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29-464 (2) ',r � a .. ... 'N. 7 > rz;VC—=- > rn -4 O rD rri Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5-e-K Alterations NORTHAMPTON, MASS.- 4 / 4-1 7 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage w"'l. Location Lot No. ✓ 2. Owner's name 114 's 7- Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 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 k/12. Type of roof 13. Siding house V14. Estimated COSL- 7 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icanf 'J'Remarks— L / 7 /tom 6 k" A16 j 1 ;zo © a CrzfLy of 'Norillaill ltoll APR1 41997 �saR��,11ef��a DEPARTMENT OF BUILDD\IG INSPECTIONS 70R DE� l OFB. Ifir. 212 hfain Strect ' Municipal Building """" "°"""' Northampton, Iyfass. 01060 y t HOMEOWNER LICENSE EXEMPTION _ (Please Print ) DATE: - � L y JOB LOCATION: ( Map) ( Parcel ) ( Subdivision) HOMEOWNER: .31 �'g b57 uI f Lfz Oki L, G Name _ & Address ) p yo ( Home Phone ) (work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or t+.m (2) families and to allow such homeowner to engage an individual for hire who does not possess 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 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 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 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 BUILDING PERMIT # 1 o" 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 COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This Col— to be filled in by the Building Department I Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of -Parking Spaces f fof Loading Docks Fill: Avol-ume"-& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: q.- -1 q_ ci ( APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an appli nt's burden oomph► vk!#4 pll zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # ` Ul` 1 41997 6w '7-1NSP \ 0 OF —U ��la �o' »� ��� �� � � � ��K����.���� �v����L�.� u��~�����.K�u������� « ��.�w' . ��� PLEASE TYPE OR PRINT ALL INFORMATION J 1. Name of Applicant: i- d it)C /. - Add X2. Owner of Property ^- ~ Address: Telephone: 3. Status wfApplicant: owner Contract Purchaser Lessee Other(explain): 4. Job Location: '�- �xC(� / /L / Parcel Id: Zoning Map Parcel Parcel# District(s)' (TO BEr|LLED |N8Y THE BUILDING DEPARTMENT) ` S. Existing Use ofStruoturo/P rope rty fV G. Description of Proposed Uae/Work/, 'eoVOccuooUon: (Use additional sheets if necessary): 7- 7/ve a- IV i I (-/,/t 1"".(o ° 7. Attached Plans: Sketch Plan Site Plan nginmerud/Sun/eymdP|eno Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. O. Has a Special Pernnit/Vahanoe/Finding ever been issued for/on the site? N O DON'T KNOW YES IF YES,date issued: lFYES: Was the permit recorded et the Registry nfDeeds? NO DON'T KNOW YES IF YES: enter Book Page and/or []onunnant 9. Does the site contain o brook, body of water orwetlands? NO L_-r 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) - FILE # 962110 9 APR .PP�X�A /CONTACT PERSON: ADMUSS/PHONE: DEPT OF 81 IV OPERI LOCATION: MAP 9 PARCEL: ZONE a THIS SECTION FOR-OFFICIAL USE ONLY: PERWr APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM ETTLED MIT Fee pnid Building Perinit Fillf-ri 011t Addifinn to Existing t/ ,t TH.�OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION. ` V 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/ZONITIG 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 Il Water Potability-Bd Health P n Zn, Signature of Building Inspector to NOTE:Issuanoa of at zoning permit does not relieve an applioant's burden to oompty with ail _ zoning requirements and obtain nil required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. a� Cn z y W 4 N ao 0 to o° ho ao JG w cn U 0' bA I I cn O Gi Gc S � a ° o c •u° C14 cri d C4 4l w r-t S a O O O O U ENO a 40a 15, t to z CCU wo O �,,, 1�1 •"'" a z . 00 S 'U' z o = au a Q 400 O � u o O c � � UU � o apow A �''o a ao c y Ar G Q � o CIS 4i wove -5 o o r- 'o z