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22D-119 an�m"� City of Northampton REQUIRED INSPECTIONS A¢ li=k;:/2$}#.+y'! 1. Footings and Walls , BUILDING DEPARTMENT 2. Structural Components in Place" e 3. Complete Building* No. 773 Office of the Building Inspector Zoning Form Nu. _962650 Dare 8/19/57 Fee 540.00 Check# 1011 Page, 229 Parcel 119 ,Zoos URA Section 127 ❑ Yes © No BLZL.DING PERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas Waldron before Building Inspections has percussion W construct 16' X 32' inground pool Inspection on Site—Foundations situated on 6 Avis circle Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the teens of the application on file in this office, and to the Gas Inspection provisions niche Statutes and theOrdinances relating to theConstruction, 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 pemt it.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 ret um 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 CEO ' r ISES Certificate of Occupancy Building Inspector D Ur t' FILE / _ 8626 50 ri_ i.0IPAUG 1 119-Y ji APPLICANT/CONTACT PERSON: Gr7 �7 f�/G"F.L'G'G'�I.d7't ,5-8-41-79591 iDEN et A??x1RESS/PRONE: NOfi7n• % PROPERTY LOCATION: 4 -flc MAP chi'P PARCEL: //y . ZONE_,,.!,/Jek , .. THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CITFCKLIST ENCLOSED REQUIRED DATE ZONINGFORM FIT,T RD (HIT kV. _ Fee Paid nuildiii Per.nit Filled not �//���j�_ ........ _ , Fre Paid /0�� Jy 7 _. ............ ,_.. n Tvne of Canctrnrt at. c) New t'nnctrnrfian /6, }C ` -_ Remndeling Tnteria / ......... .� Addition In Rtictin' \JI 4o .:__/ i A rreccory Strortore Rnil kg Pus..7netnded• ._ ✓- • . . •_� • a . , • u • . it Lirence it I Setc of„Plane P1otf len ....... TIS, OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION- b 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-Rd of Health Well Water Potability-Rd Health Permit fram�20nservation .o j� C/ { Siguatme of Builtling tar Date NOTE:Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits from the board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. rt a File Na. 9 9/86-5—C) ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALLINFORMATION 1. Name of Applicant 114.4/14(1., f/)atAMY , Address: `2, — Telephone: 6714-7 j 2. Owner of Property: I ren t'y 31\1\',;. Vs.:/i-`'"43*'\ Address: 1,0 A ; et (c (C it.,,r tf i Telephone: 5,R - =4 3. Status of Applicant re, Owner Contract Purchaser Lessee Other(explain): cm 4. Job Location: Parcel Id: Zoning Map# ]? rl Parcel# /1 9 District(s): 1144 (TO BE FILLED`LIN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Properly 1Cf sii. tkAi{sl 1, 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): -1-11LUrtin Iv, nl ,i't 'vottri(k SI,J ,i9irH;1 .i ���A 7. Attached Plans: t/ 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 PermiwarianceiFinding ever been issued for/on the site? NO DONT KNOW I/ 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 t/ DONT 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) 10. Do any signs exist on the property? YES NO t� 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: Il. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola to be filled in by the Building Department Required Existing Proposed By Zoning Lot size t—I IA _ _5w, 5 Frontage - __ .� lJ Setbacks -front - side L: 7/ R: %1 L: S R: SO 4L rear 4g Building height Bldg Square footage so•loo2 X131 %Open Space: O (Lot area minus bldg v let 7o 67 Q &paved parking) / # of Parking Spaces $ rof Loading Docks Pill: {volume-& location) 13 . Certification: I hereby certify that the information conte • eddherein 4 is true and accurate to the best of my knowl�/�7ge. � DALE: C) /CJ APPLICANT's SIGNATURE I AkI(1�/ 4 NOTE: Isamu nob of a zoning permit does not relieve an pplioanta burden to comply w tli 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. FILE �, ^ --- r -r7 V N I t, , -------- LT� C______ .