29-347 (2) r
PERMIT APPLICATION CHECK L4181
GE -2- PLO T l/ 0 N E LC ,,q&75p 7Z" ' Y-ES NO DATE _
1 . ZONINQ FQBM APPLICAIION
2 , PERMIJ APPLICATION
3 . KOWNER OCCUP AW",, STAT.EMENT LIC , it I - NOT L.
4 . 3 S 0 P_ S 0 PL
5 , NEW CONSTRUCTION
61 CURB CUT
7 . WATE AVAILABILITY FO S -
Q REMODELING INTERICR -
9 , ADDITIO
10 ACCESSORY STRUCTURE
11 SIGN / AWNING
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12 PERMIT FEE - CHECK ONLY - MONEY ORDER
13 SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE.
14 , UNDER SECTION 127 - CMR 780
15 , FORM A
16 FILL
COMMENTS :
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MORTGAGE LOAN INSPECTION
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I hereby report that the premises shown on this plan is not located within a Flood
Hazard Area as shown on Department of }t.U.D. Federal Insurance Administration Maps,
Community Num r 250167 OOOlA
Identificatio at _ Apri ,
By-
TO THE BOSTON FIVE CENTS SAVINGS BANK FSB OWNE R# NANCY J. PAITARIS
TRUSTEE OF LESBOS REALTY
1Un TIM T,AWYFRS TTTLF TNS. CORP.-ONLY
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DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: -�
JOB LOCATION: o� it y
/ , (Map) (Parcel) (Subd' vipion)
HOMEOWNER: f,xr&?,rq Inc sv c- /c1 w c o' ,e o' i r /
(Name & Address)
1`rr/P c,r-elV( e
(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.
s�
HOMEOWNER SIGNATURE,4
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.NoS 0_ AlterationsX
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location t)S4! t✓ C P C/e T16 r(' lce Lot No. l
2. Owner's nam e'A/C (' eIle - Address-7, /��`��//I� C%In. '�/�1C.
3. Builder's name (�tU b e r Address'7(94 GS-[Al C f 4 e--A!��
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage t( e No.of cars Size
10. Method of heating 1
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
knowled belief.
Signature oJresp e appicant
Remarks
�..Y'3r.•?-y
000«45"
to Filed f `� `� File No.
ZONING PERMIT APPLICATION (§10. 2/)
, )
1. Name of App 11 cant: ,.ri rcz
r,
Address : `�- c�!'! 1W, Telephone:
2 . Owner of Property:_ 5117w -
Address : Telephone:
3 . Status of Applicant:( Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# a,2 Parcel# r,r ,
Zoning District (s) (include overlays) LdK A / LJ
Street Address 5; ,.
Required
5 . E tin osed by Zoning
Use of Structure/Property Att�`
(if project is only interior work, skip to #6)
Building height __
° ldg. Coverage (Footprint)
Setbacks Lr nt �D!
e L: !R: L. R: E?f
r i
o size �� 3
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) / /�
7 . Attached Plans : _-Z—Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledNi&ux,7
Date: A pplicant's Signature: �2 C
THIS SECTION FOR OFFICIAL USE ONLY:
JZ' Approved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
Finding Requir d: Variance Required:
y
e 1
1993
Sign of B ilding Ins or Date
NOTE: Issuance of a zoni rt 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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