24A-015 (4) HAM
ze,i5 " ��� City of Northampton REQUIRED INSPECTIONS
1.! 444::—.44,4%1
}Po; BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 698 Office of the Building Inspector
Zoning Form No. 961316 Date 8/7/96 Fee$20.00 Check#3197
Page, 24A Parcel 15 ,Zone URA Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Pauline Sienkiewicz before Building Inspections
has permission to remove roll roofing & install shingles. Inspection on Site—Foundations
situated on 91 Prospect Avenue 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
** Install per Manufacturer's information: windows,vinyl siding, roofs Smoke Detectors(Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T PREMISES
` Certificate of Occupancy
Bi mgnp or
FILE I 9 G 1 3iG
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APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: 9/ biA et-ofea- ix U s3 5� is% V7
((11
PROPERTY LOCATION:
MAP )'7/9 PARCEL: /S' ZONE Gth
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
TONING FORM FIT.11.F.D OUT
Fee Paid
Building Permit Filled nn
Fee Paid C 3/S 7 73se -
Type of('nnctrnetinn•
New Cnnctrnrtinn
Remndeling Tnterinr //J� �7
Addition to F,xicting /��. , )Z.0 #tCc Doi
Arreccory Structure
Rniiding P !nrinded•
caner/erupant Statement nr Licence #
etc of Planc /Pint Plan
TB OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: :z •
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 Conservation mission
Signature of Building Insp
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioable permit granting authorities.
Fi1e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: D'9 2-11-/oyF S/t /!/Ivy/4-w
Address: 97 /C:2•6 dS/c'FC..7"4✓Ar Telephone: 6-8 1 0 9 '7
2. Owner of Property: P094,)L. > /Vt. SJFN,('/ cc, 7GL •
Address: m Telephone: „5--cf-y- O/t y47
3. Status of Applicant: y
Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: /) '° S/'FC A I/F
Parcel Id: Zoning Map# (/14 Parcel# l6✓ District(s): eL
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
04-64.-'G.�i-C•f --,-: 9—
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 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)
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 COMPLF'TED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
it 'of Loading Docks
Fill:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
�DATE: J--/. / '94, APPLICANT'S SIGNATURE c-e-i-,.2,,,/ .4 c
r NOTE: Issuanoe llof a zoning permit does not relieve an applioanes burden to comply with bii
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE
!:,w4�. 1 die Crxf of �?dortFJaurptan =*�
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M. ,�,1. �6 R1csJncllntrllif
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ri le DEPARTMENT OP BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building _`
Northampton, Macs. 01060
'
HOMEOWNER LICENSE EXEMPTION
�y / p (Please Print)
DATE: O /` l /G
JOB LOCATION: .2-4/// / 5
(0ap) (Parcel) ( Subdivision )
HOMEOWNER: P.L,�Li-i!1/e 5'J F N/f?r 1...., i G ti
(Name & Address )
91 AP1?o s P 7°- A Al 6f'.074'7
( Home Phone ) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) fami l 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 . CMRJ80 Section 109. 1 . 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 Building
Official , on a form acceptable to the Building .Official , the.: 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 completio of the
work for which this permit is issued .
Also be advised that with reference to Chapter 152 ( orkers '
Compensation) and Chapter 153 (Liability of Employers to Emplo ees for
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be' liable for person( s) you hire to perform ork for
you under this permit .
The undersigned "homeowner" certifies and assumes respon-ibility
1 for compliance with the State Building Code, City of Nor hampton
Ordinances, State and Local Zoning Laws, and' State of Massa«husetts
General Laws Annotated 'ND SHALL BE ON T E JOB AS SUPERVISOR.
j .
i HOMEOWNER SIGNATURE `4�-_, �•
i BUILDING PERMIT 1 •
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.-5 Yr-"U S'7 Alterations
%r NORTHAMPTON, MASS. 199� Additions
kA' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location y/ Rielt 'p C7 ,. VC A/047,7 0 1Z7/P7 IV Lot No.
2. Owner's name 119 G L . NE S7 F ',r') >C Z Address s "22F
3. Builder's name h R/FL-SON — jQ 1> E3 r TS //
Address i/ 2i ?'F V A)-L ?' RL
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? /VP
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:-
1 pb, .60
The undersigned certifies that the above statements are true to the best of his, her
knowledge d belief. 1
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�G.re.r/ P_ .ZC.a e
Signature of responsible appicant
Remarks �-- 4 ? X., c -' J v75r.�"'�C-_/' -�-C /fi