___, O ,4-+e `* L 1 M3 lJ .v e'Z a 5 "e (tt-4 of Northampton �� �w•/ -oyy�t J All INN? i e' mDEPARTMENT OF BUILDING INSPECTIONS t WIf _ is INSPECTOR. 2t2 Main Street ' 'Municipal Building Northampton, Mass. 01060 " a HOMEOWNER LICENSE EXEMPTION DATE: 1/ " W °t ) (Please Print) • JOB LOCATION: il)—.....Jj9— fc4 _ ( Parcel ) ( subdivision) HOMEOWNER: 1 no t 4 A rte__ t 1 , A i -di)r 0 Al (Name & Address ) ( Home Phone ) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) :amflie5 and ro 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: Personls ) 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 performedunder 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 •...____•...____ .� ""tiyC (/ N 0-\t 'I: . BUILDING PERMIT # RtlwrPy. 04. ^ (rit4 rrf drrrffJaulptOTT _.1 L �j, )• sgw'^'n ' It I, =E _ it cut, 5j " I gy j 5tu,•.pntru. e; y �=E AL_ DEPARTMENT OP BUILDING INSPECTIONS 21 Main Street • Municipal Building _-- ' Northampton, Mass. 01060 a" WORKER'S COMP,ZNSATTON INSUA RNCE Al'b LUAVIT • 1 r ;..h77rTy� � fJ„LtiJ.r� (tictticipermiftcc) with a principal place of business/resideoce at: ii\gv,_o iciyr-c 'Florence_ AAA O Irby a (phone:) 9/3-all--/--775-'J (snca/clty/Stzirlap) do hereby certify, under the pins and penalties of perjury, that. ) I am an employer providing the following v:ohcefs compensation coverage for my employees worldng on this job: • (Ins-urance Company) - (Policy Norther) (Expiration Dare) (2)71 am a sole proprietor, general conrsactor or omeowner - ole one) and have hired the contractors listed below who have the followin wor er's compensation policies: }IOveNIG Noor _lrC. 1 b"L. -c L- 7 )-7Y 1'1E' (Name of Contractdr) Qlnsuanc Company/Policy Number) (Expiration Date) (Name of Contractor) (lnsuranc Company/Policy Number) (Expiration Date) (Name of Coma-actor) (!natant Company/Policy Numhcr) (Expiration Dae) (Name of Contractor) (Insurance Company/Policy Numlrr) (Expia000 Date) ( ntdt additiml ehcI no -.try to bclW.of rrtua pardnioa u IS vn) O I am a sole proprietor and have no one working for me. O I am a home owner performing all the work myself. NOTE ply be.ware that..dlo hocccowccra wbo®ploy pasom u m n-Linfrmnre mnmrvoo t rbc work on a dwcrling of oatmore than ion u s is which the bomwwoc tmda ace the gocmdt:ape-tams ibecdo etc not gmadly cattriclecntdbtc Cloys,node thn wockcesccatperasztiat Act(GL152 I(5)),application y•tammwar for Sumo a pamamey .,d...We legal nate of act mploy.c under rho Waled•r,...p..,..t ion Ax I wda.und tlatt a copy ofthis mrmmt may I,.facttertia to rho Deparmcs of ld.ai.1 Acedty 06w of harem la the cottage vt,6emoo and that fear—to taut cowtay=der scatica 25A of MOL 152 au lad to tm'impodi:60a ofawmd pmaltia coass>vug of Aran:C p to S1}00.60 coact-ijrooDoc rt of up to ox roe sotawl pmltia in the(eta Stop WatOrda and Eno S100.00 adsy avast mc • Signed /this91— A/ 1997 Foe amnnnaaatn.amly �C 1 Map:, Permit Numb= Lottl Sigfiahuc of T...aflosennittcc D -e D A R7 ei Din ER c 7 ti, ,, — A y 3 0 OZ nn "—Ti i r O 6 O b =R. °' I A C9 o 'CA t z 2 mo -1 A o y a A ,,II Zoning roG(j:_rrtre3- I _ Miscellaneous Additions,Repairs,Alterations.etc. Tel.No. ?S q -11 5Y Alterations NORTHAMPTON, MASS.r ` J '.x�uS�' Il 19' Additions {11-i`toltl+�-1)110' APPLICATION FOR PERMIT TO ALTER Repair - n..n A Garage I. Location AVIS I/�,f tii I \OiC iil C11 LotNo. Iii 2. Owner's name -rilony.IS r ) In boll (.e)'oAliraPI Address i .lv',S ltir�k� r)r.tthr c. 3. Builder's namet�J Ii)IA 0 �cIntl?11 I lilt Celt( PottS Address t4 3 Sax/dor1Yr)1C- 1AA- e r Mass.Construction Supervisor's License No. 0 (1 .'J l Zit) Expiration Date 5) I b )4.g 4. Addition Zh - rytuLUA Sv 'sItllI6%%t) -pc.I 5. Alteration 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 II. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost-41(2 tic C The undersigned certifies that the above ratemc its'are true to the best of his, her knowledgeknorcketand belief. i, J ` `' Signature of responnble app.icane Remarks