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29-004 ERMIT APPLICATION CHECK LIST r PA YES NO DATE 3 . v. , NO 3 SETS OF S /PLOT PLAN 5 , NEW CONSTRUCTION 6 , CURB CUT 7 , WATER AVAILABILITY 0 S 8 . REMODELING INTERIOR 9 . ADDITIO 10 , ACCESSORY UC U 11 . SIGN / AWNI 12 . P E R M I T F E E 0 N L Y - M O N E Y 0 R E : 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 , FORM A 16 , FILL COMMENTS r �l r i r I � 1 I � I u r � / I I � I I I r Q 1 � I i I i /qdd '< B DEPARTMENT OF BUILDING INSPECTIONS = INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: I (Map (Parcel � (Subdivision) HOMEOWNER: J�r� v -',� a (Name & Address) 'A ,P7-1Yd1 12J_01Q InI4 6'006 -39fu10 "I5--,::1; o�U (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 i' . 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 L Zoning Laws, and State of Massachusetts General Laws Annotate . HOMEOWNER S I GNATURE BUILDING PERMIT # < n z rri N > o O M Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location .20; FA6&_1?Ce Ad Lot No. 2. Owner's name Jtc Fr e y 6fqi10,V Address 5- ed 3. Builder's name a mo Address_ �c7 rn Y .Mass.Construction Supervisor's License No. _Expiration Date 4. Addition 5. Alteration z' c/v s e �/QX &L/la 6. New Porch 7. Is existing building to be demolished? ,NFU 8. Repair after the five ltoo� 9. Garage ./YZ' No.of cars Size 10. Method of heating ,Nu�✓e 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- �r3O0 The undersi d certifies that the above statements are true to the best of his, her (, d knowle e an belief. Signature l revonsible appicant Remarks w 4 lA AEI... .y 1 1 l Date Filed File No. ZONING PERMIT APPLICATION (910 . 2 ) I . Name of Applicant; . ,6elQE 'b- f�ff!;?©.,,J Address : a e �», /) Telephone : SSG - 0(P 2 . Owner of Property: 6__e/' - 2)111ndlu Address : o� c P// a,.J Telephone : 7E6 3 . Status of Applicant: ✓Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 0-a— Parcel# , Zoning District(s) (include over ys) UR_ Street Address Required 5. Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: L: R: - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs e Fill (volume & location) 6. Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) FiGmr 10/1, W �, ,SyLc"fr Q- y 7 ._ Attached Plans : Sketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is ue and accurate to the best of my knowle e . Date: i � f� Applicant' s Signature: a ZApproved THI S SECTION F F OR OFICIAL USE ONLY: as presented/based on information presented Denied as presented--Reason: 13. ecial Pe it and/or Site Flan Required: ,ng R i d: Variance required 4n 1 / gnatu -Bui1di e 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 Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. i&­7')-)- �l O 00 0 W W a • � 0 t �. �a ° w cn I to S I z . ON C14 to ENO ►—j A C/) x � ENO r a d,o o Z M C40 04 .40= O u Z HO � z � = � Q ' 4 an 0 o ,U � 'h Y E gz a) Q5 U ro y O v aA O 'flyer', Q 44 u a° ;a o ao Ld �2 $ an 0 � � ° �¢ V1 Q Q! E t-) y� u w ['-0- ' co � yO❑ �, �, a W y o � � c � •� � ° V � �.,'•�• d U d'o o ` o >q, o ' o CN w 00