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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.j S�CO�yS76 Alterations
NORTHAMPTON, MASS. r X19 / Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 65/ "ir 414e- �✓� t' '� G cfi tt,�+C' Lot No.
i� /
2. Owner's name /Q PGISZ �5i Address /4-0A L'_
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition ew
5. Alteration �
6. New Porch eal D�G • �';�
7. Is existing building to be demolished? NO
8. Repair after the fire ,N d
9. Garage 04-"t' No.of cars Size
10. Method of heating N�
11. Distance to lot lines
12. Type of roof O J -- -- - - - - - -- -
13. Siding house A O
14. Estimated cost:- �!V-1v
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app icant
Remarks
a 7 06 Crxi zr Nart4alll-ptarn
MAY r
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9
bEPARTMENT OF BUILDD�G INSPECTIONS
INSPECTOR w 212 Main Street ' Municipal Building
Northampton, Macs. 01060
HOMEOWNER LICENSE EXEMPTION
DATE:
( Please Print)
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JOB LOCATION: Ll-:h( �
1 (M ) _ (p rce ) ( Subdivision )
HOMEOWNER: L1 X15'7_ -5Tq,9Aq,:3Ar
(Name & Address )
'� -
( Home Phone ) (work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings 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 as supervisor . 0�tiR780 Section 109 . 1 . 1
DEFINITION OF H01,�EOWY3R: Person( s ) who own a parcel of land on
which he/she resided or intends to reside , on w*rn . 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 . A person who
constructs more than one home in a two-year period shall not be
considered a homeot-)ner . Such "homeowner" shall submit to the Buildina
Official , on a form acceptable to the Building 0==icial , that he/she
Shall be responsible for all such work performed under the buildinq
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 .
F
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 PERMIT
MAY 7 1996
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10. Do any signs exist on the property? YES NQ_ N110
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 corm W be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
side L:7_R: L: C' R: Xs,-
r
- rear
100
70 � r
Building height
Bldg Square footage
L
l �
%Open Space:
(Lotarea minus bldg C..
&paved parking)
,pf. -Parking Spaces
- %f Loading Docks
Fill:
Avol-time--& location)
'13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 7- APPLICANT's SIGNATURE S L !// J(/
NOTE: lssuanoe of a zoning permit does not relieve an ppiioant'a burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation ._
Commission, Department of Publio Works and other applioable permit granting authorities.
��: FILE #
File No.
7
--ZONXNG PERMIT APPLICATION M0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: / -: 14 s Ozee'— Telephone: &6) .ST& 'y3,Co
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other
s,(ex lain):
4. Job LZA on: C� r f •� C c;
Parcel Id: Zoning Map# / Parcel# ;:X50 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property r�
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 Permit/Variance/Finding ever been issued for/on the site?
NO I DON'T KNOW __ 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
MAY _
APPLIC A NTAC,T PERSON:
PROPERTY LOCATION:
PARCEL• % ZONE.-
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
FPP
lRyfflding Permit Filled nut
-Remndeling Interior /1 2"
OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM
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 Consery do ommi o
Signature of Building Inspector Date `
NOTE:tasuanoe of a zoning permit does not relieve an appiioant's burden to oompty with ail
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorttles.
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City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT' 2. Footings Walls
and Components in Place*
3. Complete Building*
No. 347 Office of the Building Inspector
Zoning Form No. 960924 Date 5/9/96 X40.00 Check# 166
page, 17A parcel 250,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Tadeus Stankowski before Building Inspections
has permission to construct a 10' X 22' attached deck. Inspection on Site--Foundations OL S dW- S
situated on 108 Lake 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 Constriction, 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 DISPLA IN A CONSPICUOUS PLACE ON PREMISES
Certificate of Occupancy tef -- �M7 Building Inspector