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17A-210 (3) • I 7 Jaf 'Warf4&111-P flip fiTc5$itC4it rrIII 8 _ Af�p ' 9 ► WEPARTMENT OF BUILDMC INSPECTIONS INSPECTOR NI"R i�� 212 M�Ain Strcct ' Municipal Building ` Qv 91orthampton, Macs. 01060 :a HOMEOWNER LICENSE 2XE1,=ION 4 ./ 126 (Please Print) DATE: JOB LOCATION: (Map) (parcel ) ( Subdivision) HOMEOWNER: C)©mc)1 b-► Y H (Name Addres ) I !G No i E-+ 6�1 F 7- Ft..y2 F- H G r 5'g 4-4980 ( Home Phone ) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellinqs of one ( 1 )or two (2) fami 1. ies and to allow such . homeowner to engage an individual for hire who does not possess a license , provided. that the owner acts -s supervisor . CMR780 Section 109. 1 . 1 DEFINITIOii OF HOMEOWNER: Person (s ) who own a parcel of land on which he/she resided or intends to reside , on 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 oeriod shall not be considered a homeo%'rner . Such "homeowner" shall summit to the Buildina 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 AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PFRMIT � � o b .a L r > --3 Z c A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. FLO 4 -4.96?0 Alterations NORTHAMPTON, MASS. 4/1,1_9 19�2c— Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage y 1. Location ! 1 G bj o PT N M A P L F 15T F—L,c2 2R.NG LK Lot No. 2. Owner's name D o R OT(4Y W C-2 R Lr—Y Address 1 16 NQ aT H MAPLE ��• 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage V No.of cars 2 Size 2 o x 22 r 10. Method of heating / 11. Distance to lot lines 1 L E F I- 1*-r 36. 5- RE,4 A- 119 PROVE 12. Type of roof )C/tar /1 G LASS Sid //mil 6 G.E S 13. Siding house C E D A lZ C k-A PB(9a A 6 14. Estimated cos" q1400° The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ignawre of responsibl cant r� r Remarks STUB WA-c-t_ ,, /% l�°�-y wo�� o�c� �k�.ar �G �'`-� 1/(/ //d ysSL` S, /�S (�d/ f�aF Q,st l-t/ 2 f��C�/livo�y a r' Aik 10. Do any signs exist on the property? YES NO L-- IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO L 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 Existing Proposed By Zoning Lot size 12 b ex a / �' b.s ���cz�z-) Frontage �'� b 8 2 `� S 9,115- Setbacks 31 T 0 3 _ p1 , S - side L:45' R:23.So L: 6/ R: ?_3.3-0 - rear lie V7 C) Building height Bldg Square footage �7 44o S©F1 %Open Space: '(Lotarea minus bldg 9070 ' &paved parking) 125-0 �f Parking Spaces of Loading Docks Fill: ':(vol-dme--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. APPLICANT's SIGNATURE NOTE: lissuanoe of as zoning rmit does not relieve an a 9 P pplioanYs bpwfden to comply all zoning requirements and obtain all required permits from the Boa f Health, Con ervatlon Commission, Department of Pubiio Works and other applioable permit granting nut rities. FILE # AND f 9 W # File No. ��� e_ ZOLI7ING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION4q 1. Name of Applicant: Lrn- y Address:I I 6S-N opa a tAA-PLG ST Telephone: 'x.980 2. Owner of Property: �- Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: O 27-41 MA Ill—E '57-'"c — Parcel Id: Zoning Map# f Parcel# / D District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property_L E 6. Description of Proposed Use/Work/Project/Occupation: Use additional sheets if necessary): CON ST R V G T wo C 4 ra A M,a C�-E 7. Attached Plans: 1 ' Sketch Plan Site Plan L-, -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 1--' YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? 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) FILE # C.� �'j f)r; l - t APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: � �� � 4 MAP �'J/� PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE _ FPP Pahl -Ri-mndeling Interior Addition tt�Rrktin2 > Owned ) 1/ LLOWING ACTION HAS BEEN TAKEN 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 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 Co ,Sion 12-V G Signature of Building or ate NOTE:lssuanoa of a zoning permit does not relieve an applloanvu burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable permit granting authorttles. — City of Northampton REQUIRED INSPECTIONS • 1. Footings and Walls e BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 306 Off ce of the Building Inspector Zoning Form No. 960873 Date 4/24/96 Fee$44.00 Check#3921 Page, 17A parcel 210 Zone URB Section 127 ❑ Yes 0 No BUI]LDING PERmi r * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Dorothy Hurley before Building Inspections has permission to construct 2 car detached garage. Inspection on Site—Foundations situated on 116 North Maple St. 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 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE P ISES Certificate of Occupancy B ilding Inspector v--"-" '20 S;IUr i