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23D-132 (7) ep„.„°4. City of Northampton REQUIRED INSPECTIONS n 4 BUILDING DEPARTMENT 1. Footings and Walls �: 2. Structural Components in Place* im' -- 3. Complete Building* No. 1078 Office of the Building Inspector Zoning Form No. 002004 Date 11/22/93 Fee $20 Check# 1184 Page, 23D Parcel 132 ,Zone URB Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Douglas Roosa before Building Inspections has permission to Install a woodburning stove Inspection on Site—Foundations situated on 73 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 LA N THE PREMISES Certificate of Occupancy 1-14.- •� g Spector Date Filed I I A119.3 CA File No. ZON G PERMIT APPLICATION (§10 . 2) 1 . Name of A li ant::n � ‘ C) Address : vv • ( Telephone: .S Sf� 3 Lj 2 . Owner of Property: Cw4. Address : Telephone: 3 . Status of Applicant: 'Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet#13.:5D Parcel# j? -, Zoning District (s) (include verlays) aStreet Address -/3 �,L ,46 , Required 5 . Existing Proposed by Zoning Use of Structure/Property 4,, .— —) (if project is only interior work, skip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs . Fill (volume & location) _ 6 . Narrative Description 1:4 Proposed Work/Project : , (Use additional sheets if necessary) 1 1 t1c3 Wc. tvv v 5 r2 kV% c�IV%sVe' 7 . Attached Plans : Sketch Plan Site Plar -47/4-4 - . 8 . Certification: I hereby certify that the it - mation contained herein is true and accurate to the best of my kno, led. e. Date: f (, I7TY3 Applicant's Signature: A' _ Ate_ THIS SECTION FOR OFFICIAL USE ONLY: i 'Approved as presented/based on information presented Denied as presented--Reason: S ecial* Permit and/or Site Plan Required: ind ' ng R i ed: Variance Require : (� S gnat ,r,'of Buil 7rspector `��U D t 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 Hoalth, Conservation Commission, Department of Public Works and other applicable permit granting authorities. is"71- OQ"CIt pTO 4. A 9 (rz# of �z#��nr}rf�rr I _* w`�4 - /, ;04747.16,4 1,, �(j« �G,lassacflitartla Z--;1161111Z— cl x _;_ _ ti� DEPARTMENT OF BUILDING INSPECTIONS ___�- INSPECTOR 212 Main Street ' Municipal Building _ Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print)DATE: ,9193 JOB LOCATION: (Ma (parcel) (Subdivision) HOMEOWNER: )cx \U S (- 13 t l ame� dre s) J G `)3�5 (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 ., d 'cal Zoning Laws, and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE t.., BUILDING PERMIT # WOOD STOVE INSTALLATION CHECKLIST Permit A building permit is required for the installation of any solid fuel burning . appliance. The building permit and installation inspection are limited to the ' stove installation an<not to the stove construction. Stove sp f-,jc 064 243 'k SIAS A) Ty,. /radiant circulating rua� B) Manufacturerll�V. .�} C iv. test label ✓� J %AL , 3-1 (after ;lull 1 , 179 only) Name/Model No.( e...x)lu��9 Collar size G''-'. " G�ajL_ IJLL I1-( ;. . Dimensions/Height j `/t. L-ea•g. I') Width a,•j Chimney 0,:c �:, �"d A) New ., Existing ��` �� � R ^w . B) Size (flue area) tom'° 1(..:'s;(i.,,e Lief. C) Other appliances attached to flue ((lumber and flue size) I^sA/`9---- • D) Metal (Manufacturer—name and type) i &eft Q_ 2s,Itos �` �� Lit( E) Masonry/Lined -Sit-(...X.)D Unlined Flue liner ti ' ( I, / (type & manufacturer) F) Height (refer to diagrams) cap vsr iO Over 10' I I min. 7-4 2 w. L.^t r 3/min ,O /O' ► ,, 717, . r r-71 , ; Y NV acc-rr l,1e) .: 11', HEARTH • CHIMNEY HEIGHT Hearth(min. 1 hr. fire resistance) A) Materials br' cr. 1-i(uoLA.I.,,,t_ 0-,361�,�cis he c1 B) Sub-floor construction f..000, C) Minimum dimensions (refer to diagram) Clearances and Wall Protection(see stove installation clearances chart) A) Type of wall protection provided y-.n(s,, cf0c:-. B) Clearances (refer to diagrams) __1‹: ------- i);;;IT ` a.1/:>,(.4_4,- 4 ! /4 OX I I 17 t FIREPLACE CORNER WALL/CENTER 'C > p A = < m. rr to ,r v v ni o• z v rri Q _ Z m r F R "b i oels a: TJ -s 7, Z 3 to O Z ,•' -i _ . I o - Lys C a 70 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5g( .3Vp', Alterations r NORTHAMPTON, MASS. ��� 19 19 JJ Additions }=. `A'' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 3 t'�1,, NG riO\AO,v,Otr\., Lot No. 2. Owner's name j OG% ©OOG� Address �b✓"re— 3. Builder's name k.1 Address Mass.Construction Supe visor's License No. Expiration Date 4. Addition taial tvek's-Acr k Cv-t•W S 3-e-- 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 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- ,, ) e under ned certifies that the above statements are true to the best of his, her , knowledge • .d belief. ACr \,61 ' --...... Alli 1" --- AN Signature ceev.7.5( spppicant 1111 Remarks PERMIT APPLICATION CHECK �LIIST PAGE D PLOT /3.2 ZONE A �i) 44-e. 467 YES NO ' , Dr TE 1 ZONING FORM APPLICATION '03 2 . PERMIT APPLICATION 3 . �SWNER) OCCUPANT STATEMENT / LIC . # IF NOT 4 . 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 . PERMIT FEE -CHECK ONLY - MONEY ORDER1/YV v 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS :