25C-189 (5) PERMIT APPLICATION CHECK LIST
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PAGE �' PLOT /c�/ ZONE �' G ` �� �°' ES NO DATE
1 . ZONING FORM L C IO pa-
2 . PERMIT APPLICATION
3 O
3 SETS OF PLANS /PLOT pLAN
5 . NEW . CONSTRUCTION
Q . CURB CUT
7 WATER
8 . REMODELING
9 , ADDITION
0 . ACCESSORY STRU
11 . SIGN / AWNING
2 E E — —
13 , SPECIALPERMIT —BEQUIRED WITH DEED IF APPLICABLE
4 . UNDER — CMR 780
5 . FORM A
16 . FILL
COMMENTS:
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE:
JOB LOCATION: 76'
' (Map) Cp rcel) ( ubdivision)
HOMEOWNER:'���. C'�z$�- ��,��ti�
N me & A dress)
( o one (Work Phone)
�Phone)--3, ""6
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 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, 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 persons) 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,--AND SHALL BE ON THE AS SUPERVISOR.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
UNWIN OVERHEAD DOORS, INC. M25
895 MEADOW STREET, CHICOPEE, MA 01013
Stock Door Orders
Factory Order No. DATE 4'5
Dist'r. Order No. � S9 f
SOLD TO
ADDRESS 17�9 TTm
OWNER'S NAME
LOCATION OF INSTALLATIONl`�'�'
I
THICK- MODEL NAME ,�SPR�S HEADROOM TRACK OPENING
M
OUAN. WIDTH HEIGHT NESS &NUMBER GLASS STR 'TOR. ❑ REVEAL NO. READY?
SIZE FRONT REAR
' 7 r
4f
CHORDS STRUTS LOCKROD
PRIMED YES ❑ NO ❑
WEATHERSTRIP YES❑ NO ❑ SEALTITE YES ❑ NO ❑
RESID. ❑ COM'L. ❑ NEW ❑ REPL. ❑
INST'D. BY US ❑ DEL'D.ONLY ❑
FLOOR IN . YES ❑ NO ❑
CEILING PLASTERED YES ❑ NO ❑
TYPE OF CEILING OR ROOF FOR HANGERS
INSTALLED: DATE G BY
SELLING PRICE $ DISCT. NET INV. NO. DATE BILLED
SKETCH OR REMARKS: Q/
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. / r� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 30 N 16 q E-A xl D f}f9i, A)M V/PivI P T,0AJ Lot No.
2. Owner's name (0Pf -9 R6% `F06kf s Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition t\/10
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage
'DOORs No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- ��yJ�D /U:5°rQl L � j3y UNGo lA)
The undersigned certifies that the above statements are true to the best of his, her
knowle g and belief.
Signature of responsible app,icant
Remarks So—kysA X '?�, `Urne
v .
Date Filed �' --`� File No.
ZONING PERMIT APPLICATION (910 .2)
1. Name of Applicant: ?;-7 �✓ r
Address: Telephone: 7
MIT- a Ir
2 . Owner of Property:
Address: " / / Telephone
3 . Status of Applicant: t/Owner Contract Purchaser
Lessee other (explain ) "
4 . Parcel Identification: Zoning Map Sheet# XSC- Parcel# l_ 89 ,
Zoning District(s) (.include v rlays) WLC�
Street Address
Required
5 . Exis-tincT Proposed by Zonil]Lq
Use of Structure/Property
(if project is only- interior work, kip o #6)
Building height
5-.' Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L "R:
- rear '
Lot size 100 V
Frontage.
Floor Area Ratio
%Open Space (Lot area minus r
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descript'on of Proposed Work/Project: (Use additional sheets
if necessary) d r
� 7
r �l'
.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 know ge.
Date• �! : � W� 22_
S �// � Applicant s Signature. ts'
r — THx T ON FF
B SECI FOR OICIAL USE O :
NLY
Y-Approved as presented/based on information presented
Denied as presented--Reason:
Special" Perm't and/or Site Plan Required:
ng Reg i e variance Required:
PX
S, natu e u�ldzng I � D to
NOTE: issuanca of a zoning potmit does not relieve an applicant's burden to comply Willi all zoning roqulroments and obtain all roqulrod pormits
from tho Board of Hoallh,Conservation Commission, Department of Public Works and oUtor applicable permit granting authoduos.
�� T City of Northampton RWUMD INSPECTONS-, ,
3 e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
375 Office of the Building Inspector
Zoning Form No. 004269 Date 5/18/95 Fee $40 Check# 359
page, 25C pa=l 189 Zone URC Section 127 ❑ Yes ® No
BUI]LDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Margaret Torres before Building Inspections
has permission to Replace garage doors & framing of doors Inspection on Site—Foundations
situated on 36 Highland Ave. Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terns 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 CONSPICU U PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector