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'...,S5..' .4. ..7.', 1,..' .1 ..,, it) 71\ C34 C - • k e Crz± oaf Nrrr#Ijtt»tpfart =* 44ij 41 izsoachusetta "l�''�'.OW' DEPARTMENT OF BUILDING INSPECTIONS - INSPECTOR 212 Main Street Municipal Building ` Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: • A an Din ll? `t e cu (Map) (larcel) (Subdivision) HOMEOWNER: /1 W'4 , 4i) tot re (Name' & Address) 1 (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 as 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 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 AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT # 1 z ° -z o a n Z n o R 'o T E .. r ° r�r Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. - //��^( () Alterations %r NORTHAMPTON, MASS. �P/ / 9 Additions F `.�" APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 417 A e,' '✓'np.vt L'.ve ( _c(S Lot No. 2. Owner's name "'l".4- + 1 t vi.c 5 a vt le-1 Address '-i het Itiv44,w d.t V'4..54-1,0,44,14 I p e-dS 3. Builder's name 3 L v\ &"..( Address in O cc ✓J 5.+- Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch I X 2 1 5C;I,"–e-i∎e.ei i `1, ��rC-I'N / G�"C 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 (3 a 1 e✓ 92ci"t= ( SI,t h5 it,i ) 13. Siding house 14. Estimated cost-/2'7,0. 00 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 141 i,..� Signature o,( onsible appicant Remarks . �) n ` l () Date Filed �.-.6- 2 c_ File No. ZONING PERMIT APPLICATION,,(§1.6 . 2) - 1 . Name of Applicant: s 54- 4_;,/,1 Address: /C- 0A: h,,,7, ;j-- £� 4 ,,,r4,,, Te ephone: ' 2 et 0 .02 2 . Owner of Property: L Ai 1- i( 2 i4ti, Address: 4' /:e- °i e/,2e,,t 5-71-- t eecl5 fiei Telephone: 5f-,. 3 . Status of Applicant: Owner }(' Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map heet# /IL_ Parcel# �.'-) r Zoning District(s) (include verlays) `) (,��,VL..�- Street Address ( .. k•1t •_. x' ' .r Required 5 . Existing Proposed by Zoning Use of Structure/Property .4_.cv_4.jc ,(if project is only interior work, k„,-.A,ip t* #6) ' ding height %Bldg. Coverage (Footprint) It ''"‘ XS- Setbacks - front , c ,-: ---3C - side L: ,f, R: : %-' L: R: l5' - rear 3C, - of size it i :-i i 4 Frontage- Floor Area Ratio - %Open Space (Lot area minus t) _ building and parking) (ou tt Parking Spaces Loading Signs _ Fill (volume & location) 6 . Narrative Description of Proposed Work/Proj.ec : se additional sheets if necessary) Cpl 4//, 1:2X ,2/ <J _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: ° C/ ' f'5 Applicant's Signature: # ___,s / THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S• •cial' Perm't and/or Site Plan Required: - • i ing Re•`fre..: Variance Required: gnat - - o - Buildi.•-- - • -c or bit= 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.HTL PERMIT APPLICATION CHECK LIST th PAGE //it!) PLOT L3 ZONE G/'}V= /4eti ' p YES NO DATE 1 . ZONING FORM APPLICATION /f- 2 . PERMIT APPLICATION 3 . 0 QCUPANT STATEMENT / LIC , # IF NOT Z� 4, 3 SETS OF PLANS /PLOT PLAN 5 , NEW . CONSTRUCTION 6 , CURB CUT 7 , WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 , ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING l / 12 , PERMIT FEE - ` !Ci NLY - MONEY ORDER/ 7 '3;4/ 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS; z ,u��i� do Cif' I y e I., gi �• Fo> I ooga a. Cn o ,� a.-al pl. gE6s. 0 1 IT] cr ... o o �. 0 0.y �o 0 5' a 'g v1 cn ko 6 E. ?MV, a 0' 0 p' rrh cwt y b tZ G L.y' to PG' R rt M P ' W QQ• �_, g O 0; § ,bQ A) rii��..� v,• C. 0 cm ivy' n N '(D O ` 1 CA A s, �J CD (D N (D t © pot (D tool, Ci 54o = 80 0 .c.lil '8 to tu. 0 tg 9. g. c, , .5.... tml 7-1,. 4111) � z P =I. = 0 In z a g V) x 1-1 V n ro • v L--- -J o ..1 4 0 •,.. to 0 5 5 5 WE t55 111 d �' o' o o g a g y 'b C Q 1. 1 0 O 0 - \ INz Crs O o : : g a O v, fIQ O v, bQ z 5._ n v,z p_ =M §' g g 1;ci $ ?4 o N.: 5 b 12 EL at OQZ -a v a 5' Z oZ 8: b 0 N i