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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ST 4 a`C y Alterations
NORTHAMPTON, MASS. 7— oZ 19-lk, Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 2 Lot No.
2. Owner's name ll n&-r W c G l' �c� ,r/,c�,�_Address a?7 y3 r [x p e— /c9
3. Builder's name S" wt c-- Address e
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration Jnt. ,�s C�r rra /t �d- G �To u s e o v c f c f iH- it
u
6. New Porch
7. Is existing building to be demolished? ✓Ii o
8. Repair after the fire ti Li
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- 4T
The undersigns certifies that the above statements are true to the best of his, her
knowledge belief.
Signature of resp p leant
Remarks
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DEPARTMENT OP BUILDIajC INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Macs. 01060
HOMEOWNER LICENSE BX b=ION
(Please Print)
DATE; o� -`I �►► f
JOB LOCATION: 7 /� � c� J m /�(G�r^��.r t_ '� C�/Cle O
(Map) /(,��rcel) ( Subdivision )
HOMEOWNER: 14 w �-Cs.,C Z_ � ''JC v /-C v rI "l') V-s�', ee e � �{
(Name & Address ) r�
,`<c e,e e
( Home Phone ) (work, Phone )
� ooyr `13 -r w-C ?
The current exemption for "homeowners" was extended to include
Owner-occupied Drwellings of one ( 1 )or two (2) fami fries 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 Person(s ) who own a parcel of land on
which he/she resides or intends to reside , on wh 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 . .3� person who
constructs more than one home in a two-year period shall not be
considered a homeowner . Such "homeowner" shall submit to the Buildina
Official , on a form acceptable to the Building 0�"_ cial , 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
1 you under this permit .
The undersigned "homeowner" certifies and assumes responsibility
for compliance with the State Building Code , City of Northampton
' Ordinances, State and Lo al Zoning Laws and �State of Massachusetts
General Laws Annota ed SHAH BE ON THE JOB AS SUPERVISOR.
.3
HOMEOWNER SIGNATURE
BUILDING PERMIT t
1
1 ,
1
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 colvx= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# ,pf. Parking spaces
# of Loading Docks
Fill:
'4 vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowyledg e.
DATE: APPLICANT's SIGNATURE 7rize,
{" NOTE: Issuanoe of as zonin g p ermit does not relieve a a
piioants bu en o o mply w h all
zoning requirements and obtain all required permits i m the Board of Health. nse ation _
Commission, Department of Publio Works and other applioable permit granting au es.
`' ', FILE #
File No.
,ZONING PERMIT APPLICATION (§10 . 2)
PLEASE =Ei OR PRINT ALL INFORMATION
1. Name of Applicant: c.,-,-e a,,e r— is,,(-t R
Address: .-1 ) 7 d{ ce C", �;� j'/,�rc,,.c.<. Telephone: Sep, D-& G y
2. Owner of Property: �A 0" e-
Address: A r< t_ Telephone: S4 ^1 L
3. Status of Applicant: —LIff--owner Contract Purchaser Lessee
Other(explain):
4. Job Location: o� `� `7 r'e c r r_
Parcel Id: Zoning Map# �74 Parcel# 12S _ District(s): �/}
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 PermitNariance/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 j,� YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO�ON'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)
* FILE # 961196
8 J
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOC TION:
NLAT PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM MLED 01IT
Fee Pqid
I[Inilding Permit Filled nlit
C�
TvnP of C'nnatnyrtin
Addition to Existing atzv
"r-, �(
4�n-eknyriypant Statement or T,irenlgefl
THI FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-
t,'
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/ZONI NG 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 Conservatio ommis io
Signature of Building ctor tale
NOTE: laauanoe of an zoning permit does not relieve an applloant's burden to oompty with all
. zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
City Northampton TIof REQUIRED INSPECTIONS
.
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
I Complete Building*
No. 589 Office of the Building Inspector
Zoning Form No. 961196 Date 7/9/96 Fee $20.00 Check# 8917
Page, 17A parcel 125 ,Zone URA Section 127 ❑ Yes 0 No
BUI[I-JDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Lawrence Bouley before Building Inspections
has permission to reroof front 1/2 of house over 1 laver Inspection on Site—Foundations
situated on 277 Bridge Road 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.
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 ON T PREMISES
Certificate of Occupancy
Building Inspector