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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3 2-D19-MS77AI GFI- , F"l?eIV6,5" Lot No.
2 Owner's name ! '�2-/ �T srl. Address
3 Builder's name i"�s ���`��- Address C 1�5 F1 E t-& f 44—
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration Alt A(IM
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
I Siding house
14 Estimated cosL
The untrd' certifies tha the above statements are true to the best of his, her
k owl
Signature of responsible app,icant
Remarks
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Maas. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE:
JOB LOCATION:
• (Map) (parcel) (Subdivision)
HOMEOWNER:- Pewtz_ ter ZJ wS Kid 3Z-- 414 3 77A) dw-e_
(Name & Ad ress)
Y13-spy-7?00 797
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
owner-occupied Dwellings of one (1 )or two (2) fami 1 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. 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 m_ ay 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 oc 1 Zoning Laws, and State of Massachusetts
General Laws AnnotatordJ_AN5YSHAL_L, BF ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNA
BUILDING PERMIT #
Date Filed 003305_ File No.
ZONING PERMIT APPLICATION (910. 2)
1 . Name of Applicant: f e7roe_ <7G 7;9,00 /0
Address : 32 4ut77N CgK_ . Fe,alzENG Telephone:
owner of Property:
Address: Telephone:
3 . Status of Applicant: ( owner Contract Purchaser
Lessee 0-£�i"er (explain )
4 . Parcel Identification: Zoning Map Sheet# 1 Parcel#
Zoning Districts) (include ov r a s)
Street Address
Required
5, Existin Pro osed b Zonin
Use of Structure/Property
(if project is only, interior work, sk to 6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front -'
- side L: R:
- rear `}
Lot size
Frontage.
Floor Area Ratio
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & locat 'on)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
7. Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the informat ' n contained herein
is true and accurate to the best of my knowled
Date: 1,31 Applicants Signature:
+ THIS SECTION FOR OFFICIAL USE ONLY: r +
v--'Approved as presented/based on information presented
Denied as presented--Reason:
P td' Req ermit and/or Site Plan Required:
d: V iance Required:
C
gnai din or e
. //1
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply witii all zoning raquiromofits and obtain all required permits
from the Board of Health,conservation Commission,Dopartmant of Public Works and other applicable permit granting authorities.
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