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05-068 (5) a 2 v O ts7 D m r '4 3 o O cDi rri _ > v� O rn r► Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions 40 APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location a� Lot No. x 2. Owner's name N AA '"k-L& Address x 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition � 5. Alteration {�,\ C v�Q�( of 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 7, 10. Method of heating 11. Distance to lot lines 1 x 12. Type of roof 'A 13. Siding house�)11.�� 14. Estimated cost:- 1P The undersigned certifies that he above statements are we to the best of his, her kn dge and belief. Signature of responsible appican Remarks �O�T of NortlTallip toll e APR 1 A I9qq MR16ACII11HfIIO DEPARTMENT OF BUILDING INSPECTIONS ` 'v� OF P..- 212 h1nin Strcct ' Municipal Building INSPE , TOR _ =� Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print ) DATE: �\ r^ ''V � JOB LOCATION:: t1Z�(1 Map arc 1 ( Subdivision) HOMEOWNER: �_,1\,A t (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 . CMR780 Section 109 . 1 . DEFINITION OF HOMEOWNER: Person ( s ) who own a parcel of land on which he/she resides 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 . Q HOMEOWNER SIGNATURE C LO-- BUILDING PERMIT # VIA na -),o CK I Y\A'O-Xi 10 Do any signs exist on the property? YES NO y 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 COluffi to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear ---- Building height Bldg Square footage %Open Space: (Lot area minus bldg &paced parking) # of -Parking spaces # 'of Loading Docks Fill: _(volume--& location) 13 . Certification: I hereby certify that the informatiojcntained herein G is tru and accurate to the best of my k wledge. DATE: - "t C( APPLICANT's SIGNATURE _ NOTE: Issuanoe of a zoning permit does not relieve an applioanta burden to oomp with all zoning requlrements and obtain all required permits from the Board of Health, Conservintion Commisslon, Department of Publio Works and other applioable permit granting authorities. FILE # tr r L J LS APR 14 Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ��- Address: Telephone: s , � 2. Owner of Property: 1-> � D Address: b -� �� (� Telephone: ' Wj cll 3. Status of Applicant: ./Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): 1<—" (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. 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 Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNO:ti! 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#BP-1999-0850 APPLICANT/CONTACT PERSON ISAZA LUIS ORLANDO&MILAGRO ADDRESS/PHONE 671 KENNEDY ROAD 584-0671 PROPERTY LOCATION 671 KENNEDY RD MAP 05 PARCEL 068 ZONE RR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid h Ty_peof Construction: CONSTRUCT DORMER OVER EXISTING GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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 Board of Health Well Water Potability Board of Health Permit from Conservation Co i ion Signature of Building Official D to Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. 671 KENNEDY RD BP-1999-0850 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:05 -068 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:alteration-addition BUILDING PERMIT Permit# BP-1999-0850 Proiect# JS-1999-1498 Est. Cost: $2000.00 Fee:$40.00 PERMISSION IS HEREB Y GRANTED TO: Const.Class: Contractor. License: Use Group: Lot Size(sq. ft.): 138520.80 Owner: ISAZA LUIS ORLANDO&MILAGRO Zoning:RR Applicant:_ AT:_671 KENNEDY RD Applicant Address: Phone: Insurance: ISSUED ON:4/15/1999 mom o0 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT DORMER OVER EXISTING GARAGE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/15/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo