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17C-011 (4) ERMIT APPLICA.TION CHEC IST NO DATE 3 . OWNER OCCUPANT STATEMEN VIE NO 3 SETS PLAN NEW CONSTRUCTION 6 CURB CUT 7 . WATER 8 , REMODELING 9 . ADDITION 0 , ACCESSORY UC 11 . SIGN / AWNING 2 , PERMIT F E E NLY - MONEY ORDAMM�� 3 . SPECIAL PERMIT REQUIRED E IF APPLICABLE 4 . UNDER - CMR 780 5 . FORM A 6 , FILL COMMENTS : f PERMIT APPLICATION CHECK LIST 3< B ` " �asaacauac!!a DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Strcet ' Municipal Building ' Northampton, Mass. 01060 ' HOMEOWNER LICENSE EXEMPTION (Please Print) DATE; JOB LOCATION: r 300( 32C1 eq 0 1, r1 3 5 (Map) (parcel) (Subdivision) HOMEOWNER:_'1&)/10/___ rh±L?A^-( 2 L,4 k„ t'r 1-1 aad o (Name & Address) 1 5-3-7 322- 3r,�l (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one (1 )or two (2) fami I 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 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 AND SHAA BE ON THE OB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT # -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND 1S NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. ti /I/ ,fit i N J " �S 0 r ul N TO: SOURCE ONE MORTGAGE SERVICES CORPORATION & LAWYERS TITLE INSURANCE CORPORATION I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY SURVEYOR: �' -�- � THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY of —MORTGAGE LOAN INSPEC11ON PLAT- �r RMDALL NORTHAMPTON, MASSACHUSETTS IZER PREPARED FOR #3W32 LYNN LaFOUNTAIN SCALE: I "=30 ' MAY 1 , 1995 HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS �• �' 235 RUSSELL STREET — HADLEY — MASSACHUSETTS a > w o z .� Z m � Z ..1 m r 0 O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location G L( LAKE �7-7 F k.", C- Lot No. 2. Owner's name L- HpatsLl Address—% 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition L! 5. Alteration �G°I�� lz; Sti)iNcl l��c%oV �+tn�';LC� 6. New Porch /t`t r� 7. Is existing building to be demolished? `'✓ 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating �c 11. Distance to lot lines 12. Type of roof /_jj-1 13. Siding house Gt rZ t-# W C-L-r 14. Estimated cost:- = /59( . C r The undersigned certifies that the ve statements are)rue to the best of his, her knowledge and belief. / Signature ofresponslble apPicant Remarks �1� �ti �; �` e, (1 r" >L ° Gu 4 �` ?ti� �� L S'�P€ CSC L Date Filed File No. ZONING PERMIT APPLICATION (910. 2) 1 . Name of Applicant: �t_�irL ( Q Address: 'Z a_ ,3-vc )-7 Telephone r If 77-7-7r----- 2 . Owner of Property: Address: ' t ' i_� tC� �T �r��E;y�r, - Telephone: 3 . Status of Applicant:Z—Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# P r arcel# _ Zoning District(s) (include e ays) �- Street Address L-1 V Required 5 . Existincr Pro Dosed by Zonin Use of Structure/Property ��'sw ejof (if project is only interior work, skip #6) Building height Z > r %Bldg. Coverage (Footprint) Setbacks - front yS' - side L: ZC-` R: L: R: - rear Lot size ,Z,3©p Frontage . j r Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces 2 Loading )' A Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 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. Date: `' - } Applicant's Signature: �r THIS SECTION FOR OFFICIAL USE ONLY: r r y Approved as presented/based on information presented Denied as presented--Reason: Special* Permit and/or Site Plan Required: F' in Requi 7 Variance Required: J7,. s S ' nature er Build c or Date NOTE: issuance o(a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all requirad pormns from the Board of Hoalth,Consorvation Commission, DopaArnont of Public Works and outer applicable permit granting authorities. !a9) City of Northampton REQUMED INSPECTIONS • e 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 354 Office of the Building Inspector Zoning Form No. 004234 Date 5/8/95 Fee $40 Check# 2238 Page, 17C parcel 11 Zone URB Section-127 ❑ Yes ® No BUI]LDINGPERMII * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Daniel hardy before Building Inspections has permission to Repalce siding & shingles Inspection on Site—Foundations situated on 4 Lake street 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. 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. ** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC_V01JS PL ON THE PREMISES Certificate of Occupancy -- Buildin or F