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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. .,iv`� 1 7 Alterations
NORTHAMPTON, MASS. 4ZZ 19 -z Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location_ //P H ell, Gr, Lot No.
2. Owners name AI j Address_it— AIM �i C `F-,&, 42M,
3. Builder's name Address 5e�/»E
Mass.Construction Supervisor's License No. Expiration Date
4. Addition 14 A/4
5. Alteration 4i,#4,09 0e- To GtrriNG RDC�/I7 ¢ /bi�i� /St/�Eh�
& New Porch
7. Is existing building to be demolished? l9 v r�c�i
8. Repair after the fire
9. Garage tom' No.of cars Size d 7'
10. Method of heating
11. Distance to lot lines
12. Type of roof —
13. Siding house
14. Estimated cost /! ppp po'j BUD
The undersigned certifies that the above statements are true to the best of his,
knowledge and beellliie/-/f.
Signature of responsible app,icant
Remarks
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APR 1 7199 �.. � � �asaarltuertle —
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ARTMENT OF BUILDING INSPECTIONS
— '
2
t ,i 12 Main Street Municipal Building
INSPECTOR ')EPT OF�7� "1W Ohd� P g
Northampton, Mass. 01000
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE;. 91-)yl l 14. /1�7
JOB LOCATION: 7 7'�j ' L•�� /G2 '�J
(Map) (Parcel) ( Subdivision)
HOMEOWNER'-- C�L?� ��
(Name & Address )
IL l rzJlac_- - li %L. 11225, / -ye
( Home P one) (Work Phone
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) families and to allow suc.
homeowner to engage an individual for hire who does not possess
license, provided that the owner acts as supervisor . CMR780 Section 109. '
DEFINITION OF HOMEOWNER: Person(s ) who own a parcel of land o:
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 detaches
structures accessory to such use and/or farm structures . A person whc
constructs more than one home in a two-year period shall not b<
considered a homeowner . Such "homeowner" shall submit to the Buildin(
Official, on a form acceptable to the Building Official, that he/sh.
shall be responsible for all such work performed under the buildinc
permit.
As acting Construction Supervisor your presence on the job sit(
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 fo:
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be liable for person( s ) you hire to perform work fo:
you under this permit .
The undersigned "homeowner" certifies and assumes responsibilit,,
for compliance with the State Building Code, City of Northampto:
Ordinances , State and Local Zoning Laws , and State of Massachusetts
General Laws Annotated. f
HOMEOWNER SIGNATURE /
BUILDING PERMIT #
I 1
10. Do any signs exist on the property? YES NO `f
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO i�--
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colvma to be filled in
by the Building Department
Required
Ex_ (stiRg Proposed By Zoning
Lot size
U
Frontage 1 Ft' 0-t)
Setbacks -
- side LIE R: )�40 L: 3 0 R: l
- rear S1 '9 36
Building height
Bldg Square footage Jr -7C
rl 7 _
%Open Space: O�
nn DD iZ /v UG',? �°
(Lot area min�ss bldg �7/� ' ' j�,r S
&paved parking) �'• Q
# of Parking spaces
f of Loading Docks
Fill:
�(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my kno cy. edge.
DATE: 71 /-U, &-Y APPLICANT's SIGNATURE / ✓/
NOTE: lssuanoe'of a zoning permit does not relieve an applioant"s burden to oomply wittr,,,atl
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applloable permit granting authorities:;.
=:' ,, FILE #
i i
APR 1 71997
DEPT OF 8t1 G It9S f,^TIONS
File No .96411
.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �& U / Z' 5 'b" '±A
Address:_�b/1 Telephone:
2. Owner of Property:
Address: 5 a Telephone: S62
3. Status of Applicant: /i Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ALO-dz_�_ l
Parcel Id: Zoning Map#—b� 7 — Parcel# \5 District(s): G(/
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan rr 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/Vadance/Finding ever been issued for/on the site?
NO I,-- DON'T KNICA 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 1 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)
' + FILE # �9 6 213 3
APR �'
17
APPLIC T/CONTACT PERSON:
�EFT_oF"�i. PPHONE:
PROPERTY OCATION:
MAP PARCEL: ZONE �L
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pniri
'R nildinu Permit Fi11 !
Fee Pnid _ <Np
Type of Cnnstmirtinn-
Structur
4
TIDE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: .`
Approved as presented based on information presented
Denied as presented:
)LSpccial Permit andlor Site Plan Required under: § !r� °J�- /U,7, /0.//J /0,/0.
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
ro ❑3giYeti 0 4�rs
Signature of Building for Date
NOTE:issuanoa of a zoning permit does not relieve an appiionnYs burden to oomply with ail
_ zoning requirements and obtain all required permits from tha Board of Health, Conservatio
Commisslon. [department of Publio Works and other nppiioable permit granting authoritles.
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PAP/
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