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36-264 _ a 2 n T A v •ti o• -v co f. r Z m Op s" > cn O m 0 ;c r v Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. , 19 '' Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owner's name u z Address 3. Builder's name Cr�rstriz^+,� Address 31 Mass.Construction Supervisor's License No. - ,, ' Expiration Date 4. Addition -r ' .',-_t� , + r, w W 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size • 1 10. Method of heating_ n' 11. Distance to lot lines t -,at` 5 „ 12. Type of roof zit, 13. Siding house 14. Estimated cost- >3 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icant Tivi Remarks might otherwise have difficulty finding housing; ` C. Develop housing units in single-family neighborhoods that are appropriate for households at a variety of stages in their life cycle; D. Protect stability, property values, and the single-family residential character of a neighborhood by ensuring that accessory apartments are installed only in owner- occupied houses; E. To provide housing units for persons with disabilities. 2. The Building Commissioner may issue a Zoning Permit authorizing the installation and use of an accessory apartment (as defined in §2.1 Definitions) in an existing or new owner- occupied, single-family dwelling only when the following conditions are met: A. The apartment will be a complete, separate housekeeping unit containing both kitchen and bath. B. Only one accessory apartment may be created within a single-family house. C. The owner(s) of the residence in which the accessory unit is created must continue to occupy at least one of the dwelling units as their primary residence. The Zoning Permit for the accessory apartment automatically lapses if the owner no longer occupies one of the dwelling units. D. Any new outside entrance to serve an accessory apartment shall be located on the side or in the rear of the building. E. The gross floor area of an accessory apartment(including any additions) shall not be more than thirty (30) percent of the building's gross floor area, nor be any greater than eight hundred (800) square feet. Apartments in accessory buildings are not accessory apartments. F. Once an accessory apartment has been added to a single-family residence, the accessory apartment shall never be enlarged beyond the eight hundred (800) square feet allowed by this ordinance. G. An accessory apartment may not be occupied by more than three (3) people. H. Three off-street parking spaces must be available for use by the owner-occupant(s) and tenants. I. The design and room sizes of the apartment must conform to all applicable standards in the Health, Building, and other codes. J. Zoning Permits issued under this section shall specify that the owner must occupy one of the dwelling units. The Zoning Permit and the notarized letters required in K April 16, 1997 11-20 specifications, and, if necessary, field verification. E. Dimensional and Density Regulations: Telecommunications Facilities shall adhere to §6.2 Table of Dimensional and Density Regulations and §6.8 Other Dimensional and Density Regulations, except as follows: 1. Towers designed for one telecommunication provider shall be limited to 130 feet. Towers designed for co-located facilities shall be allowed an additional 20 feet for each additional provider up to a maximum of 220 feet. These height limits shall not apply to towers for or partially for government or emergency telecommunications,to the extend such height is needed to serve government or emergency telecommunication use. 2. In residential districts, a tower must be setback from all property lines at least twice the distance equal to its height. In other districts, a tower must be setback from all property lines at least the distance equal to its height. The Permit Granting Authority, however, shall allow a shorter setback if the shorter setback provides adequate safety and aesthetics and the manufacturer or qualified licensed designer certifies that the tower is designed to collapse on itself or otherwise collapse safely and within the property controlled by the applicant in the event of failure. The Authority may allow lesser setbacks necessary to allow the use of an existing structure. F. Removal of Tower: The applicant shall remove any Telecommunications Facility that ceases to be used for its intended purpose for twelve consecutive months. The Planning Board may require a performance guarantee to insure that unused facilities are removed. G. Maintenance of Telecommunications Facility: All Telecommunications Facilities shall be maintained in good order and repair. Any paint and finish must be maintained and repaired when the blemishes are visible from the property line. The applicant must provide an inspection schedule and file copies of inspections with the Building Commissioner. (Added 4/3/97) Section 11.9 Accessory Apartments An Accessory Apartment,or In-Law Apartment,is a self-contained housing unit incorporated within a single-family dwelling(not within accessory structures)which is a subordinate part of the single- family dwelling and complies with the criteria below. 1. The intent of permitting accessory apartments is to: A. Provide older homeowners with a means of obtaining rental income,companionship, security and services, and thereby to enable them to stay more comfortably in homes and neighborhoods they might otherwise be forced to leave; B. Add moderately priced rental units to the housing stock to meet the needs of smaller households and make housing units available to moderate income households who April 16, 1997 11-19 �O p 0 9 8 FEB mp Grx� a (XZ �Jbi11Y1III1 B B 1 81 assachnsctta m bEPARTMENT OF BUILDING INSPECTIONS „ 12 Main Street ' Municipal Building ` Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVTT (licenseelpermittee)' with a principal place of bumness/residence at: on - `��� . �;,�. _. _ ., _, � ,r ,,.,.,-� (phoney#) I -)­.­,--- (strcc.Ucity/state/a p) do hereby certify, under the pains and penalties of pegJury, that: ( ') I am an employer providing the following worker's compensation coverage for my employees working on this job. --s. c (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insuran(;e Compauy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insu=c-- Compauy/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioazl sfwet if noccxury to include infocmidoo permining to all c atrr do ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be asrun that wbilo homcownm woo caplay persom to do mxiarm, cc�couv uctioa'or repair work on a dwelling of not mach than tbroa units in wfrich the bomoowncr mikes or oa the grounds appurtenant thereto ere not generally coosidcrcd to be employers under kso worker's c=pcns4oa Ad(GL.152.ss 1(5)),appUm6on by a homeowner fcr a lrccax cc pclm;t may evrdencc the legal daata of an omployoe under tho Workoes Compemation Act I undenrxnd that a copy of this cratemcat may bo focwardod to tbo Dtpnrtmco2 of Dial Arxide&OfSoe of Innu*noa for tho eovcrxge vcrMcatioa and that failttrc to acarre covnago under socdoa 25A of MOL 152 can lord to tho imposi5on of criminal penalties ooasiafing of a Sine of up to S1,500.00 aodroc imprisoamcnL of tip W one year end avil pcnaltres in the form of a Stop Work Order and a fum o(5100.00 a day tgaiust me. 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YFk 5 y1m bh w` , nR '71 ki AY S*'� k }xt Powers C Mainuction 31 South South Deerfield, MA 01373 f 3 , a ��n� s Fart/�a1 eKi aa,n.wtt X5.4 k-` w ,� t kbi I�®rt iampto MA, Lot Sketch & Setbacks ON FM 1 919% X� f5. r Ef v E 4," -8*�,!' eF. !7 IV4 • Powers`Construction 31444th Main �o ttt Do erfleld, MA 01373 M 10 Do any signs exist 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 i IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. I This COIU=n tO be fillad in by the Building Department I Required Existing Proposed By Zoning �y�,3�v,` 5.9'�e Lot size���;e4 70 Frontage Setbacks - frnnt - side L: 60' R: /3C` L: �e R: - rear Building height ,/ Bldg Square footage ,0 %-� 6 iZ7 S %Open Space: (Lot area minus bldg &paced parking) gd i� f- JL # of 'Parking Spaces l # 'of Loading Docks l Fill: -(volume -& location) 13 . Certification: I hereby certify that the informatio�onta " ed herein is true and accurate to the best of my knowledge. �� � DATE: fe ,. I,".s APPLICANT'S SIGNATURE 17 NOTE: Issuance of a zoning permit does not relieve an app ioant's fburdon to comply wit4 all 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 # FEB 1 8 1'998 r File No. °<3,-)/ ? t . NTG PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: °' `urr., ,, A"?.^ Address:' 'n :a i i -e- Telephone: L'3_5c 4 2. Owner of Property: Address: 1 .i -)L 0 1 1,o Telephone: 3. Status of Applicant: x Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Ma p# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Prope � 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7") 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. M t7{� 8. Has a Special Permit/Variance/Finding ever been issued for/on the site*? rn NO n DON'T KNOW 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 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 # 963217 g FEB 1 81998 ; r, � APPLICANTJCONTACT PERSON: L r C�✓ ! �� 4 `���v� PROPERTY LOCATION: ae, MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7,ON-fNG FORM Fff 1,F,1) OUT Fee Pnid Rtiilding Permit Filled nut Rpmndelin2 Interior Z.. r o� THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as 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 Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from C�o,.n�sservati ommiss'ion �/,00 Signature of Buildin ector ate NOTE:Issuance of a zoning permit does not relieve an appiioant's burden to oomply with all _ zoning requirements and obtain all required permits from the Board of Health. 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