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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4 61-is t=L-t-K ) 12 e A-(\ j,%j r, A)4 try •11 P;V nj Lot No.
2. Owner's nameK V A T i-C A aQ a rL (b i..41 i q Address4 l d LA ;=C2 xi 11 P,a-5
3. Builder's name bON N i,, (15c-"-L- Address s%-A CL(7,VRr t e r,4`c s ryl f
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
gefL4CC 0-,AP+3O"A St+btiv6 i(lUmr- A-f SrD , RCPq+2 1rvrL t`•2 F(-CV4 qk
5. Alteration tZey lilt rbsi vbA-r,nnr i 2- N .w b ,,, s i PE-PL7}cE &xur-jntG pietry'r pcRCi4
6. New Porch
7. Is existing building to be demolished? r t o
8. Repair after the fire of c11
9. Garage *,to /V C No.of cars Size
10. Method of heating (I"y s 4-o r w A r C--8-
11. Distance to lot linest=Ito ,— -7 S t b E L 2 S P, �;_ (� t A - 'go
12. Type of roof AS P t+ACT- s►+i ry G(-c-
13. Siding house wa :>eev Qc..AP-SoARb
14. Estimated cosL-
� 'j000
The undersigned certifies that the above statcments are true to the best of his, her
knowledge and be ef.
Signature of responsible app scant
Remarks
3. The work described below, which includes all:part of the work descrtoec-In your request, is within
the Buffer Zone as defined lr,the regulations. and will alter an Area S:nice:to Protection Uncer
the Act. Therefore, said work requires the filing of a Notice of Inter,:.
This Determination is negative:
1. C The area described in your request is not an Area Subject to Protection Under the Act.
2. . &1 The work described in your request is within an Area Subject to Protection Under the Act, but will
not remove, fill, dredge,or alter that area.Therefore, said work does not require the filing of a
Notice of Intent.
3. O The work described in your request is within the Buffer Zone,as defined in the regulations,but will
not alter an Area Subject to Protection Under the Act.Therefore,said work does not require the
filing of a Notice of Intent.
4. C The area described in your request is Subject to Protection Under the Act,but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
the regulations. no Notice of Intent is required:
Issued by Northampton Conservation Commission
Signature(s)
zo
This Determination must be sinned by a majority of the Conservation Commission,.
On this c:P S)�'L day o` S�o 4ir»4v ti before me
personally appeared to me known to be the
Person described in,and who executed,the foregoing instrument,and acknoYgle,'ae4tt:at he!shs executed
the same as his/her free act and deed.
Notary Public My commission expires
Tnls Determination goes not relieve the applicant from complying with all other aoplicaDle feoerai,state c•local statutes,ordinances.
by-Laws or regulations.This Determination shalt De valid for three years form the Cate of issuance
The applicant,the owner.any person aggrieved by this Determination,any owner of land abutting the lane upon which the proposed work
is to be cone,or any ten resioents of the city or town in which such land is located,are nereoy notihec o'tneir rich:to revues:the Department
o'Environmental Protection to issue a Superseding Determination of Applicability,providing the request is mace Dy cartiftec mail or hand
delivery to the Department,with the apprcpnate filing tee and Fee Transminal Form as provided in 310 CM;;10-03(t)within ten pays from
the Cate of Issuance of this Determination.A copy of the request shall at the same time t»sent by certified mau or nano oeuvery to the
Conservation Commission and the applican:.
2.2A
310 VAR 10.99
Forth 2
w. aeP Fl.No. `246-
00 oe orvvaed ay OEP)
;.
Commonwealth CAY,Town Northampton
MING
of Massachusetts T3ja h0.
