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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. /S `��`4' Alterations
NORTHAMPTON, MASS. 19 q'h- Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1 i4 T t 15,b
Lot No.
2. Owner's name ✓ `y I h S Address 1 ;7,;)5 ri
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition yr5
5. Alteration r10
7. Is existing building to be demolished? n
8. Repair after the fire 40
9. Garage /? O No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned cquifit
9 that the above statements are true to the best of his, her
knowledge lie .
t , ignature of responsible app,icant
Remarks
Grit, d 'Nart ally fan
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
Zf (P lease Print)
DATE: ,� 5
JOB LOCATION: - C�:,,2_1 L It/ 61e
(Map) r{j7?arcel) (subdivision)
HOMEOWNER: f`�7 ± G fC ✓ ��'r f /C-,e r
(Name & Addr s)
(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 ai
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 person(s) you hire to perform work for
you under this permit.
The undersigned "homeowner" certifies and assumes responsibility
for compliance with the State ilding Code, City of Northampton
Ordinances, State and Local Zesf_i g Laws, and State of Massachusetts
General Laws Annotated AND SHALL ON TN AS S PERVISOR.
HOMEOWNER SIGNATURE
BUILDING PERMIT i``
3 �c
tiC
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 column to be filled in
by the Building Department
Required
Existina Proposed Bv Zonin
Lot size lOJ v c�
Frontage
Setbacks - front
- side L: R: L: W R:
- rear
Building height
Bldg Square foota o
�(o
i%Open Space:`
a minus bldg I�— 3� A C
& aved parking) )
# of Parking spaces
# 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 knowledge.
Date: /Q �l �l Applicant's Signature:
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to mply with all zoning requirements
and obtain all required permits from the Board of Health,Conservation Commission, Department of Public Works
and other applicable permit granting authorities.
File No. 21-e
ZONING PERMIT. APPLICATION (§10. Z)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: U�
Address: 7'j /s o ✓' V Telephone:
2. Owner of Property:
Address: . `�� / l �" Telephone:
�4 l
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Street Address:
Parcel Id: Zoning Map# Parcel# /L L District(s): G 4�
(f0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5.5. Existing Use of Structure/Property �,//1�� l Ei/'n l
6. Description of Proposed UseM/ork/Project/Occupation: (Use additional sheets if necessary):
90 �c�fn y c Gal? a c �� �, .' - a 0"
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 File .
8. Has a Special Permit/V66 ever been issued for/on the sites yy
NO DON'T KNOW YES IF YES, date issued: ���
IF YES: Was the permit recorded at the Registry of Deeds? 7
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)
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FILE #
APPLICANT/CONTACT PERSON: A'1a�3
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP___/ PARCEL: //c ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERWr APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
lRuilding Permit Foiled nlit
FP7;Paid
be �? X
Tnclyidpd-
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THE FOLLOWING ACTION HAS BEEN TARN 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 'J F' a\/_11 D I '
k�l an or
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 om Cgnservation Commission
ignature f Building Inspector to
NOTE:hsauanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Haalth, Conservation
Commission. Department of Publio Works and other appiioable permit granting authorities.
City of Northampton REQUMED INSPEONS
CTI
1. Footings and Walls
BUILDING DEPARTMENT
� 2. Structural Components in Place*
I Complete Building*
No. 582 Office of the Building Inspector
Zoning Form No.
71095-1 Date 7/14/95 Fee$40 Check#685
Page, 17C Parcel 110 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDING PERM] rr'I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Patrick Diggins before Building Inspections
has permission to Construct a 24 X 14 deck Inspection on Site--Foundations
situated on 24 Stilson Avenue 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-xhe Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU US LA ON THE PREMISES
Certificate of Occupancy
Bui n r
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