22D-006 (9) X
>
Z O
0
C > -�
C3— r L
C-3 _ a
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 g Additions
1
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
L.I-. Location . nn n n Lot No.
./T' Owners name (A lals Address F51 K�►�.. 1 C dC
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
✓S. Alteration RA4W-A T L21c± tai
6. New Porch
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
Vr4-. Estimated cost- TSsf')C)
The undersigned certifies that the above statements are we to the best of his, her
Lknowledge and ief.
S na ure of responsible app,icant
t
Remarks ,
a CrS#Ly of NortlTaillp toll
s e APR 1 1 1991 F
w Mns$acllueClio
AFT 0�
tr "C._ DEPARTMENT OF BUILDING INSPECTIONS
r r. !�.
INSPECTOR ""° °~ 212 Alain Strcct ' Municipal Building
Northampton, Nfass. 01060
HOMEOWNER LICENSE EXEMPTION
( Please Print )
DATE: I
JOB LOCATION:
Map) ( arcel ) ( Subdivision)
HOMEOWNER
( N me & Address )
( Home Phone ) (work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or tti•rn (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 Buil(dina
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 reouired 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
} A R i i 199� .�
_.i
v(tsyl
0
dr
a�
Zxy
2X�S �oof �o�s� (pre55,orc 4y-e,,+eJ ) _ -
APR I ICI r
FTPT OF
- - xlt Tore
71
c
loaf i t
--
a
-`keep_ x�5 _Calwvc
a
W,nc1oW windoi.J aJ�nJou7 w�•,�.�,J
Q pp�vx
0) wRFi:
APR I 1 1997 I
e �
TPT 01 i s;
w
-� 3?S-9 ►
�k' r
�X1
ti
Q
W �P
x �
S�4
J
16 idji�
L66I I
10, Do any signs exist on the property? YES NO ✓
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 column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 9
3
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# ,pf4Parking spaces
f (of Loading Docks
Fill:
4 vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl ge.
_i
DATE: � // APPLICANT's SIGNATURE (�t_J
NOTE: lssuan a of a zoning
g permit does not relieve an a plioant's rden to comply witlt,,rpll
zoning requirements and obtain all required permits from the Board of Health. Conservtation
Commission. Department of Publio Works and other appiiomble permit granting authorities.
FILE #
APR 1 1997
E GdiDEPT OF8G, ---,-lr��� �.� File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address:X 1 lug 1 n A— Telephone:
2. Owner of Property: SA'V" Ll S Ato
Address: Telephone:
3. Status of Applicant: ✓ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# 021-�-P Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property pY'
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 Vl' 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 #
'A�44L l /CONTACT PERSON: n k
/PIIONE:
DEPT OF 8! 0 INSP r GPIs
PROPERTY LOCATION:
MAP PARCEL:_ ZO
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FULED OUT
Fee Pnid
!L
T LLOWING 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 Conservatio ommission
Signature of Building hwkror Date
NOTE:Issuanoe of is zoning permit does not relieve an applicant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commlealon, Department of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 268 Office of the Building Inspector
Zoning Fonn No. 962099 Date 4/14/97 Fee$40.00 Cbeck# 247
Page, 22D Parcel 6 ,Zone URA/WSP/WP Section 127 ❑ Yes 0 No
BUI]LDINGPERMI F,I
a
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Beverly Wah before Building Inspections
has permission to rPnai r porch & enclose part for mud room Inspection on Site—Foundations
situated on 81 Ryan Road 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 AIns REMISES
Certificate of Occupancy
Bui tor