25C-208 (7) ,o 'O
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS. c� � � 112 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location l i,l mGw Gi-ft-e+ Lot No.
2. Owner's name -;A' 9-V�l " Address �� (_j Y1c9k,4 �
3. Builder's name n2G Address ,1(L��1'11"I,ti- �C1iLlr
Mass.Construction Supervisor's License No. Expiration Date
4. Addition X
5. Alteration Ayi) 1�"A'Ll��i �N�N 6TV t A—WU , � A`� '(�� l!1 1 t-(tyo)
6. New Porch 4D '�y
7. Is existing building to be demolished? e%
8. Repair after the fire
9. Garage - `1 No.of cars Size
10. Method of heating
11. Distance to lot lines ?
12. Type of roof r �
13. Siding housed A�A
14. Estimated cost:-
,M The undersigned certifies that the above statements are true to the best of his, her
knowIM-C and ef.
Signatu of re rtsib appicani
Remarks
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DEPARTMENT OF BUILDING INSPECTIONS -
INSPECTOR 212 1lfain Street ' Municipal Building
Northampton, Mass. 01060 ,
HOMEOWNER LICENSE EXEMPTION
DATE: �if 9� (Please Print)
JOB LOCATION:
(Map) (Parcel) ( Subdivision)
HOMEOWNER: iR, (�(
(Name & Address )
(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 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 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 Lo Zoning Laws, and State of Massachusetts
General Laws Annotated.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
vo/~�LEL)
/
'
10. Do any signs exist on the property? YES NO X
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO x
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This C01-- to be filled �L.
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking spaces
f of Loading Docks
Fill:
(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
�f is true and accurate to the best of my knowledge.
DATE: 3 �� APPLICANT's SIGNATURE -
NOTE: Issuanoe cot a zoning permit does not relieve an applionnYa burden to comply with-11V
zoning requirements and obtain all required permits from the Board of Heal , Conservatio
Commission, Department of Pubno Works and other applioable permit granting authorities.
FILE #
r
e No. 9ze 67/
/ 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �� �• ��'�, ��(,J V
Address: Telephone: G'tt?'t-5-M(.O
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: �/ 74,14'c zat -
Parcel Id: Zoning Map# �, Parcel#� �� _ Distrigt(s.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
11VlYl�(. LPt � �F STS ( Qfi,ul t�G��i
7. ached Plans: Sketch Plan tl Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO _A 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)
FILE #
APPLICANT/CONTACT PERSON: -6'7
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: v2 Gi ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EII.I.E.1) OITT
Fee Pnid
lRivildin2 Permit Filit-d alit
Fee Enid
slucluded-
7
�W
THE LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under:§
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Rd Health
Pemit from Consery n on
Signature of Buildin&&gpector Tlnte
NOTE:lasuanoe of as zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities. _
City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
a BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
NO. 935 Office of the Building Inspector
Zoning Form No. 961577 Date 10/8/96 Fee$40.00 Check# 107
Page, 25C Parcel 208,Zone URC Section 127 ❑ Yes 0 No
BUI]LDING PERM Il
I
Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Susan wiggin before Building Inspections
add wall,enclose chimney,add wall to create hall, lion on Site—Foundations
has permission to repair & replace plaster walls/ceilings)
situated on 15 Linden St Inspection of Plumbing—Rough
provided that the person accepting this permit 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,if not started. Biding 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 PLACE ON REMISES
Certificate of Occupancy
uil g Inspector
._.. _�.
N . ..............
i
x
City of Northampton REQUHZEDSPECTIONS
IN
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 935 Office of the Building Inspector
Zoning Form No. 961577 Date 10/8/96 Fee$40.00 Check# 107
Page, 25C Parcel 208,Zone URC Section 127 ❑ Yes 0 No
BUIILDINGPE�RM, IT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Susan wiggin before Building Inspections
add wall,enclose chimney,add wall to create hall, Ins tic on Site—Foundations
has permission to repair & replace plaster walls/ceilings) P� n
situated on 15 Linden St Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish '`�3G-r
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,if not started. Building Inspection—Rough .
Note:A certificate of occupancy will be issued by this office upon return
Insulation Inspection 7
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUS DISP YED IN A CONSPICUOUS PLACE ON REMISES
Certificate of Occupancy
uil g Inspector