25C-053 (8) 9
PERMIT APPLICATION CHECK LIST
PAGE a5� PLOT 51' ZONE c.t .�'�j �� �..z�^.z a-� ,� _. S NO DATE
1 . ZONINQ FORM C IO
2 . FERMI AEPt ck I9{—"
S
3 . OW ER OCCUPANT STTEME-kt'f` / L IC , 11 IF NOT
4 , 3 SETS OE PLANS /PLOW PLAN
5 . NEV CONSTRUCTION
0 . CUgs CUT
AVAILABILITY 7 . WA195 O S
f , REdODEUT G INTERIOR
9 . ADDITION
i
SQL ACCESSORY STRUCTURE
1 , SIGN AWNING
2 FEE C 0 - 0E ORDER -3(4 4140 `
13 SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 , U DER SECTION 127 CMR 780
15 FORM A
16 FILL
COMMENTS
70 "C
C b C r
� � m
W c o
=i z
a � o
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � _ -� Alterations_
s , NORTHAMPTON, MASS. f �7 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
/ Garage
1. Location .5'1 V1V Cn16 Ave, V%'T6tX C 3 ,� �� ��Lot No.,0
2. Owner's name QJY�' _ Q ��� Address rj��jn e dtr,
3. Builder's name Address s(+Y116
Mass.Construction Supervisor's License No. ------------- J Y Expiration Date
4. Addition
5. Alteration komq_4. 61-
6. New Porch
7. Is existing building to be demolished? �r
8. Repair after the fire
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:-
z;�St00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app, cant
Remarks /
20g`'C A'I'L
Crif� of Nart4aillptan
s � �AS>S AC��ll8 ttt8 n
rr. DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: ,
JOB LOCATION• C.r
(Map,) (Parcel) + (Subdi ision)
HOMEOWNER: v-V-1,
Name & Address)
t�c'1<R4a. ate\ a R . „ C7 9 ' i� _ Ocs >)
(Home Phone) TWork 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. CMR78) 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 7.52 (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 #
U,lf
00111
Date Filed ' ""� File No.
ZONING PERMIT APPLICATION (510 . 2 )
1. Name of Appl ' nt: C
Address : ivlGd - Telephone :_,,t
2 . owner of Property: ` *AE
Address ` Telephone :�
3 , Status of Applicant : " Owner Contract Purchaser
Lessee other (explain ; )
4 , Parcel Identification; Zoning Map Sheet# Z S- arcel# = ,
Zoning District (s) (inclu�overlays)
Street Address ! _ f
Required
Existin Proposed b Zonin
Use of Structure/Property - !7 _
(if project is only interior work, skip to #6)
Building height
S1dg . Coverage (Footprint)
Setbacks - front
side L: R: L; R:�
rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 , i Narrative Description of Proposed Work/Project : (Use additional sheets
c n iC-' mac;.- ar _ D
if t ne essary) -
VJ
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify L-hat the information contained herein
is true and accurate to the best of my knowledge .
Date : :> Applicant' s Signatu� ; �.�Z �=
- - - - - - - - - -THIS SECTION FOR OFFICIAL USE ONLY: - - - _ - - - -
Approved as presented/based on information presented
Denied as presented--Reason ;
4gn ial' Permit and/or Site Plan Required : _
Fin Ming Re red: _ Variance Required:
o ui1di or to
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 the Board of Health, Conservation Commission, Doparlrnont of Public Works and olhor applicable pormil pranling authorities.
A�o0.s `�°tip City of Northampton REQUIRED INSPECTIONS
A BUILDING DEPARTMENT
I. Snvccttugral Components in Place0
3. Complete Building*
No.
371 Office of the Building Inspector
Zoning Form No. 001113 Date 5/26/93 Fee $40 Checkrr��# 3437
Page, 25C Parcel 53 ,Zone URB Section 127 C] Yes u No
BUI]LDINGPERMIT
James McKeever * Plumbing and Electrical Inspections required
THIS CERTIFIES THAT before Building Inspections
has permission to Replace existing window 3' wide with one 5' wide Inspection on Site--Foundations
situated on 51 Lincoln Ave. Inspection of Plumbing—Rough
provided that the person accepting this pen-nit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,ifnot started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC S PLACE ON THE PREMISES
Certificate of Occupancy
B s for