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32C-222 (3) MORTGAGE LOAN INSPECTION i 1 ---------------------- 1 CO r� e � 2 Hous r � P I hereby report that the premises shown on this plan is not located within a Flood Hazard Area as shown on Department of H.U.D.. Federal Insurance Administration Maps, Community Number 250167-0002A Identificati � pFi By y [ r Leta. 1"i-nu- ULVt!yU1 TO THE HERITAGE NIS BANK FOR SAVINGS OWNER, BAYS, PETER P. & DEBRA J. 61-AWD THELAWYERS TITLE INS. CO. - ONLY LOCATION= To the best of my knowledge,. informa- 85 HAWLEY STREET, NORTHAMPTON, MA ti on and belief, Y I premises se report that I AUCR HUNTLE JR & ASSOCIATES, INC have examined the remises and that this . s • inspection plat shows the improvement or SURVEYORS*ENGINEERS.PLANNERS improvements as located on the premises de- 125 PLEASANT STREET P.O. BOX 568 scribed, that the improvement or improve- NORTHAMPTON, MASSACHUSETTS 01060 ments are entirely within lot lines, and that there are no encroachments upon the $CA,�• premises described by the improvement or improvements of any adjoining premises," except as indicated. I further report that DOUGLAS 'there are no easements of record affecting W. DATE= the tract shown hereon, except as noted. THO PEON � ' �s� STI a JOB NO.:LA - Z` ✓/ � -79 [THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY z 3 0 Lm � Z cn O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ay � ( Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location Y //cc ' Lot No. L 2. Owner's name �� /C Y �. C C r j. /3G.L142 Address 26- t7 aLo J jrq. E 3. Builder's name ?C i E r- - Q t 4 F Address CZ 6 C V tC Mass.Construction Supervisor's License No. HG /'n(2 Own E d Expiration Date 4. Addition 5. Alteration—r—z-rvrnc.u t AUtl -S-�AcrS t 4�rco� ��"M.� v� S-IcriAdd elr 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 A 13. Siding house 2� V c)v +-,' -- 14. Estimated cost- 6OO The undersigned certifies that the above statements are true to the best of his, her knowledge belief. 1. Signature qjOesponsible app icant Remarks s s of 'Wart 4&11vpfall " �iacstt�chuartla DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street " Municipal Building ' Northampton, Mass. 01060 " HOMEOWNER LICENSE EXEMPTION DATE: 2 �� (Please Print) �'� JOB LOCATION- (M ) ( rc 1) Subdivision) HOMEOWNER: �� O Q �jY 0. Q Name & Address) i - t iY(z E 4 5- — 17 7 )VC,r �-/-) (�Lrn P. , MA (Home Phone) (Work Phone(�(2 6r Cl-)- 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 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 D SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE , BUILDING PERMIT # . � 0(14303 v Date Filed File No. ZONING /PERMIT APPLICATION 1. Name of Applicant: ?c, tc �: E 6! �� ✓ , �2 Address: i- / Telephone: /, 2 . Owner of Property: I .t -c V- r F `j ra- 6CL' Address: Telephone: 3 . Status of Applicant: V1:110wner Contract Purchaser Lessee Other (explai.n ) 4 . Parcel Identification: Zoning Map Sheet# 3�-G Parcel#Z ZZ, Zoi'fing District(s) (include ov rla s) Street Address , Required 5. Existing Proposed by Zonin Use of Structure/Property Z (if project is only- interior work, sk 'p to #6) Building height � 6 -'-f 5.,' B1dg. Coverage (Footprint) ell Setbacks - front -Cf - side L: �+ R: 74. L: rj' R: - rear Lot size 6n s { Frontagre. y 0, 9- x+ 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) rOtL j S, tgG2. 1-XISlra SA-A1115 Fe' $ cavil ('(oar', 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: ���J c( `t Applicant's Signature: JR� THIB SECTION FOR OFFICIAL USE ONLY: y /Approved as presented/based on information presented Denied as presented--Reason: S ial- Per and/or Site Plan Required: n g Re e variance Required: gna u , of Ins ector p 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 Hoalth,Conservation commission, Dopaitmont of Public Works and othor applicable permit granting authorities. � � z c9 as a p �.�•�.ti On ova w oz oy ��o � v y o 0-4 H C co CL o. � oo o �. 't7 a' O "3G S .< `'' 7o, " � 00 H y CD 0 En to < cr n ¢ ti S �z OR E� �- t m c 1�• CD d I'D � goo� � n � o O M. N Foo► cm CD � a � L/1 0 0 5" 5 CD C 5' y cn acr o �, °� o t, w Ul CD j a4 0• CD b W O CA ti mom"",llpjqjmj� PERMIT APPLICATION CHECK LIST ES NO DATE LICJ IF NOT 3 -� -S NEWCONSTRUCTION 6 , CURB CUT 7 WATER S REMODELING 9 , ADDITION 0 . ACCESSORY 11 , SIGN / AWNING 2 , PERMIT FEE - 3 , SPECIAL PERMIJ REQUIRED IF APP IC B 4 , UNDER SE - CMR 780 5 . FORM A 6 , FILL COMMENTS : agn