29-124 (3) PERMIT APPLICATION CHECK LIST
ZONE _. ..,rtk�..., ... ,.. , YES NO DATE
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2
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3 . i�&TATEM#NT LICA IF NO
4 . 3 SETS OF PLANS PLOT PLAN
6 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER AVAILABILITY FORMS
B . REMODELING INTERIOR
9 . ADDITION _
10 . ACCESSORY STRUCTURE
11 . SIGN AWNING
2 PERMIT FEE - 1.' - MONEY ORDER �o
3 PERMIT REQUIRED WITH DEED IF APPLICABL
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
,OMMENTS : _
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8
VS,I DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton, Mass, 01060
HOMEOWNER LICENSE EXEMPTION
DATE: (` (Please Print)
JOB LOCATION:
Map) (Par ) (Subdivision)
HOMEOWNER: A--<—
ame &&Address)
(Home Phone) (Work 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 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 #
f
.y
Bay State Gas Company
The street (s) listed below have had the gas service cut off and is
t
ready for demolition. The service was cut off at the address known
as z
on
Very truly yours,
Ernest Muell r
Manager/Distribution
EM/da
Springfield Division
PO Box 2025
Springfield
Massachusetts 01101
413 781-9200
' pro DEPARTMENT OF PUBLIC WORKS
FIE
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d,' y WATER DIVISION
$ 237 PROSPECT STREET
NORTHAMPTON, MA 01060
586-6950 Ext. 300
July 20, 1992
Frank Sienkiewicz, Building Inspector
Municipal Office Annex
212 Main Street
Northampton, MA 01060
Re: Demolition of house a #433 Ryan Road.
Dear Mr. Sienkiewicz:
The water service supply to 433 Ryan Road has been shut off at the
property line and the water meter removed from the premises as of
July 17, 1992.
Sincerely,
Charles Borowski
Superintendent of Water
CB/ml
cc: Sam Brindis
Peter McNulty
V\Water5\RyanRd.433
Massachusetts Electric Company
Massachusetts Electric P.O. Box 60040
A New England Electric System company Northampton, Massachusetts 01060-0040
Telephone: �413� 586-8700
July 30, 1992
Mr. Frank Sienkiewicz
Building Inspector
City of Northampton
City Hall
210 Main Street
Northampton, Massachusetts 01060
Dear Mr. Sienkiewicz:
In response to a request by Mr. John Lind, we would like to inform
you that Massachusetts Electric Company has disconnected and removed all electric
service to the building at 433 Ryan Road, Florence.
Very truly yours,
MASSACHUSETTS ELECTRIC COMPANY
Donald E. Backstrom
Senior Field Engineer
DEB/a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations -
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location r
lr e etA c-e- au• Lot No.
2. Owner's name \-,/o fl 14 f S a.—D�z Address V3 3
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? �e S
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:-.:*1 k„tt-t
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief
Signature of responsible applicant
Remarks
PflINTaSHOP
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N 430 3,a, �9 E
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P=A RCE L 6
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AREA = 201104 S.F.
�- - ---- (INCLUDES EASEMENT) w
- 82.50' WIRE FENCES 't
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D SANDRA B L I ND l
BOOK 1844,PAGE 97 - --
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SEE
cv EASEMENT TO BE
OCCUPATION LINE DESERVED FOR
TO FENCES FUTURE STREET
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File
PDRMIT ]\P P 1,ICA TIO14 (g10 . 2 ) --'--------
l .
Nam(-, ,,q.
� ilddrcs
2 .
2 of 8ppIiudDt o�� �oo��aot ��Io�uoe�
I,csaee 0tbez /enDla`--'
4 . Pazool Zdentif ioatioo/ zoning map Sbeet �z�oel�
Zooiog Di�tzi -�=-�-
S t r Address Alk
/
5 . ~ Propa�,ed by
, D
(if Project is only interior work, skip to' #6)
Building height 51 &0Pq&.J
Setbacks - front
- side
ij� vv
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
Parking Spaces
Loading
signs
Fill (voli-ime & location)
6 . }Jazzntive Description ~oƒ Proposed Rozk/�ro 'eot; /Ose additional a�eeta
if neoessarl/) ' `
_--,_-
7 . Att.unbcd Plana : 3}ce��� �Iao Site Plan
____ _____
8 . Ceztifi��ztion : Z hereby certify that the information contained oezeio
is tcVe and aoourata to the bust of my knowledge.
Date:__________._ Applicant Is Signature:
THIS SECTION FOR OFFICIAL USE ONLY: - - - - - -
°�PDcoved as presented/based oil information presented
Denied cis pre'sent. d
' �r ---------.------------------''-----'------
9ignatoz�e ��-- ' --'-----------
MOTE: isnuonrum o ro,,ion rnnna does not mUn,nun vppiioon[o burden mcomp�j,iitb u/|zooiog/oqu/mmu'n^and omm./.all mqu/,vu/x;nnd,
frvmom Bonn] of n""/m. Co".�pmion Cmnmis,kw. Dvpmmmmv(Public m*mxand m/`ur uppoc^wv p^nnuomnhnouuo'o'ao°,
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Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: o q,IJ JaA4)rOL
Address: R a,,,,,. -za cr Telephone: S� - X353
2 . Owner of Property: .Sa, D r Jo N ,4 L I r'm
Address:!; Z,i _ lZ�;,> t/ore,�cc� Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet#�� Parcel# Al,�A
Zoning District (s) (include overlays) V R
Street Address -/72- _R r
Required
5. EXistina Proposed by Zonin
Use of Structure/Property �es;��,.� �e ,'aQ�• i
(if project is only interior work, skip to #6)
Building height ,5; bL {n. o•�
%B1dg. Coverage (Footprint) 90 90
Setbacks - front
- side T, 2 ' ' L 2.P3 R "
- rear
Lot size o No Wo
Frontage 1& "
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading V
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) EM c c.,,5*1 4- Con ruc_¢'
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and a ate to the best of my knowledge.
Date: Applicant' s Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
R ason for nial:
S gnatur Build Inspector Date
NOTE: lssuanoe of a zoning permit does not relieve an applicarit'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.
7/92 FXAS
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