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29-536 (2) ,.. y.,.,.,. �.,..� ;� �. ?�. PERMIT APPLICATION CHECK LIST PAG .�r . '. YES NO DATE 2 3 T LIC A IF NOT rwr �. 4 . 3 SETS OF PLANS PLAN � 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIG N / AWNI 1`2 . PERMIT FEE ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : t 7---- -------- Q YO\ —�.a► z Fl � z 0 0 � o N � X � H C R s .�.,�, . x ` s O��IiMlATO $ s � ,m�saK�tt��8�as 3 DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: (Map) (Parcel) (Subdivision) HOMEOWNER: P A L. s a n'-O-_� A4 T nC✓'��a� a I (Name & Address) re n c_ 5 _5 L- '23-30C (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 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 S I GNATUR.E� ,C.� . BUILDING PERMIT # 70 "O C n 0 o a z d � o I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location _2y Tkh 1 pti,% �A � LL. Lot No. 2. Owner's name S Address .q'q 'r i ��t c rl 14,11 3. Builder's name CtY� �_ a rN t��, Address �`� 1 hj o;�. L J Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration ' Ch 6. New Porch !_ -e _ � r l• 7. Is existing building to be de olished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines o2 l 135 s �Q-C-L_ ' 12. Type of roof—,, 13. Siding house 14. Estimated cost:- � v v The undersigned certifies that the above statements are true to the best of his, her i� knowledge and belief. la oz. .A -2� U_ Signature of responsible applicant Remarks � U Date Filed 0019. ') File No. ZONING PERMIT APPLICATION (910 . 2 ) 1 . Name of Applicant: 4V!?e./ L -5,, A(-k-S Address : ,o?t/ 1�ldul Al J4 ,L L Aare j,16, Telephone : 2 . Owner of Pro ert g // c � � `� �� '300 Address : -Telephone : 3 . Status of Applicant: Ownery Contract Purchaser Lessee Other (explain : ) 4 . Parcel Identification: Zoning Map Sheet#-1q_ Parcel Zoning Districts) (include o erlays) t,A- Street Address ;N Required 5 . Existin Proposed bv Zonin Use of Structure/Property (if project is only interior work, skip to #6) Building height ldg. Ccverage (Footprint) Setbacks - front - side - rear _ "I size Frontage Floor Area Ratio aopen 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 nee ss� (r�� fe r• �� i5 �'-,I deC K aylA rn0( k ft 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 : ������> Applicant' s Signature : _ _ THIS SECTION FOR OFFICIAL USE ONLY: ✓Approved as presented/based on information presented Denied as presented--Reason : special' Permit and/or Site Plan Required : F,;ending Required: variance Required Si natur Buildi ector D6 t 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. 00 b v, �' �] r') O l0 J ° a '� r w til w 00 O N t7l 0aCD � � ny ►-� r'-4 R ° ebb � m r=* � �' � � � g' � m tz ao � a $• xv x no � ° x r Q lQ 9 v ` 5 () rt o 11 �g x � s r� � o Folk y � y 0 8 � Z CD tz co � o 5 y O 0 � s Rp. � G c � w � � � � � a. Z ° q• � Cr Cri w tJ 92 n T Li o 00 to g 0 M M 0 m = & 5 d ' a b 5y ° � � ° o O ti y It �