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17C-057 (6) > Z .� > 3 0 V) Z m yI L Z.-fir � 1 Z — V � ^� m a I C Q Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �o V Alterations NORTHAMPTON, MASS. �/�///� �l 1g Additions Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location I ga Cl"f nl)f sf''f� Lot No. 2. Owner's name —tG— J, G ►) LU Address 3. Builder's name I�aGic.1 � S Address �! C�� C.M GoPee, MA Mass.Construction Supervisor's License No. Expiration Date 4. Addition — 5. Alteration abor° L 7 6. New Porch — 7. Is existing building to be demolished? no 8. Repair after the fire 9. Garage — No.of cars — Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 5k4nktC 13. Siding house a4and 6/M 14. Estimated cost:- µt pip m 1°j101 Irby pvvhu s The unders' a ertifie2ththe ve statements are true to the best of his, her knowledg an lief. Signature of i s onsible a icant Remarks P' �0 °s !�r� 9 �' ltZ Of 'NDxf�&lll-Pft TI ' cssrtc4ucctli ` Q - DEP?,RTMENT OP BUILDNG INSPECTIONS - INSPeCTOR 212 Main Street ' Municipal Building 0.� Northampton, Macs. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE- JOB LOCATION: 7C 5 7 (Map) (par el ) ( Subdivision ) HOMEOWNER: G_fri C/N /9. lGU A ress ) 5T_/, - ( Hor-e Phone ) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-Occupied D-wellinGs of one ( 1 )or two (2) fami 1 'es and to allow such . homeowner to engage an individual for hire who does not possess a ` license , provided that the owner acts as supervisor . L,�tR780 Section 509 . 1 . 1 DEFINITION OF ROKEOWNER: Person( s ) who own a parcel or land on which he/she resides or intends to reside, on %-)h_ch 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 . 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 Of cial , that he/she shall be responsible for all such work performed under the buildinq permit . As acting Construction Supervisor your presence on the job site will be reauired 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 1 for compliance with the State Buildin Code , City of Northampton Ordinances, State and oc Zonin s , and ,State of Massachusetts General Laws Annotated AN HALL B 0 HE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE .' a t BUILDING PERMIT t 7 , J • l S(1o1 .4f ) 82- r � � 1 ��l U G /? • �''1 Gt.�C VI ENCE SAVINGS }SANK' & r AMERICAN TITLE INSURANCE COMPANY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXIt TATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCI IND AS SHOWN AND THAT THE BUILDINGS ARE EN11RELY WITHIN THE S NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR Y # 250167 ►. ' --NOTE —' THIS PLAT FOR MORTGAGE LC AND DOES NOT CONS71TUTE t 10. Do any signs exist on the property.? YES NO IF YES,describe size,type and location: i Are there any proposed changes to or additions of signs intended for tho 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 col— to ba filled in by tba Building Depa,tmcnt Required Existing Proposed By Zoning Lot size a 3 Frontage 1,201 — Setbacks - frnnt X �S I - side L: R: L: 36' R: GD �( - rear Building height Cj Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) # of. -Parking Spaces of Loading Docks Fill: (vol- me--& location) ; 13 . Certification: I hereby certify that the T�, ormati tained herein a is true and accurate to the best of my edge. DA'1'E: 7 �� IV APPLICANT's SIGNATURE NOTE: 1"ueklkoe of a zoning permit does not relieve a applioant's burd to 0o ply with all zoning requiraments and obtain all required permits from the Board of aaith, onservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE, OR PRINT ALL INFORMATION Name of Applicant: kddress: `f,2 C�cy�ldf,f/�'�'G� Telephone: -6-IF ?. Owner of Property: Address: ` �� str�v�f��et'� Telephone: 3. Status of Applicant: I/ Owner Contract Purchaser Lessee Other(explain): (� / 4. Job Location: L ya 6.�12ylkl--e L Gl v�i�C e Parcel Id: Zoning Map# Parcel# 57 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property �l�7yl� )�yOu& Ate_ 6. Description of Proposed Use/Work/Pro'ect/Occupation: (Use additional sheets if necessary): , /J 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 PermitNadance/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 DONT 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) 2 FILE # 1 2 l 6 ( APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP 2 C'_. PARCEL: _!5`7 ZONE r�Z THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM M,TFT) ()ITT Fee Paid IRT61ding Permit Filled 011t M TH �. LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: I 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-Bd Health !Permit from Conservation mission L Signature of Building or Date ` NOTE:Issuance of at zoning permit does not relieve an applioanra burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applioable permit granting authorities. — A City o Northampton REQUIRED INSPECTIONS * a BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 608 Office of the Building Inspector Zoning Form No. 961221 Date-7/12/9 Fee$20.00 Check# 2004 Page, 17C Parcel 57 ,Zone URA Section 127 ❑ Yes © No BUI]LDINGPERMI * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Patricia Shaughnessy before Building Inspections has permission to install above ground pool Inspection on Site—Foundations situated on 182 Chestnut 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 perry t.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 ** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors(Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ONE T ISES Certificate of Occupancy ~ Building Inspector City of Northampton REQUIRED INSPECTIONS } , BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 608 Office of the Building Inspector Zoning Form No. 961221 Data 7Z12/9 Fee$20.00 Check#p 2004 Page, 17C Parcel 57 ,Zone URA Section 127 ❑ Yes © No BUI]LDINGPER*MIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Patricia Shaughnessy before Building Inspections has permission to install above ground pool Inspection on Site—Foundations situated on 182 Chestnut 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, Inspextion 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 pemiit.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 6I' - !- ** Install per Manufacturer's information: windows,vinyl siding,roofs and woodstoves Smoke Detectors(Fire Department) Other THIS CARD MUST B I L ONSPICUOUS PLACE ON ISES Certificate of Occupancy _ Building Inspector