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29-297 (2) PERMIT APPLICATION CHECK LI S * , PAGE �� PLOT --�37 ZONE' ' )NO DATE 1 . ZONING FORM APPLICATION 7 I�N 2 . PERMIT P IC t-' 3 . 4--'OWNER OCCUPANT STATEMENT L C.# IF NOT 4 . 3 SE T S 0 F T PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER S 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY UC U SI AWNING 12 , PERMIT FEE - CHECK ONLY 13 . SPECIAL PERMIT REQUIRED W D-EEE6 IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : O¢S11Mf pro v` • s Grit nf Nnrt4a11rPfan r • Aassdthuse(ts DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION _ (Please Print) DATE: y JOB LOCATION: o12 g Z ( . ap) ()?arcel) (Subdivision) HOMEOWNER:_ ��_rl� r g e.. ANar, Lc)S 1 a 0 4 roan s.:1. 01r (Name & Address) /V"r 7/ A 2-W-4 ©�o G -?s-/1 (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include owner-occupied Dwellings of one Mor two (2) families and to allow such . homeowner to engage an individual for hire who does not possess at 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 SIGNATU$E BUILDING PERMIT # �► .i 5 .t� i �� Us�e< ___._ I l Nbo;t I f � v T `C TI 7C � Z > � O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage e2;Owner'sname Location /.A G1 w(7 ��./<,t,, - cut YC I le Lot No. &VJ-r i e, �HJX-r Lt2-S Address / ,;AV -eluejok si t� dr , h 3. Builder's name 1 -►k- _ Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration G (w t 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 13. Siding house 14. Estimated cost11 S The undersigned certifies that the above statements are true to the best of his, her f knowledge and belief. �e7 V1 Signature of responsible ap iic. $� Remarks Date Filed 00283`" File No. ZONING PERMIT APPLICATION 1 . Name of Applic t: tza pt Address: I U 1 k s ;~c�t_e C'. ► t c tF Telephone: 6-Y`/- ?3)3 2 . Owner of Property: 2qnp Address : Telephone: 3 . Status of Applicant:VOwner ^-ntract Purchaser Lessee Other (exf ) 4 . Parcel Identification: Parcel# Zoning District(s) (include Street Address , Required 5 . py Zo in '6Use of Structure/Property (if project is only inter- Building height �v Bldg. Coverage (Footpr'` Setbacks - front - side - - rear t Lot size Frontage Floor Area Ratio oOpen Space (Lot area miril - building and parking) - _ Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Des i ±c,.f Proposed Work/Project: (Use additional sheets if necessary) 1 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 - f ' . THIS SECTION FOR OFFICIAL USE ONLY. t/Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: d ' ng Re ed: Variance Required 317 Z SIgnatu,te f Building I or p C ate 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. cr P �.w.ae. a vi c� o w LJ tJ �p j co r- �• N O. tv Cam' O N O b_bi It 00 0 W rr 0 r- x rt ag o' �• d o g 0) � O CrJ ~ y o. rl d F- 14 t _� w Z no ca Z Z b rot- C � o 0 cy IQ 5 rJQ °3 p 0 M (JQ N I :0 Z a. rr m W N �- r0 QQ rJQ (IQ CD 5 y T m *14 R a �, D N � g °, • g0 w .c b g Co o 5 c� d tz 5 :03 © Q -� * C ° ? S. O CA o Ez Di ° n