25C-146 (2) L`//6// PERMIT APPLICATION CHE LIS
PAGE o2� PLOT /7 ZONE Uh l c l�y (9-h-tto YES NO DATE
1 . ZONING 0 APPLICATION Q.
2 . PE I V
.3Z�QWNER OCCUPANT ST6T LICJ IF NOT
3 SETS OF PLANS /PLOT PLAN----
NEW S
6 CURB OUT
WATER
8 , REMODELING
9 , ADDITION
0 , ACCESSORY
11 . SIGN / AWNING
2 , PERMIT FEE
3 , SPECIAL I D
4 , UNDER SE - CHR 780
5 FORM A
6 , FILL
COMMENTS : �� �,
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DEPARTMENT OF BUILDING INSPECTIONS =
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 y ,
HOMEOWNER LICENSE FxFrPrION
DATE: q4 (Please Print)
/
J LOCATION- 0�C//A �&"/S'
(Map) (Parcel) (Subdivision)
H MEOWNER: tr /L fzl I G
Name & Address)
«9�'��,:Y� y�J,r7 .S�'-!�`�'Jam'D
(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 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, dur:Lng 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 AN SHALL BE ON THE J AS SUPERVISOR.
HOMEOWNER SIGNATURE '� =r"^--'�'
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
-7 Garage
1. Location of diet 2 IT' X+ ;Z1W4 Y/, 7.,,,v llflg Lot No
wner s name AV �r C�� 1 Address
3. Builder's name S,5AQ- Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration 1
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
13. Siding house
6Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
know ed
Z lief.
` \
Signature of responsible app,tcant
Remarks
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Date Filed File No.
ZONING PERMIT APPLICATION (§10. :)
1 Name of Applicant: -Toff L, 1Y & Poamtck
Address: 9,15a- 091C0-ff1(9 S]; Telephone: 3,S6
Owner of Property: .��tVti /W�F r6141,-c rC/
Address: ' ,2 '7 OD'd fjW� S71 Telephone: tit a=7—
3 . Status of Applicant:_Lpmner _Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# D`5 L Parcel#
Zoning District(s) (include over ays)
Street Address
Required
5 . Existincr Proposed by Zonin
Use of Structure/Property
(if project is only interior, kip o #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R
- 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/Project: (Use additional sheets
if necessary)
t
d it
7. Attached Plans: ketch a n Site an
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowle
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL US LY:
Approved as presented/based on information presented
Denied as presented--Reason:
:pecial'* Per ' and/or Site Plan Required:
ing Re zr Variance Required:
e f u� l diing or ate
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pormits
from the Board of Health,Conservation Commission, Dopartmont of Public Wctks and ogtor applicable permit granting authorities.
t+�W •
o� �o City of Northampton REQUIRED INSPECTIONS '
BUILDING DEPARTMENT 1. Footings and Palls
� e 2. Structural Components in Place*
3. Complete Building*
No.
421 Office of the Building Inspector
Zoning Form No. 004313 Date 5/26/95 Fee $20 Check# Money Order
Page, 25C parcel 146,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r I-I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT JOhn McCormick before Building Inspections
has permission to IIi5Ld11 Vit►yi S! Ing over asptiait inspection on J1tC�-rVU[ivauviis
situated on
29 Orchard Street Inspection of Plumbing—Rough
provided that the person accepting this peanut shall in every respect Inspection of Plumbing—Fuush
confonn 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 pemut.Expires six months from date of issuance,if not 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU
IOU PL ON THE PREMISES
Certificate of Occupancy --
Building Inspector