35-093 (2) PERMIT LI A IO CHECK
PAGEr `ZO1JE �s. ES D E
1 . ZONING IO
PERMIT 2 . s
3 . OWNEW-O CUPANT STATEMENT LICA IF NOT
4. SETS OF PLAN9, /PLOT PLAN
5 . NE LRUCIION
6 CURB CUT
WATER 7 .
8 , REMODELING INTERIOR
9 ADDITION
0 . ACCESSORY
SIGN / AWNING
2 E - — MONEY ORDER
3 SPECIAL IF APPLICABLE
4 . UNDER
FORM A
6 , FILL
COMMENTS :
L
—NOTE—
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE
SURVEY AND IS NOT TO BE RECORDED.
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TO: FLEET REAL ESTATE FUNDING CORP. &
FIRST AMERICAN TITLE INSURANCE COMPANY
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY 1S NOT LOCATED. WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY# 250167
„E•�f� -NOTE-
SURVEYOR THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
v of -MORTGAGE LOAN INSPECTION PLAT-
RANDALL NORTHAMPTON, MASSACHUSETTS
E PREPARED FOR
I= JACQUELINE D. LANGLOIS
#3502�
SCALE: 1 "=30 ' JUNE 24 , 199:
= HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
fit. 235 RUSSELL STREET - HADLEY - MASSACHUSETTS
- _.........
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 "
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: August 4, 1994
JOB LOCATION: 35 93
(Map) (parcel) (Subdivision)
HOMEOWNER: Jacqueline D. Langlois
(Name, & Address)
6 Cahillane Terrace Florence 584 7677 584 5446
(Home Phone) (Work one)
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, c 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 m_ ay 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 d.
HOMEOWNER SIGNATURE
BUILDING PERMIT
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. August 4, 19 94 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 6 Cahillane Terrace Florence Lot No.
2. Owners name Jacqueline D. Langlois Address 6 Cahillane Terrace Florence
3. Builders name Joseph N. Langlois Address 6 Cahillane Terrace Florence
Mass.Construction Supervisor's License No. Expiration Date
4. Addition Detached utility shed
5. Alteration
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 _ p�
11. Distance to lot lines—1 S 'L– r � � 3 PfMT > 'LAI
12. Type of roof U 01PS
13. Siding house
14. Estimated cost:- .-�1,000.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Nax ntt-nka -A',
Signature oJresp n ble 7,`,cant
Remarks
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Date Filed File No.
ZONING PERMIT APPLICATION
I. Name of Applicant: Jacqueline D Langlois
Address:_ h Cahi1 1 anP Terr F1 nrpnrP Telephone: 584 767_7
2. Owner of Property: Jacqueline D Lanel of s
Address :_- h Cahi 1 1 anP T r F1 orenr•P Telephone: SRL. 2677-
3 . Status of Applicant: x Owner Contract Purchaser
Lessee Other (explai.n )
4 . Parcel Identification: Zoning Map Sheet# ?r) Parcel# ,
Zoning District(s) (include �v r,]��ays) 5
Street Address ; �;tK�tllt tom,
Required
5• Existin Pr-posed b Zonin
Use of Structure/Property storage
i:Building roject is only interior work, skip to #6)
height
dg. Coverage (Footprint)
backs - front Ao
- side L: 0 .1 R _R:
- rear �� d
_Zcs
Frontage.
Floor Area Ratio
oOpen 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) 11PtPP f1Plt „t;1,t3skaad fQr ste a�xa
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: $� Applicant's Signature: A I L(t,�
— — — — — — — — w
THIS SECTION FOR OFFICIAL USE NLY
1iApproved as presented/based on information presented
Denied as presented--Reason:
pecial'' Permit and/or Site Plan Required:
ing 01 ed: Variance Required:
i F
gnat a of Buildi nspector D te;
NOTE: Issuance of a Ong permit does not relieve an applicant's burden to comply with all zoning roqulroments and obtain all required permits
from the Board of Health,Conservation Commission, Dopartmont of Public Works and other applicablo pormh granting authorities.
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