35-198 (11) PERMIT APPLICATION CHECK LIST
ES NO DATE
2 # "
3 . OWNER OCCUPANT NOT
4 . 3 SETS OF PLAN P ,.
NEW CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 . ADDITIO
10 , ACCESSORY C
11 , SIG AWNING
12 . PERMIT FEE - 'ONLY - MONEY ORDERV
f
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 , FORM
16 , FILL
COMMENTS :
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
DATE: 3 a (Please Print)
JOB LOCATION:
(Map) (parcel) (Subdivision)
HOMEOWNER:�'x1 r-( y 4 1 ,.T J- o G o C c
(Name- & Address)
-? 7- 0 P /i � 0. ,��,e 7 y�/7//0 SQL Q 5 a 7— , 0,-
(Home Phone) (Work Phone)
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.
HOMEOWNER SIGNATURE Q�2
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `� _ Alterations
NORTHAMPTON, MASS. 3 �'71 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Qk
Garage
1) Location ZZ, vZ QV2 T6 /01 T Lot No.
2 Owner's name Al 4of 0 C p Address /,S +�� �✓
3. Builder's name 5� MUG Z L Qc o c Address //S�vZ 6V1� 7_5 /0 1 f -
Mass.Construction Supervisor's License No. Expiration Date
4. Addition ,C
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
11. Distance to lot lines oo C I< Z, 13- �W� 0 4 5- �2 V �- yo r S
12. Type of roof
13 Siding house
(4stimated cost l6 0 O
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
t Signature of responsible app icani
Remarks
THIS PLAT NOT FOR RECORDING PURPOSES
110 '
U
lan Book 77 Page 3 w
Lot #9 \- �'-
'VE T Q AC ,
:117 , '�
#1152
11
Burts Pit Road
To: The Commonwealth United Mortgage &
The First American Title Insurance Co.
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.I FURTHER
REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY
NUMBER 250167#
DATED: August 26, 1993
NOTE
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES
SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY.
MORTGAGE LOAN INSPECTION PLAT
'kW OF Northampton, Massachusetts
RICHARD Prepared For
J. Samuel J. Lococo
ci IABARGE,SR.
/34605 Scale: 1 "=20 '
N-4,
Richard J.LaBarge,Sr.,Registered Professional Land Surveyor
110 King Street,Northampton, Massachusetts 01060
4wi�Yn. !y
Date Filed 3 �
J 0023511
File No.
O4I PERMIT APPLICATION (§10 . 2 )
1 . Name of Applicant: J7 Z_ 0 C o
Address : 60,<17-0 (0/7- ( O , —Telephone: ST
2 . Owner of Property: S 19�n� ,U/= 1q A'104 p 2GG o c G
Address : v % �01"T k Al'� 7-0�Telephone : 6-e'6 e o
3 . Status of Applicant: ",/, Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# pParcel#
Zoning District(s) (include overlays)
Street Address L 11
Required
5• Existin Pro osed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front 30
- side L: ! 2!�R: L: 2_0'4-9,01 q ► fit
- rear �' y� 141
Lot size
Frontage
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)_7-o iV�L Q !i wIZ191" 1990.�lyeg .0,6E,C K x /� cr Xv
13 C 1,,:- D i F_
4, F- R1Lv/L, 6 /V C
r C 7- C/ T
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:
', , �j `�`
/�� P
THIS SECTION FOR OFFICIAL USE- ONLY
Wenried poved as presented/based on information presented
as presented--Reason:
S cial' Permit and/or Site Plan Required:
n ng e i d: Variance Required:
gna e of Buy ding for __10ate
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 tho Board of Health, Conservation commission, Deparlrnont of Public Works and other applicabio permit granting authorities.
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