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25C-187 (2) -p > o a 'C 70 'p t m :W O > N M z Z > El cn O Q Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions Repair r ' 71CA ION F PERMIT TO ALTER / Garage Location Lot No. LI/Z. Owner's name Address 7 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition Alteration 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 14 stimated cost:-//� The unders' ed certifies that the above statements are true to the best of his, knowledg d be f. V Signature of responsible app,icont Remarks JUN 2 2 199Q (rii� of 'Nar#ilaill tall $ � � � �Insand�narlln _ P i 4 ,} :^' ti1)E ARTMENT OF BUILDITG INSPECTIONS - 3 _. �r, a^ °,r 1 INSPECTOR 2` Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: (C� ( Please Print ) JOB LOCATION: ( ) arc ) ( Subdivision) HOMEOWNER: & ess ) (Home hone) (Work Ph ne ) 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 resides.* 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 L al Zoning Laws , and State of Massachusetts General Laws Annotated . HOMEOWNER SIGNATURE BUILDING. PEkMIT 4 10. Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES __ NO IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola= to be filled in by the &wilding Aepartment Required Existing Proposed By Zoning I Lot size -F Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking Spaces # 'of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and a curate to the best of my knowl d e. DATE: APPLICANT's SIGNATURE NOTE: Is uanoa o a oning permit does not relieve an pplioant's bur n to oompiy wttfa all zoning requirements and obtain all required permits from the Board of Health. Conservation Commlealon. Department of Publio Works and other applionble permit granting authorities. FILE # V1 j71 JUN 2 2 190- File No.,MU/ ZONING AERMIT APPLICATION (§10 . 2) P OR T L INFORMATION 1. Name of Ap Address: Tephone 2. Owner of Property: Address: Y� Telephone: 3. Status of Applicant: �1edl Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# ° Parcel# District(s): (TO BE FILL IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. S. Has a Special Permit/Variance/Finding ver en issued for/on the site? NO DON'T KNOA YES IF YES,date issued: IF YES: Was the permit recorded at th Re istry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? No DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) I- % 28 HIGHLAND AVE BP-1999-1119 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C- 187 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category Non structural interior renovations BUILDING PERMIT Permit# BP-1999-11 19 Project# JS-1999-1854 Est.Cost: $1100.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Lot Size(sg ft.): 10497.96 Owner: BATTEN MARTHA A&ROLLAS W Zoning:URC Applicant._ AL--Z8 HIGHLAND AVE Applicant Address: Phone: Insurance: ISSUED ON:6/23/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE FLOOR BOARDS & 2 RAILINGS & 1 SUPPORT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature• Fee Type• Receipt No• Date Paid: Check No: Amount: Building 6/23/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo