23D-073 (4) ,p 4nv.P.c, City of Northampton REQUIRED INSPECTIONS
� 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 368 Office of the Building Inspector
Zoning Form No. 000853 DateS/26/93 Fee $40 Check# 1179
Page, 23D Parcel 73 Zone URB Section 127 ❑ Yes ❑ No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Michael & Edith LaCasse before Building Inspections
has permission to Add a deck to rear of home Inspection on Site—Foundations
situated on 39 Hinckley 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 CONSPIC US PLACE ON TIE PREMISES
Certificate of Occupancy
Spector Geite.44-
4sier.0 y
'i 000853
t '� ;
Date Filed o () �; kci`lc)- File No.
1 ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant: mtc kcL C ��&\ 1 rt CQ SSC_
Address: 3c 0o-Nc-1011, S-- Telephone: 58 y y33 -I
2 . Owner of Property: iNVc.r A S ��O ().
Address: `3 c Amc_k- S\c- NI \ Telephone: SQ '-I `I 3 3 -1
3 . Status of Applicant: \/ Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# -� n Parcel#o '7 ,
Zoning District(s) (include overlays) U p 13
Street Address •e? N t''IC. ley S�
Required
5. Existing Proposed by Zoning
Use of Structure/Property a -c,w\ VILE �c, a..__0-
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front 5
- side L: R: g, L: ,6 R: &
- rear
Lot size (-,�' c 100 �o c 100
Frontage O rF C.c,o ¢
Floor Area Ratio N N
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading h t
Signs
Fill (volume & location) PA
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) U1 t j cicit tc.2 ad.cL a & c O n
-Vsiku_ \o r, c,\', /S\�-- o f c (— fir, out U) hs_4( q„c -e CA C"-e
No S\--ewes
7 . Attached Plans: t 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: mp�.� c 5 ( 4q3 Applicant's Signature: JL01021- 1 (0, --J2--
t THIS SECTION FOR OFFICIAL USE ONLY:
L4i-pproved as presented/based on information presented
Denied as presented--Reason:
Special Permit and/or Site Plan Required:
in ing Re 're : Variance Required:
i
:;:f./1.3
igna e Buil ' pector 0to
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.
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'�''�'` '' DEPARTMENT OF BUILDING INSPECTIONS � `•— `,
INSPECTOR 212 Main Street • Municipal Building
Northampton, Mass. 01060 ,,
HOMEOWNER LICENSE EXEMPTION
n (Please Print)
DATE: 4,'( `a-'y . )5 [ 1
JOB LOCATION: fl a-
(Map) Parcel) (Subdivision)
HOMEOWNER: `V 1 L�(\ci Q mod- ( 1 L 1 L. U S S
(Name & Address)
3(i Ir\CA-AsciA Sv Mc,; riAlrqFGY\ .(31 ((33`{ ',), 0 ') 7 I l
(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 jotutil
BUILDING PERMIT #
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Zoning L1 O
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ili' Li 3 3`( Alterations
34 NORTHAMPTON, MASS. M04,1 ;)-j 19 (1 3 Additions
Repair
� `' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 3 Ct k r Lf C lci 5 } Lot No.
2. Owner's name 1)A i(vVkQ. ' E-6_kill \ c; Ca S S t Address 3`1 (C-U--c r
3. Builder's name -:-) Gt v"v"--t Address 0` r--Y• t
Mass.Construction Supervisor's License No. Expiration Date
4. Addition \‘ L-\`
5. Alteration
6. New Porch
7. Is existing building to be demolished? i\; '.'
8. Repair after the fire /`' •'
9. Garage No.of cars Size
10. Method of heating N 61 J
11. Distance to lot lines
12. Type of roof tN 0 !vim
13. Siding house N O
14. Estimated cost:-
)OO
The undersigned certifies that the above statements are true to the best of his, her
knowledge and
belief.)(74QC6 bjAr)0J-9 (^
Signature of responsible applicant
Remarks
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PERMIT APPLICATION CHECK LIST
PAGE - PLOT ZONE 0-k6 341 4141,—,-gel, A YES NO
•
1 , ZONING FORM APPLICATION /4E,
2 , PERMIT APPLICATION
3 , OVER OCCUPANT STATEMENT 1 LIC , 4 IF NOT
4 , 3 SETS OF PLANS /PLOT PLAN 4.0cJ r
5 , NEW CONSTRUCTION
6 . CURB CUT
7 , WATER AVAILABILITY FORMS
8 , REMODELING INTERIOR
9 , ADDITION
,10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
1 2 , PERMIT FEE — CHECK ONLY — MONEY ORDER //7 7 I .,.,.
1 3 • SPECIAL PER I UI ED WITH DEED IF APPLICABLE
14 , UNDER SECTION 127 — CMR 780
15 . FORM A
16 , FILL
COMMENTS :
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