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17C-268 PERMIT APPLICATIUIV CHECK LIST PAGE ` P'L`� ` fl1�E : ,-." ES _N ATE 2 '. 3 O — LICA IF NOT , — ,., ... a-t. 3 SETS 0 PLANS /PLOT PLAN 5 NEW CONSTRUCTION - 6 , CURB CUT 7 WATER AVAILABILITY FORMS 8 REMODELING INTERIOR 9 ADDITION 10 ACCESSORY STRUCTURE 11 SIGN / AWNING 13 SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 UNDER SECTION 127 — CMR 780 15 FORM A 16 FILL COMMENTS : — O�4HAAfpTO $� Grif� laf 'Narf4aill Eton r o � �iaaanclluartla DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: 7 Q1w T 1 C ap)�I (Parcel) (Subdivision) HOMEOWNER: �(�M, Lill (Name & Address) -LS)- O J (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 at 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 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 m_ ay 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 Annota d HOMEOWNER S I GNA BUILDING PERMIT/# Miscellaneous Additions,Repairs,Alterations,etc. Tel.No em `C A� ty r► O� 5 O 0 M ti 0 Zoning Alterations Cam" O � z � � g � z � o d � r� NORTHAMPTON, MASS. 19 Additions ti APPLICATION FOR PERMIT 'CO ALTER Repair Garage 1 Location Lot No. _ . Owner's name CdEx- - Address F Y7 3.4 Builder's name L I I 4z, Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteratio, 6. New Porgy 7. Is existin,uu,,.,...r,L., .,...,.,..�.....: 8. Repair after the fire 9. Garage No.of cars 10. Method of heating 11. Distance to lot lines V) Tvrw of rnnf 13_ Sidine house 14. Estimated costs-/ 00 1V The undersigned certifies that the above statements are true to the best of his, her ge and belief ,-- Signature of responsible appican! Remarks a b b C C tv 'b rr� � a s n a co z v Miscellaneous Additions,Repairs,Alterations,etc. Tel.No em `C A� ty r► O� 5 O 0 M ti 0 Zoning Alterations Cam" O � z � � g � z � o d � r� NORTHAMPTON, MASS. 19 Additions ti APPLICATION FOR PERMIT 'CO ALTER Repair Garage 1 Location Lot No. _ . Owner's name CdEx- - Address F Y7 3.4 Builder's name L I I 4z, Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteratio, 6. New Porgy 7. Is existin,uu,,.,...r,L., .,...,.,..�.....: 8. Repair after the fire 9. Garage No.of cars 10. Method of heating 11. Distance to lot lines V) Tvrw of rnnf 13_ Sidine house 14. Estimated costs-/ 00 1V The undersigned certifies that the above statements are true to the best of his, her ge and belief ,-- Signature of responsible appican! Remarks Date Filed J— 5—C 3 ZONING 1 . Name of Address : 2 . Owner of Address : � U eitY� ?p 00133 File No. PERMIT APPLICATION (§10 . 2 ) 3 . Status of Applicant: \,jOwner Contract Purchaser Lessee Other (explain : 4 . Parcel Identification: Zoning Map Sheet# Zoning District (s) (include overlaA_) Street Address °r7% m� v ~, 5 • Existing I Proposed 10 Use of Structure/Property (if project is only interior wor Building height 0 1 dg. Coverage (Footprint) Setbacks - front - side - - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) , skip to #6 M'N+�� Parcel# , Require Narrative Description of Proposed Work/Project : (Use additional sheets 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 know e ge . Date : Applicant' s Signatu THIS SECTION FOR OFFICIAL USE ONLY: +' Approved as presented/based on information p resented Denied as presented--Reason : S ecial' Permit and/or Site Plan Required : nding RAui„red: Variance R quired gnatur-6 o spector 7/7/,Ir WatY NOTE: Iss a 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 Hoalth, Conservation Commission, Department of Public Works arid other applicable permit granting authorities. OTL �0°� � V� City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Souuccttie Components in Place* 3. Complete Building* x- No. 574 Office of the Building Inspector Zoning Form No. 001385 Date 7/9/93 Fee $20 Check# 1791 Page, 17C Parcel 268,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMIFI * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Tom & Loretta Card before Building Inspections has permission to Install an aabove ground pool 21' in diameter Inspection on Site—Foundations situated on 57 Lilly 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 CONSPICW PL E N THE PREMISES Certificate of Occupancy or (F�'t 1:�l;if SiIUY