17C-172 (8) PERMIT APPLICATION CHECK LIST
YES NO DATE
2
3 , LICJ IF NO
3 SETS OF S PLOT PLAN
NEW CONSTRUCTION
6 . CURB CUT
Z . WATER AVAILABILITY FORMS
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
12 , PERMIT E - MONEY O D
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 , FILL
COMMENTS ;
' / PERMIT APPLICATION CHECK LIST
PAGE 7C1
PLOT L �Z---ZONE G �'.- � lid' � '` ' ° `� ' YES NO QATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWN P E # IF NO
4 . 3 SETS OF PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER V S
8 . REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN AWNING
12 . PERMIT FEE - LO L - MONEY ORDER
13 . SPECIA ERkT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 . FILL
COMMENTS :
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XX Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. U� Alterations
NORTHAMPTON, MASS. _ tj,1�f 19 Additions
• Repair
• ' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location -2 -7 0' 2/ _'_;4 CAA . G/ L e /11 fil Lot No.
2. Owner's name bt)j2V2C( 4 57'l�-2C'MC.CT Address SCtI"Y?e Ct J ( Cn ahGn
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration Clf a a D <2_L4 r'r�ee7 z)6tz&)06/7
6. New Porch
7. Is existing building to be demolished? 0
8. Repair after the fire ) O
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL- 06C
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
S E44,L
Signature Jresponsible app icam
Remarks C p 7r�TL-1k `q?
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
, t (Please Print)
JOB LOCATION:
(Map) (parcel) , (Subdivision)
HOMEOWNER: UU(2Ylct u C,7 -47-
(Name & Address)
(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 a `
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 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.
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 #
'•' `' 0031'77
Date Filed File No.
ZONING PERMIT APPLICATION (910 . 2)
1 . Name of Applicant: " V1� y S_(6/
Address : � i rtfrl ., �,( !'ele�hone: k� � r r,n�
- - -
2 . Owner of Property: ct!� 12(t
Address Telephone:
3 . Status of Applicant:_Y Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#,1Z •Parcel#
Zoning District(s) (inc ide overlays') �� ? j
Street Address t 2- e .(1 . ,
_ ,1 ,
Required
5 . Existinq Pro osed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- rear
Lot size
Frontage
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Pr p ed Work/Project: (Use additional sheets
if necessary) ,5 - ��`� , n,
C
- c
Y
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: Applicant' s Applicant' s Signature:�;_Jl J,
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S ial• Perm' and/or Site Plan Required:
n Re ed• Varianc Required:
7-y
ggignati*b of B pector to
f
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 of Public Works and other applicable permit granting authoritlos.
ic'9')-
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City of Northampton REQUMED INSPECTIONS
$ 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Nom 835 Office of the Building Inspector
Zoning Form No. 003177 Date 8/24/94Fee $40 Check# 312
Page, 17C parcel 172 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wendy Stein before Building Inspections
has permission to Update bathroom walls, ceilings & floor Inspection on Site—Foundations
situated on 27 Fairfield Ave. 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 CONSPIC l LA N PREMISES
Certificate of Occupancy
r
City of Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 835 Office of the Building Inspector
Zoning Form No. 003177 Date 8/24/94Fee 40 Check# 312
Page, 17C Parcel 172 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERNU11
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wendy Stein before Building Inspections
has permission to Update bathroom walls, ceilings & floor Inspection on Site—Foundations
situated on 27 Fairfield Ave. Inspection of Plumbing—Rough 3 /-S 6j-m
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—RoughM- c
�
Maintenance and Inspection of Buildings in the City of Northampton. /al'"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 lnspection—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 O k G-2 3• flr..
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC LA N PREMISES
Certificate of Occupan c
` or -
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