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17C-169 (5) PERMIT APPLICATION CHECK LIST G S N Q 2 . 3 L I C , It I NO 4 , 3 SETS OF PLANS /PLOT PLAN 6 , NEW CONSTRUCTION F , CURB CUT 7 , W619B AVAILABIUTY FORMS S REMODELING INTERIOR 9 . 8DDITION ACCESSORY STJ3UCTURE 1 , SIG I G 2 , PERMIT FES - CHECK ONLY - O E OBOEB t,.. 3 SPECIAL PEBMIT REQUIRED WITH DEED IF APPLICABLE 14 . U DER SECTION 127 - CMR 780 15 , FORM A 16 , FILL COMMENTS ; M1 Q�� pT +�O O,y Crz#fir of r � ,f�iaaascl}usetta DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: 'Vi !f i t (Please Print) � JOB LOCATI N: 7 C I t'f1 (Map), (Parcel) (Subdivision) HOMEOWNER: L.CaC t 4Xb (o gtk4 57- (Name (& Address ) g --OOQfi (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 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✓ LCAj �zw BUILDING PERMIT # I `y > O ",s7 1y tT7 M "b O > O u Zoning ICs Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.. g y r�g Alterations S NORTHAMPTON, MASS. h " 19 Additions X6 i NO APPLICATION FOR PERMIT TO ALTER Repair /- II �/-- ,�f�� 4 Garage 1. Location 4 A S1 f't0k ClL Lot No. 111 g 2. Owner's name Uptmrm gA LLY Address -ZP&tKL 3. Builder's name s lanr6c9t4EC— A ddress i, '6fL 665 09W /Y Mass.Construction Supervisor's License No. Expiration Date 4. Addition - A 5. Alteration -/—a-Lgork floc 'f' V(C lot ()�� 6. New Porch 7. Is existing building to be demolished? N1,6 S. Repair after the fire 9. Garage 4,0 No.of cars Size 10. Method of heating 11. Distance to lot lines nn 12. Type of roof 13. Siding house 14. Estimated costzo S 006 The undersigned certifies that the above statements are true to the best of his, her �� knowl ge d belief. l Signature of res nsible appicant Remarks ___ r • C : [ 1 U / 1 n Date Filed lJ 01 � �� • . File No. ZONING PERMIT APPLICATION (510 . 2 ) 1 . Name of Applicant: A Address : Telephone: -©0 Q 2 . Owner of Property: U � Address : Telephone : 3 . Status of Applicant:)((Owner Contract Purchaser Lessee Other (explain :_ ) 4 . Parcel Identification: Zoning Map Sheet#!7G Parcel# , Zoning District (s) (include overl s) Street Address Required 5 . Existing Proposed by Zonin Use of Structure/Property (if project is only interior work, skip to #6) Building height oB1dg . Coverage (Footprint) Setbacks - front - side L: R:_ L.:- R: 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 Proposed Work/Project : (Use additional sheets if necessary i(L Cd � 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 knowle e . 4 Date : Vc sal 31 / Applicant' s Signatur�,� THIS SECTION FOR OFFICIAL USE ONLY: ZApproved as resented based on information resented p / P Denied as presented--Reason : Special' Permit and/or Site Plan Required : El , nd ' , g Re it d: Variance Required :_9 gnat of Build ' 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 authorities. ic''T� -� cT' �� J �J N1 1 J a tai .� , � L . r 1 � 0 �*� City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT . Footings and Walls 2 e Structural Components in Place* 3. Complete Building* No. 647 Office of the Building Inspector Zoning Form No. 001450 Date 7/27/93 Fee $4G 2617 Check# Page, 17C Parcel 169 Zone uRB 0 No ' Section 127 ❑ Yes BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Leonard Bailly before Building Inspections has permission to Re- sheetrock upstairs bedrooms (3) Inspection on Site—Foundations situated on 36 High 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, Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough 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 T DI ,PLAYED IN A CONSPICU PL C ON THE PREMISES Certificate of Occupanc ui ding Inspector