32C-214 (2) PERMIT APPLICATION CHECK LIST
(SAYE
2 . "
3 IF NOT
4 . 3 SETS OF S PLAN
NEW CONSTRUCTION
6 . CURB CUT
7 . - WATER
8 , REMODELING
9 , ADDITION -
10 . ACCESSORY STRUCTURE
11 , SIGN
WU
12 . PERMIT - MONEY
13 , SPECIAL PERMIJ REQUIRED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 - C R 780
15 . FORM A
16 , FILL
COMMENTS :
O
F—
V
Q
C v
Z [T
O
O (h
W c cm, ---� •..r
7 O D U c
O
CC
d n
. ,•-� y 1 W p
CX
W - y .
W W N Z
_Z
�o0�t+nNpTOy
+ � r
� �+cssxcf�uaetla
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 `
HOMEOWNER LICENSE EXEMPTION
DATE: � �"� l� � � L) (Please Print)
JOB LOCATION:
(Map), (Parcel) (Subdivision)
HOMEOWNER: �j o� 0 � � r-1 t- t
B.t 1 ame & Addres )
IAS a7, 14y00Y
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one (1 )or two (2) fami 1 ies and to allow such .
homeowner to engage an individual for hire who does not possess at
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_.
BUILDING PERMIT
I
�,
__
__
, �
' I
___ ____ _ _ _ _ _ _ I 'j
!,
_ _ _ ;
__ __
_ _ _ _ _ _ __
___ -
__ _ __ � �
_ _ -.
___
I
_ _ _ _
I
- _ --- _ __
__ __ __ __
___
_.
__
I
_--_ ___
i
I
__
1
i
I
--
I �d�
L gt L
i
� 1
}4f
1
i
I
I
I
k � a
W4
_Hv K Q, -Str-
` l
? t
i
I
i
4
j 1
t
i
I
a z
z �
.. — �•
O
3 4 c � >
.. Z
n emo o
? � Z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location L� � — J Va 1�j�D M < n Lot No.
2. Owner's name D o a Q Address rp
3. Builder's name CA R 1 f d Address
Mass.Construction Supervisor's License No. /a t-1 I `� Expiration Date 7
4. 11A ill.
5. Alteration —A-1 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 cost �� aQ — 0 �.-► v Ct 0 �( >7�'j )rl S
The undersigned certifi s th the above statements are tr the bes his, her
know ge d 'e .
Signa ure of responsible appicanl
Remarks
4wiVr..r 11
002355
Date Filed File No.
ZONING PERMIT APPLICATION (§10. 2)
1 . Name of Applicant: ' p /-b Y\ 6 /
Address : " j -W e_ .( .d -1 —Telephone:
2 . Owner of Property:_ f o
Address : Telephone:
3 . Status of Applicant: - Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# 32G parcel# 21y,
Zoning District(s) (111clude verla lit PC
Street Address 35 _
Required
5. Existin Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descrip ion of Proposed Work/ reject: (Use additional sheets
if necessary) a , - ,
7
Y
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 knowle e
Date: �j - I L I Applicant's licant's Si nature:
� s g
- - - - - - - - - - - - - - - - - - - - - - - IT SE - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
ing u ' ed: Variance Required:
41gn%atdii�_e:
of Buil nspector XDaJ6e
NOTE: Issuanco of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Hoallh,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
ro Z
Fes•.• s P �.w.�
O
0 O
co
Cb S °
Ham' Ln
'b ° .°may oN
a� r* (�9 'fib ��G' Trj
ur�og �' g to D atn
aj Q' o n n n
p y C ° t�AD (D N :U O owe
cn
bd •ory O,
C-n- t :c t
o
OQ d 5 `0 o n� e
° Q c ,g owe d O
C, owed
Z �
yIWO
ci o
o o �']
�. o• o ° o °r � w
s fJQ
� � a
Z v w . . p
° 5 ° Q 5 aQ °°
5 �, � � F F. O 'P. gi g $.
°c� o• tad 5 .� o g --
rA
tz
F.
ko