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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location c Lot No.
Owner's name Address
3. Builder's name Address
Mass.Construction Supervisor's License No.rr-- Expiration Date
4. Addition l rq
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
12. Type of roof
Siding house
14. Estimated cost:-
_bT a undersigned certifies that the above statements are we to the best of his, her
k ledge and belief .
Signature ojresponsible appicanl
Remarks
A� $ GrZf� of wort
Z =
11 11�G . 0 ,�iaseacf�nsette
a 6 1996
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
M,... Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
DATE: - (Please Print )
JOB LOCATION: , 417 &t/L -
(Map) Parcel ) ( Subdivision)
HOMEOWNER
Name & Add ess )
(Home Phone) (WorK Phone)
The current exemption for "homeowners" was extended to include
owner-occupied Dwellings of one ( 1 )or two (2) families. 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 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 .
f
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 #
10. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO -V--'
IF YES,describe size,type and location:
11. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thin col=a to be filled is
by the R=j&-ng Department
Required
Existing Proposed By Zoning
Lot size
Frontage 7J
Setbacks
- side L: R: L: R:
- rear
Building height �O
Bldg Square footage /� ,`�i / �t� °j, m,4
%Open Space:
(Lot area minus bldg
&Paned parktLlg)
# of "Parking Spaces
f of Loading Docks
Fill:
{vo1-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DME: 1� 90 APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applioant's burden o oom
zoning requirements and obtain all required Pty 4 all
q permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applionble permit granting authorities.
FILE #
��6/
File No.� 9
-ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address:';�2() UIO/ `7 X OLTelephone:
2. Owner of Property: R�i * X14
Address: n2o W l A r 1/1.�?S lamr Telephone:
3. Status of Applicant: \//Owner i_Contract Purchaser Lessee
Other(explain):
4. Job Location: dd
Parcel Id: Zoning Map# Parcel# '7' District(s):
(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):
' X /C�? ' s k-'&C
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KN0V%' V--lL 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_v_---**' 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)
i
I
l
LL
File#BP-1999-0156
APPLICANT/CONTACT PERSON Ralph Carpenter
ADDRESS/PHONE 20 Winchester Terr (413)586-3933
PROPERTY LOCATION 20 WINCHESTER TERR
MAP 36 PARCEL 047 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓�
Fee Paid
Building,Permit Filled out
Fee Paid � �J 41410—
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
i THE KPprovot WING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
d a s presented/based 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
1ov Board of Healt Well Water Potability Board of Health
" Permitxfrom Conservation Commission
Signature of Building O Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
Department: Reference No: BP-1999-0156
...................................
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
shed REC-1999-000309
.........................................................................................
................••••...........•••....
Paid By: Paid Full On:
Ralph Carpenter Thu Aug 06,1998
.........................................................................................
......................................
Received By: Check No:
Linda Lapointe 1658
.........................................................................................
..................•...................
DEPARTMENT'S COPY Amount: $20.00
...........................1)111PARTMENTFILE COPY 20 WINCHESTER TERR
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0156 $20.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
7134 36 047 001 20 WINCHESTER TERR URA 10018.8
Contractor: License Type: Insurance:
Homeowner as Contractor
Address: License No.: Insurance No.:
City: State: Zip Code: Phone:
Pro 6ect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0258 shed $2,000.00
Description of Work:
8' X 12' SHED
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: