Loading...
25A-086 PERMIT APPLICATION CHECK LIST PAGE 4PLOT ZONE �� u ! f YES NO DATE 1 . ZONING FORM APPLICATION - 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT 4 . 3 SETS OF PLANS OT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER VAI B T FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMI E - OJICK ONLY - MONEY O 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : a V _ II T a+ X m ., � z j Z = �. Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. t`"� �� Alterations NORTHAMPTON, MASS. / 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage L r C�asb S=� (6 1. Location A-,art"41 ..c-!--4 �'�- G Lot No. 2. Owner's name i(�-- �---� ti�l+� Address , f t 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 00,1c fl«t 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire IV 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. N Signature of responsible app,icane Remarks Grit Bf Noxt4al»rptian _ t .Massachusetts DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 " HOMEOWNER LICENSE FM'M'► PION DATE: ,` (Please Print) ('-- ! —GI�� JOB LOCATION: Z! C+po s'h A— c �.- (Map) (parcel) (Subdivision) HOMEOWNER:___ J7,,,_ C r.e.o� .►. al c.. Z r IGCS'�7 to S f (Name & Address) (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 at 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 ssachusetts General Laws Annotated. HOMEOWNER SIGNATURE c/ BUILDING PERMIT �j �0 � � -----J F� �j I 1 ���' r° f i I (� I 3 t 0002"Date Filed File No. ZONING PERMIT APPLICATION I. Name of Applicant: a �LLi r�� J-" d Address: 21 �±2a a� Telephone: 2 . Owner of Property: �•�- t�rtca� <<� .c.,� �''o� p Address: , <--'A y� ,L —Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# 2_z614 arcelf Zoning District(s) (include ov rla s Street Address 22 Requ red 5• Existing Proposed bv Zonin Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front , - side L: R: L: ? R: - t l - - rear + Lot size Frontage. Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6: Narrative Description of Proposed Work/P oject: (Use additional sheets if necessary)✓ /kc� 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: Applicants Signature: �- // - THIS SECTION FOR OFFICIAL ONLY: Approved as presented/based on information presented Denied as presented--Reason: Special" Permit and/or Site Plan Required: F' di Re i Variance Required: .- � . gnatur o Buy ld specter Date NOTE: issuance of w ion-Ing permit does not rcHava an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health.Conservation Commission, Department of Public Works and othor applicable permit granting authodilos. M ... Ul Ln Ln r4 0 �e► rn 'p .7" �. y ►A age CD Qj riQ C-4 . o. n a o M1 v' to ° � CD CrQ PV A p y KU �"' O r n a a n tz �• ?J.' g 5 ru Q, 0) �D rt d 5 o m to O � lot � o O to R 5. 54 5 = = C 8 c)) 5 va ° ° o� ", ° �' N w 5 b v� O bd 54 ►t ��y p� w G to a o � 1 � b y © 41: m 7:2 5 Z b � CD