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36-036 (7) PERMIT APPLICATION CHECK LIST 'AGE �9 C, PLOT 022- ZONE U eA Y S NO DATE I . ZONING FORM APPLICATION PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC J IF NOT G 3 SETS OF PLANS ZPLOT PLAN et c. 3 . NEW CONSTRUCTION i . CURB B � . WATER AVAILABILITY FORMS 3 . REMODELING TER OR 3 ADDITIO 10 ACCESSORY STRUCTURE 11 . SIGN W I G 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER e i--1-G_ 0C L- 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 4 . UNDER SECTION 127 - CMR 780 5 . FORM 6 . FILL ,OMMENTS 1P o Cs L IkAM y�0 ,,.1 .y Z ae y�lxssncl}ttsetle � DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 ° HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: (Map) (Parcel) ( Subdivision) HOMEOWNER: f=�t�� 4' / ©.2ri,/�/-� (Name & Address) _-2 4-©y (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 # z o � C � o a e y z y � o `c yi nl �D "7 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ��4_ y'Z y Alterations NORTHAMPTON, MASS. 7-15 - 9.2, 19 Additions so APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location laec—Are 4-r Lot No. n.3&- U,�r`� 2. Owners name Address 7'/Ile TLe, 3. Builder's name A Ul Address 26 /A tIr-f AA- Mass.Construction Supervisor's License No. Expiration Date 4. Addition w Z>-g ie- )-�C/7t!-c� e k :Tr_t-1 5. Alteration 6. New Porch Ala 7. Is existing building to be demolished? Ale) 8. Repair after the fire iV© 9. Garage /16 No.of cars Size 10. Method of heating_ - Z� 11. Distance to lot lines 30 / .�'r `jt7 /1/�,� o� ` 12. Type of roof 1 41,4 13. Siding house 1641,4 14. Estimated cost:- The undersigns ifies that the above statements are true to the best of his, her know'led and b `ef. Signature of responsible applicant Remarks PR UY fi': The land in Florence (Northampton) , Hampshire County, Massachusetts bounded and described as follows : A certain tract or parcel of land, with the buildings thereon, located in said Northampton, known and designated as Lot No. 51 on a "Plan of Lots in Forest Glen, Northampton, Ma owned by Kay-Vee Realty Company, Inc . " dated July 17 , 1962 , by Cobb, Beesley & Miles , Engineers , which Plan is recorded in Hampshire County Registr of Deeds , Plan Book 62, Pages 102 and 103, said Lot No. 51 being more fully bounded and described as follows : Beginning at an iron pin on the Easterly side of Deerfield Drive and adjoining Lot No. 33 as shown on said Plan; thence running; N. 000 27 ' 20" W. along said Easterly side of Deerfield Drive a distance of 89 .74 feet to a point; thence following; the arc of a curve , the radius of which is- 10. 00 feet, a distance of 16 . 00 feet to a point on the Southerly side of Winchester Terrace as shown on said Plan; thence running S . 880 45 ' 20" E. along said Southerly side of Winchester Terrace a distance of 99 .70 feet to an iron pin and Lot No. 52 on said Plan; thence turning and running S . 000 27 ' 20" E. along said Lot No 52 a distance of 100 .04 feet to an iron pin and said Lot No. 33 ; thence turning and running N. 880 45 ' 20" W. along said Lot No. 33 a distance of 110 .00 feet to the point of beginning. Said premises are conveyed subject to restrictions described in Document recorded in Hampshire County Registry of Deeds , Book 1391 , Page 126 . Being the same premises as conveyed in a deed from Cynthia L. Berube to Cynthia L. Berube and Edward A. Berube dated June 24 , 1986 and recorded in Hampshire County Registry of Deeds in Book 2760, Page 284 . Proposaf 20 TAFT AVENUE JOHN FORD ROAD EASTHAMPTON, MASS. 01027 ROBERT W . GRAHAM ASHFIELD, MASS. 01330 413-527.1623 413.628-3335 BUILDING CONTRACTOR 413.628-3880 COMPLETE REMODELING, ADDITIONS AND NEW CONSTRUCTION CPOSAL SU D TO PHONE DATE r �y IEET Y,STATE A O JOB LOCATIO CHITEC Y EFATE-OF P S 7 JOBO a hereby submit specifications and estimates tor: 7e- ".-,/lvl�Z _'e�dl Ie, i r `TD_L_ `r FK &-tee", w R �j ! y 4 n 0 o j U G r � 00065: Date Filed File No. � " C, G ZONING PERMIT APPLICATION (510.2) u R A 1 . Name of Applicant: Address: u,,,,,c�esT�e T'C- C 4Le ex,,ee Telephone: Shy-ago2 2 . Owner of Property: C'yyr7l * ,C. r ,Fow,.ea ,( lf;ir ev.,ss _ Address:s-u,,, .,,,csr�s.e r,�-.e �[ �_ Telephone:,yyo-a,�d°� 3 . Status of Applicant: ✓Owner Contract Purchaser Lessee Other (explain: ) 03 C, 4 . Parcel Identification: Zoning Map Sheet# '36 Parcel# , Zoning District(s) (include overlays) U Q-A Street Address s" espy eye- re.,L-- Required 5. EXistina Proposed bv Zoning Use of Structure/Property 'I7c�cK �CuwG (if project is only interior work, skip to #6) Building height %B1dg.Coverage (Footprint) Setbacks - front - side R L 30 ' R 70 - rear Lot size o ' x i o Frontage oD 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) pec,5 To FxrX,ki� r-',eom ,max/S7-rN6 �e�.�c 7Z� eEggA61-r 12P19 .v Cs.g.P.96Y 9:!i,-C'/90 /00.e770.v o pa 20 a� 7"b l'Xisri.✓�� 4,t/g PeTX 1,f'de, ' uiZPAr A',Pi2dY 31r-V SII7- 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 ms Signature: ..'"---'/- - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented R n f a Den ' l: 8�°F Signature of Buildi nspector J ate NOTE: Issuance of a zoning permit does not relieve an applicants 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 1/ Co C6 M n p, ft o A M C p n y' ro p es " ^t O u' X J C 67 fD R m �A C m :3 ►�+ �_ `C N X My b y b QO m r•i C*F) _ 0 C cn iy •ro O .�.5 CD T � e� A. '° ,i C C c M CD CA CIS e y cn ►� x 'v b cn N) et CA et Qn y H A� y• � p tv r..i ►b ^ �, s o• °, a n c Z a � b et cn �• CA