Aocitcant Oats Reouest Fled
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
& NORTHMPTON WETLANDS PROTECTION ORDINANCE
From_ Northampton Conservation Commissinn Issuing Authority
To ffa - la,h SC,rrnif-
r
(Name of person making request) (Name of property owner)
Address / 0k/ rfrrt4 RG� Address 5an�e
This determination is issued and delivered as follows:
J by hand delivery to person making request on&r2�t m ker- 29 , /-P lies (date)
r? by certified mail, return receipt requested on (date)
Pursuant to the authority of G.L.c. 131, §40,the Northampton Conservation Commission
has considered your request for a Determination of Applicability and its supporting documentation,and has
made the following determination(check whichever is applicable):
Location: Street Address— '1c/ b/or err y 1?ad
Lot Number: -(MAP ID. #)
This Determination sRw area ecribeelow, ch includes all/part of the area described in your request, is an
Area Subject to Protection Under the Act.Therefore,any removing,filling,dredging or
altering of that area requires the fiiing of a Notice of Intent.
2. = The work described below,which includes all/part of the work described in your request,is within
an Area Subject to Protection Under the Act and will remove,fill,dredge or alter that area.There-
fore, said work requires the filing of a Notice of Intent.
Effective 11/10/89
2.1
�p�-S ttna{plO�
a Cr zrf 'Wart4allytall
A d �iassacyuaccla
DEPARTMENT OF BUIL DrNG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building 'g�
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE;
JOB LOCATION: S G 2-411 1 0 0 1
(Map) (parcel) (Subdivision)
HOMEOWNER: �t 7-)+."f'73.., svr c�
(Name & Address)
S 8`i -13 le t.� S 9 11 --7
(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, 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 JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
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 aolu= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 18 S S0 1�S go
Frontage 7 5
Setbacks - frnnt 7
- side L: zs R: L: 21 R: 1$
- rear g0 90
Building height
20 ` 20 '
Bldg Square footage 1 0 u
%Open Space:
(Lot area minus bldg at
&paved parking) 3
# of Parking spaces Z
# of Loading Docks _
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know edge.
DATE: SI -L� 15� APPLICANT's SIGNATURE N'
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to comply with ail
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
Fi 1 e No.
j
f
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1444
Address:4 t O L6 P e}uZ-) Q p A b n .'nt+4.rr .-a�� Telephone:
2. Owner of Property: ,n,w A y A !/
Address: ,4 r c tiro Telephone: 's
3. Status of Applicant: ✓ Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: q t e Lft F k-YZI R 3 !,z C7. ry,:2
Parcel Id: Zoning Map# LS C_ Parcel# 14q 00 1 District(s): U2>
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property a C , A t,v;, /)C-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
S�t �nl'E: l�.ehfP rte3RA SeQrNi rt2,? JT i SrA� P,E�F4 (� �OVNt�A iiv 2 Nip/ ACQ`jS
iL�P�l1cE xtS'T t(. aRcnlT P52tN1 2t`Prr�Cl r-7tISTiNG SiDk' 40VICH rQCf-AC ccz,-AX
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.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ✓ DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry 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)
d �1
FILE
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: ,i t_. ,f , `h " L'I�� c)
4
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fe�,Paid
Addition to Exi
ArressoryStrvirtil
101— nrivided-
TI"OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICA N: '
A roved as presented/based on information presented
1
Denied as presented:
Special Permit and/or Site Plan Required der: §
PLANNING BOARD ZONIXG 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 PotabilityL-Bd Health
ermit fro Conservation Commission �?e t,0,
Si afore of ui g Uate
NOTE:lssuanoe of a zoning permit does not relieve an appiioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
I. Footings and Walls
BUILDING DEPARTMENT
e e 2. Structural Components in Place*
3. Complete Building*>1
No. 833 Office of the Building Inspector
Zoning Form No. 960182 Da9/29/95 Fee $5 Qmeck# X098.
Page, 25C pal 249 ,Zone ' URA/WP Section 127 ❑ Yes No
BUI]LDINGPERA411
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Blaha before Building Inspections
has permission to replace existing front & side porches. Inspection on Site—Foundations
situated on 41 Old Ferry Road Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Famish
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,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
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 ' T
Insulation Inspection '
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
R
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON SES
Certificate of Occupancy
Building Inspector '-V_
�of+t 1:.l;If Si1Jl