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17A-041 (2) PERMIT APPLICATION CHECK LIST P / n _ S DATE 2 . . 3 IF NOT 4 , 3 SETS OF PLANS /PLOT PLAN 5 , NEW CONSTRUCTION 6 . CURB CUT 7 , WATER AVAILABILITY FORMS 8 , REMODELING INTERIOR 9 , ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 , PERMIT FEE - CHECK ONLY - MONEY ORDER 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLIC BL 14 , UNDER SECTION 127 - CMR 780 15 . FORM A 16 , FILL COMMENTS : t • 60 i r ( j a Vb J_1 t I 47 Y ! i 1 ;I �I F 1 I (i •l..!_bl►_ U-11 f hJ'1 t fi VOW Wool, I INC 0 Lot w: �_ A a R7 ? z � T � z > r O 0 -s I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �`��53 , Alterations 00 NORTHAMPTON, MASS. � �—�� _19` Additions y� �t ") YZU APPLICATION FOR PERMIT TO ALTER Repair Garage nU 1. Location 1G�. rk&-w VA. F\c*e�.cc, Lot No. � 2. Owner's name �Oe Address \Cio Gc+&c Rce \VXy-yV C' 3. Builder's name Address Mass.Construction Supervisor's License No. _Expiration Date 4. Addition rN 0 5. Alteration 0C) 6. New Porch f\1011) &Ck 7. Is existing building to be demolished? f14-,1 8. Repair after the fire Jac) 9. Garage 0 t) No.of cars_ Size 10. Method of heating rwfy 11. Distance to lot Iines Fcvr�� 1�� 1. �d R 3�+ Qeur I 01 12. Type of roof Y\Of 13. Siding house rin o© 14. Estimated cost- �UU C7 The undersigned certifies hat the above statements are true to the best of his, her knowled and belief. Signature of responsible app scant Remarks �S KwM pT •�O Oe 1k Crff ! iaf 'W azf4amp t an � B �xsancltuart(a �_ DEPARTMENT OF BUILDING INSPECTIONS - INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE RX MPTION _ (Please Print) DATE: JOB LOCATION: (Map) (Parcel) ( Subdivision) HOMEOWNER: �se_ c v�_"e YnA, S V('_ C3� :cam j RLC - (Name & Address) 5%S-os3 i` I-(1(1 -fib (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 anc'L- 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 Building Code, City of Northampton Ordinances, State and Local Zoning Laws, and State of Massachusetts General Laws Annotated NQ WALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE S," BUILDING PERMIT # ;\ � \. _1 � Jr,Y� iQ-S�uR �� ,.:>� i� ' �L�\,g,r i �-.l L----- _,_ Qr�� =� A � �``" .s ,;. �i J Date Filed UaLj ik � W File No. ZONING PERMIT APPLICATION (910. 2) I . Name of Applicant:''--r��• e rflv^� Address:. I r 17 d Telephone: 2 . owner of Property: Address: —Telephone:/ SV5-o 33� 3 . Status of Applicant: ✓ Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheets - Parcel#-L�__r Zoning District(s) (includ overla ) t�1►,�i� Street Address lVe lul , Required 5 . Existing Proposed by Zoning Use of Structure/Property (if project is only, interior wbrk, Tkip to #6) uilding height oBldg . Coverage (Footprint) l`Ksn P,2a l R Setbacks - front WMI q, 01 - side L: Agtk' R:Jo ' ^L^: a&' R: " ' ' - rear Ia., o Lot size 000 Frontage. Floor Area Ratio • %open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Pro- ect: (Use dditional sheets if necessary).---To- C),�\\ G� �' c_ r,�� .�.�� \ �o 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. F Date: Applicant's Signature ; C ^THIS SECTION FOR OFFICIAL USE ONLY: r Approved as presented/based on information presented Denied as presented--Reason: Special- Permit and/or Site Plan Required:_ F'ncrYing R i d: Variance Required: 7J S. gnatu of Buzldin c or ` D6.te NOTE: Issuance of a zoning permit does not rellove an applicant's burden to comply wiUt all zoning requirements and obtain all required permits from the Board of Health,Conservation commission, Dopartmont of Public Works and other applicable permit vrantinp authoritlos. i 2r ` ".lty of Nl,.,-- a ED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* tPara Office of the Building Inspector 004247 Date 5 22 95 Fee 440 Check# 347 �' l 41 ,Zone URA 3 a3 Section 127 ❑ Yes 0 No BUILDINGPER.NM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Joseph Mathers _ before Building Inspections has permission to Construct a 8'x241 deck Inspection on Site—Foundations situated on 196 Bridge Road Inspecaion 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 pen-nit.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 n,K, Smoke Detcctors(Fire Department) Other THIS CARD T E DI A D IN A CONSPICU PI_,ACE N THE PREMISES Certificate of Occupan building Inspector (Ff't