17A-240 (2) iION CHECK LIST
1111, R;,Jlllll
r u YES NO DATE
3 n: LICA IF NOT
SETS OF S PLAN
5 . NEW CONSTRUCTION
6 CURB CU
7 WATER I I FORMS,
e REMODELING INTERIOR
9 , ADDITIO
10 . ACCESSORY STRUCTURE
1 , SIGN Z AWNING
2 . PERMIT FEE - CHECK ONLY MOUEY ORDER WOW I
3 . SPECIAL UI ED WITH QEEQ IF -.APPLICABLE
14 . U DER SECTION 127 - CMR 7810
15 , FORM A
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COMMENTS :
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DEPARTMENT OF BUILDING INSPL'OTIONS
INSPECTOR 212 Main Strect ' Municipal Building
Northampton, Mass. 01000
d
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE:
JOB LOCATION:
( ap) (Parcel) (Subdivision)
HOMEOWNER:
(Name & Address )
(Home Phone) (Work Phone)
The current exemption for "homeownpr,s" .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 doeG not possess a --
license, provided that the owner acts as supervisor. ' CMR780 Section 109. 1 . 1
DEFINITION OF HOMEOWNER: Persons) 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 PERMI Y
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U Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.
�{° �3`? I Alterations
o�
NORTHAMPTON, MASS. (a 19 �J Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 62(p L `�} Lot No.
2. Owner's name 17v— .\-AL Address Leo L n Le 731� F
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch vu-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 c 00
The undersigned certifies that the above statements are true to the best of his, her
knowled a and belief.
a '
Signature of responsible app,icant
Remarks
a 00135r
Date Filed File No.
ZONING PERMIT APPLICATION (510 . 2 )
1. Name of Applicant` (M �' d -( J:3 -�y
Address : Telephone:
2 . Owner of Property: jP1 rV)
Address : Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet// /'7&- Parcel# 6
Zoning District(s) (include ov rl y ) c:C
Street Address ,
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footpr nt)
Setbacks - front
- side L: R: Is: R:
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area menus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary)
CY
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 : (P q:3 Applicant' s Signature :" A�,Y
T H-IS SEC T R C A
ION FO OFFIIL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason :
ecial' Permit and/or Site Plan Required :
ing Req re Variance Required-
i uilding In D e
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 tho Board of Hoalth, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS t
I. Footings and Walls
BUILDING DEPARTMENT -
� 2. Structural Components in Place*
3. Complete Building*
No.
550 Office of the Building Inspector
001357 Date 7;6/93 Fee $20 Check# 2058
Zoning Form No. K�
Page, 17A Parcel 240 ,Zone uRB Section 127 ❑ Yes 3 No
Btin-jDINGPERNUT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Karen spencer before Building Inspections
has permission to Install vinyl siding Inspection on Site—Foundations
situated on 60 rake street 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 PREMISES
Certificate of Occupancy �a .� ✓�- —r- ---
Buildirionspector ��-
(,op+t _ 1:1;11 Si1�J1�
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Struccttugral Components in Place*
3. Complete Building*
No.
550 Office of the Building Inspector
Zoning Form No. 001357 Date 7/6/093 Fee ,r.20 Check# 2058
Page, 17A Parcel 240 ,Zone UR3 Section 127 ❑ Yes � No
BUI]LDINGPER, AM
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Karen Spencer before Building Inspections
has permission to Install vinyl. siding Inspection on Site—Foundations
situated on 60 Lake Street 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. r �c
.y Building Inspection—Fin4 C'�,' 1 t
Smoke Detectors(Fire Department)
Other
THIS CARD S S LAVED IN A CONSPICUOUS PLACE ON TIC PREMISES
Certificate of Occupan _-
Building Inspector -
V?1 lilt SilU1