03-013 (2) OFFICIAL A--L7TER ' S LIST
ED SUBJECT LOCATION : 545 CCLES PEADCW RD
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ANDROS D(dROTHY 501 COLES VEADCW RD C3 -coQ-col
22 FAIRFIELD AVENLE
NORTHAMPTON MA 01060
ri
PRINGLE FRANK P JR 8, PHYLLIS S 565 COLES PEADr.W RD C3 -ClrQ-COl
565 COLES MEADOW RD
NCRTHAMPTON MA 01060
LAPIENSKI STELLA E ZSTEPHEN S COLES MEADOW RD C3 -cli -col
MARION D
LINSEED ROAD BOX �E4
IAEST HATFIELD r�A 010EP,
BATRANO JOHN J & VIOLA M 471 COLES VEADCW RD C3 -COR-001
471 COLES MEADOW RD
NORTHAMPTON VA 01061C
MCELANEY LLOYD W & LINDA A 54C COLES rEAD�, A RD C3 -004-COl
540 COLES MEADOW RD
NCRTHAMPTON MA OlC60
ANDROS DCRUTHY COLES VIEADO6 RC) C3 -005-COl
22 FAIRFIELD AVENLE
NCRTHAMPTCN MA 01060
PRINGLE FRANK P JR R, PHYLLIS S 565 COLES VEADC�� RD C3 -0O3-CV'-'l
565 COLES MEADOW RD
NCRTHAMPTCN MA 01060i
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ASSESSOR ' S CERTIFICATION
D A T E 1,3 �:'-�W7 ILL
;0)1
Date Filed File No. � 0 t)lu
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant: a
Address : _ o Telephone: �X,� �J
2 . Owner of Property: �? CC 6y1
Address : Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District(s) (include 9v r ay AX,
w
Street Address J4-5
Required
5. Existina Proposed- - -by Zoning
Use of Structure/Property ,c, L24-Lk4u,
(if project is only interior wo4k, kips, o #6)
+Building height
X %Bldg. Coverage (Footprint)
Setbacks - front FLU
- side L: R: L: 106-1- R: i5
- rear
Lot size jq 1045
Frontage / G�
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Worlc/Project : (Use additional sheets
if necessary)
•r
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: (� �(�' a Applicant' s Signature : zlz�:73AXAIJ �4
THIS SECTION FOR OFFICIAL USE ONLY:
pproved as presented/based on information presented
Denied as presented--Reason:
Special' Permit -and/or Site Plan Required:
' nding R i ed: _ Variance Required :
-Y- 5��
S gnatu of-Bu il Inspector /0—ate/
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department or Public Works and other applicable permit granting outhorillos.
Okt� of Warf4alllpfan
� ,�asaaclluaclla
DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: C
JOB LOCATION: 5
�orWiv 1 r
(Map) (Parcel) (Subdivision)
HOMEOWNER:
(Name & Address)
9 V//
(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 Building Code, City of Northampton
Ordinances, State and Local Zoning Laws, and State of Massachusetts
General Laws Annotated, ,
HOMEOWNER SIGNATURE
BUILDING PERMIT
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70 TJ
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. r� 3 Iq Additions
APPLICATION FOR PERMIT TO ALTER Repair
r
Garage
1. Location 5'T �` � '`�`�'�lt"�L Lot No.
2. Owner's name t ,4K 41Lk' 1j 41L-p- Address 2��►v`3. Builder's Builder's name Address
Mass.Construction Supervisor's License No. _Expiration Date
4. Addition
5. Alteration LL GZ/ C �--' q ,
6. New Porch _.
7. Is existing building to be demolished?
8. Repair after the fire
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge d belief.
Signature of responsible app,icant
Remarks —