
c��►� doh.
CT",�Vo�d'111y� c�►. cal r!����
3�cuc
Zi vJOVJII;Ikw,
�AA V)6 ,��
i
i
vvmm 1p W
7
i<
a r.
c
o —
s Q �
73S
z
i
i
f`
stove to hearth and 18 inches plus from front of stove to front of hearth,
as directed by the manufacter.
Using a heat shield on the bottom of the stove the hearth can be 1/4 inch
asbestos millboard, placed on subfloor, and coverd with ceramic tiles
cemented to millboard, as directed by the manufacter.
The stove will be 13 inches from all combustable surfaces to the rear
with the Installation of rear heat shield and with a rear exit of the stove
pipe, as directed by the manufacter.
Insurance company shall be notified of woodstove installation.
at
Scott Weber and Lisa Barondes
13 Gregory Lane
Florence, MA
414-584-4294
WOOD STOVE INSTALLATION SPECIFICS:
To be installed in a two story, wood frame, cape style, home.
VERMONT CASTINGS INTREPID WOOD STOVE mfg. 1992
Testing label on back of stove indicates: SBCCI report 8347
BOCA report 82-76
ICBO report 3797
Conforms to HUD UM 84
INSULATED CHIMNEY SYSTEM:
6 inch 2100 degree insulated chimney system
1 rain cap
3 wall bands
1 support bracket
7- 3ft. x 6 inch chimney pipe
1-18 inch x 6 inch "
1-T. insulated, 6 inch with bottom cleanout
1-fire stop spacer
1 -finish collar
1-roof brace kit
q Jelocking bands
1 -trim collar
1-6 inch 24 guage sheetmetal stove pipe 15 inches
The insulated pipe passing through the wall to the T. shall be a minimum
of 2 inches from all combustable surfaces.
The chimney shall be supported at each floor level.
The chimney shall be 3 feet above the roof.
Rear exiting stove pipe will have 1/4 inch slope per foot.
The Chimney is to be enclosed in a wooden chase, some time in the future,
keeping all combustable surfaces 2 inches from chimney.
Abutter is 12 feet plus from house.
HEARTH:
Hearth 48 inches
wide x 50 inches deep which allowes for 12 inches clearance from side of
�0 nn�r p of
? fl Gif z7L7Z �111ITTT
= r
d +cstacl�nacfla
r -
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER. LICENSE RX-MPTION
DATE: (Please Print)
� �/ 7 �-�
JOB LOCATION-
(Map) (parcel) � -go_ivision)
HOMEOWNER: 'S /% �I �� f (_/sp n S
(Name & Address)
( Home Phone ) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one (I )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 Zon' g Laws, and State of Massachusetts
General Laws Annotated AND SHAL,VK 0 THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE
BUILDING PERMIT 1#
10. Do any signs east on t11 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—K
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col- to be ;Cill.ed in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
��-
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
'Z� fiZ�rLt�
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the informati contained herein
is true and accurate to the best of my knowled e.
� „ Vic!
)ATE: /i �a APPLICANT's SIGNATURE
VOTE: Iss an a of a zoning permit does not relieve n ppli nt's burden to oomply with all
coning ulr menta and obtain ali required perm m Board of Health. Conservation
commission, Department of Publio Works and oth r pplioab1. permit granting authorities.
FILE #
File No.
ZONING PE=T APP.LXCATSON (,§10 .
PLEASE TYPE OR PRINT ALL .INFORMATION
1. Name of Applicant: ��
Address: 3 Telephone: `C(-' `f'2 t
2. Owner of Property: i'�'Li'
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address:- �
Parcel Id: Zoning Map# Parcel# District(s):. �•'�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
3. Existing Use of Structure/Property 6/ &-?af.4'"G-
3. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Attached Plans. 2m {/ Sketch Plan ` 1---� Site Plan Engineered/Surveyed Plans
lnswers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
�. Has a Special PermWariance/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#
I. 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),
#0 3D3 s •
! FILE #
APPLICANT/CONTACT PERSON: V��7
ADDRESS/PHONE: r
PROPERTY LOCATION:
MAP C PARCEL: G1 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONMG FORM MLED 01117
11iiilding Permit Filled nut
Addition to Existing
TH/F-OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: <'
1/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 fro onservatio mission
6 1'9u__
Signature of Building for Date
NOTE:Issuance of to 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.
u _
CA cz
O r- b
Lr) C
° Li r�
`Z,
gz to N
1-0 Qn
cn
��y w � t� w •U � o � � � � � o S � a
Ln
M
° o o p
En
rA
z � 11 z
a� a
O U !3� ccUd p
A
O � � � � � � c gyp•' :�
w
PNO
o l > 3 Q
3 0 2: °' C E �k
=
hMj 'n O :rw
O to ~ O Y�C cti "' > Q
s l0 A r�" 4-, W U � ° Q
U
bq
r