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25C-146 (3) PERMIT APPLICATION CHECK LIST PAGE f � PLOT l � ZONE e)M 9? ES NO D T �4 1 , ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT E NOT 4 . 3 SETS OF NS /PLOT PLAN 5 , NEW CONSTRUCTION 6 . CURB CUT 7 . WATER S 8 . REMODELING IN 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN AWNING 12 , PERMIT FE - - e-/ 13 . SPECIA PERMIT UI ED WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - CMR 780 15 , FORM A 16 . FILL COMMENTS : > o �v C A tTJ >y 'b 7i 0 Ln > j C O O I � ` Zoning Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. J / -� Alterations aj °oti NORTHAMPTON, MASS. /a 19 Additions APPLICATION FOR PERMIT TO ALTER Repair �-y� _�y�, � J Garage ovation ��� t�U'� 57 —�© �1 I�C�f� A llq-f Lot No. wner's nam h/t/` >°_ /�/` Address_� 3. Builder's name Address Mass.Construction Supervisor's License No. _Expiration Date 4. Addition 5. Alteration 6. New Porch ;'U -et p 7. Is existing building to be demolis ed? 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 60 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icanl marks e p r �QSQdCh ltdl«Q DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, ;Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: Aa/1-0'-'� (Please 'Print) JOB LOCATION: "�67e p) arc6l) (Subdivision) HOMEOWNER: (Namw & Asidres _� (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one (1 )or two (2) fami 1 ies 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 m_ ay 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 SIGNAL BUILDING PERMIT U Date Filed �� � � File No. ZONING PERMIT APPLICATION (910 . 2) , 1 . Name of App ant: J Address : lephone: 2 . Owner of Property:_ Address : Telephone : 3 . Status of Applicant: l�wner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet// 0--lit' Parcel# Zoning District (s) (include ov la s) L( Street Address �� n. Required 5. Existing Pro osed by Zonin Use of Structure/Property (if project is only interior work, kip to #6) Building height %B1dg. Coverage (Foote 'nt) Setbacks - front side L2: L: rf ---R: rear Lot size Frontage Floor Area Ratio %open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume &` location) ( 6 . Narrative Desc iptionrof Pro sed Wo k/Project : (Use additional. sheets v if neces ary) Or 'r 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. y Date : �Q Applicant's Signatur, _ _ _ _ _ _ _ _ _ _ _ _ _ _ THIS SECTION FOR OFFICIAL' SE ONLY: —Approved as presented/based on information presented Denied as presented--Reason: oial' Permit and/or Site Plan Required : n red: VaO� nce Required: ez gna e o Buildin ector Roo at 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, Department of Public'VNorks and other applicable permit granting authorities. i t'71- City of Northampton REQUIRED INSPECTIONS ' $ e 1. Footings and Walls - BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 900 Office of the Building Inspector Zoning Form No. 001818 Date 10/4/93 Fee $40 Check# 2174 Page, 25C Parcel 146 ,Zone URS Section 127 ❑ Yes 5 No BUI]LDINGPERNM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John & zetta McCormick before Building Inspections has permission to Repair front porch, trim house & replace back porch roofjnspection on Site—Foundations situated on 29 orchard Street Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the ternis 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,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. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PL ON THE PREMISES Certificate of Occupancy nspector