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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. (r' -�_� Alterations
NORTHAMPTON, MASS. `+� ��t 19 � Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��� CY �� � Lot No.
2. Owner's name V C< 1 �` tai r 1 C) Address AC y �_�i o c t t�
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration 'J`C �CxC_c-,- �a�1 F'C- , .1C�� �.� 'A, c�� C X /[�
6. New Porch
7. Is existing building to be demolished? \.1
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof 0 C-d
13. Siding house
14. Estimated cost:-
c,C ( The undersigned certifies that the above statements are true to the best of his, her
1 knowledge and belief.
ignature of responsible appucanl
Remarks
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 h1nin Strect ' Municipal Building '-Qy
Northampton, Nfass. 01060
HOMEOWNER LICENSE EXEMPTION
�t ( Please Print )
DATE:
JOB LOCATION : — I 2 �t'r�e
(Map ( Parcel ) Subdivision)
HOMEOWNER: 1�Y1 L-1-5 YA \ K 0 I Y E'L K h C_
( Name & Address )
( Home Phone ) (Mork Phone )
The current exemption for "homeowners was extended to include
Owner-occupied Dwellings of one ( 1 )or t+•.n ,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 .
DEFINITION OF HOMEOWNER: Person ( s ) who own a parcel of land on
which he/she resides 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 Annota ed .
HOMEOWNER SIGNATURE1%\ ��'- O
BUILDING PERMIT #
46 �
APR 1 1 1997 ;
)EPT OF RC INS`
46-1
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10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location: `JA
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 99 ()D
Frontage
Setbacks a
- side L: R: L: L145-R: 44S
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking;
# .,f Parking Spaces
of Loading Docks
Fill:
-_(volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my )Cnowledge.
DATE: I{ ` APPLICANT's SIGNATURE uvvf� Ck, - n
NOTE: lwmiumn e of a zoning permit does not relieve an a plioant's b r en to oomply wit4 all
zoning requir ments and obtain all required permits from the Boardkot Health, Conservation
Commission, Department of Publio Works and other appliomble perms granting authorities.
FILE #
r` APR 1 1 1997
r Fi 1 e No.
DEPT OF INS'
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: )VG Yyl is K0
Address: c �� �Cx= Telephone: c�S
2. Owner of Property: S 0, YyL
Address: Telephone:
3. Status of Applicant: (_Owner Contract Purchaser Lessee
Other(expla'inn)_::,
4. Job Location: ' � �— i"c_- V^ J '—o U k
Parcel Id: Zoning Map# t Parcel# 9 District(s): ..a'12A k}•-j-2'a
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property , , a _c„
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/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#
9. 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)
... �� 9 `
FILE # 62100
APR 1 1 197
APPLIC T4-ONTACT PERS( N:
1 `)EPT OF 8i $PHONE:
S"r
,, 3 A�� v
PROPERTY L CATION: 4
MAP PARCEL: ZONE,�G C
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLEY) OITT
Fee Pniri
Addition to Existing
Arressary Structure
✓'
aC
LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION' '
Approved as presentedfbased 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 from Conservat" Co s "
Signature of Building for Dat
NOTE:Isauanoa of a zoning permit does not relieve an appnoant'a burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
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