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29-307 (5) • t PERMIT APPLICATION CHECK LIST PAGE . :pLi oT � 2©NE t"-'1� - ' ES �`�4 DATE ztx� I QN 3 . OWNER OCCUPAbLT STATEMENT / L IC A IF NOT 3 SETS OF PLANS /PLOT P! AN 5 . NEW CONSTRUCTION CURB CUT !dAIEB AVAILABUITY FORMS 0 . REMODELING INTERTOR z 9 . ADDITI C ---- it , SIGN AW�ING 12 , PERMTT E z MONEY 0 D B =r L3 SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE h UNDER SECTION - C 78 16 . FORM A 16 FILL CO MEN S - P MA �+ e Crif� of Xarf4alllptan y�BSEAC�I1IEt�lE v DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01000 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: _ (Map) (Parcel) (Subdivision) HOMEOWNER: a vf_ v r in L, 11L _ A ) +-c; �o (Name & Address) �3<�T;�) TI CQ �%\-A (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 ai license, provided that the owner acts as su ervisor. 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 BUILDING PERMIT # � "�*� � ; �f �� _ _ t ,�. , ' �- 1 �.: � , . _ n � ,� _ Y �. � f_ R � ,� a.,, �' ,�� �fr 4 �. � _. ,. _ ' t .. �j py 1 `n w �^y/ � S � n.,* �� yr^4 �" "`.I � — —�— —. _ ,.� f :.. �` � � '�,, ��. ^° _ .. .` v �; � ,F �. > ,,._ ,.., .. ,., , ,,, -— _,,..._ „,.M�' ., � � ,. .. ,M � r r' }.. y _ �. 1 .' .. I - I T I i �, � b � 1 _ .. 1 at L � ' 1 't� � I � } _ _ :a ._.._ --�. _ _ - _ __. 1 i �` �'. a i _ fff .3.�� � � ;\ [ a r _ _ ��� [ r �.�� 1 i � __ 9 }� _ _ ._ ,�� _... k_:� .. ... �. _ _ _ ._ ,. '. i ... � _. --ice ,,; f i f � '. � _. ff//�, AnW� _.. a .. �.. r f" ',. � r � ( . «! 1 I I � r y b "0 0 � b b C >y C b O r a o n 5 C1 � � � i✓, z S a O I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations x a NORTHAMPTON, MASS. :��u1� - 19- Additions Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location . N -A A CYe bwOo k �)Y E°I Lot No. 2. Owner's name c 1aL,- RL �3OA-t s N�ti� � --�Y Address es '^e h M^K Or 'C"1CQ- A-4, 3. Builder's nam me c O cCk7& o c Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch ✓ 7. Is existing building to be demolished? 00 8. Repair after the fire 9. Garage N o No.of cars Size 10. Method of heating rJ 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:�� 000 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signure of r s nsible app<<canl Remarks � u Date Filed ' File No. ZONING PERMIT APPLICATION (910 . 2 ) 6(1u� I . Name of Applicant: , ,e ms Address : y . rs t Telephone : 2 . owner of Property:_ 0,t-,; e- IV AoLQ Address : � Telephone : D 3<-F 3 . Status of Applicant: 1i6wner Contract Purchaser Lessee Other (explain : ) 4 . Parcel Identification : Zoning Map Sheet# Parcel# 3o7, Zoning District (s) (include overlay ) Street Addressl � C - Required 5 . Existincr Proposed by Zoning Use of Structure/Property (if project is only interior wo k, 'ski to #G Building height %B1dg . Coverage (Footprint) Setbacks - front NA YJ 4,0 - side L: ig` R: j S, R: 3 - rear tSb' t t Lot size Frontage Floor Area Ratio"' %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : =. (Use additional sheets if necessary) r 7 . Attached Plans : 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 : — _�-_;�—LC 3 Applicant's Signature : �— THIB 8ECTION FOR OFFICIAL USE ONLY: / Approved as presented/based on information presented Denied as'presented--Reason: S ecial' Permit and/or Site Plan Required : nd ng Re ed: _ Variance Required : lgignatukt- of Bui.ldi ns ector_ i ` at NOTE: Issuanco of a zoninfl permit does not relieve nn applicant's burden to comply with nil zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Dopnrlrnonl of Public Works and other npplicnbio permit flrantinfl outhorilios. as O ,wow. � o � � A' y o COO 0 ° co n > y � e r► � ° �bb n � R ° (D ll CD. m o r1i C) tCl $ m ~ (D 0)a Z sc 6Zo a ft c o 0 m Q o o C4 LQ � o• o o' rte.� �, � '� O a n 4 LQ a b `° 00 o � p 0 5 5 5 CD o. o y �. I 5 °° °� °, �, � o ao rIQ N � a So cr 0 0 0 5' crq, O �? o �? o o � � o ego o as M o cro �• „ CD tz ° Gi C�7 o E3 '"{ y �3 n �• o o � �o rte• � � b � I � CD I