29-294 �` c.(1L PERMIT APPLICATION CHECK LIST
PAGE PLOT 2_q�f Ltl LZONE j✓ZM ' - DATE
ZONING IO z" 4
2 . PERMIJ ARPA4GATI
3 . w IF NOT
NEW CONSTRUCTION
6 . CURB
WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDI
0 ACCESSORY STRUCTURE
11 , SI
2 PERMIJ FEE CHECK ONLY — MONEY RDER— 0411
13 , SpECIAL pEgMIT gEQUIRED WITH DEED IF APPLICABLE
4 . UNDER — CMR 780
5 FORM A
6 . FILL —
COMMENTS •
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
ti
APPLICa ATION FOR PERMIT TO ALTER Repair
(� \ Garage
-
I Location .� i"<h c.Gt S u 4�. p Lot No.
Owner's name a,.l414 ed S Address
U Builder's name � (o P-J&L ��. ��S Address 37 !"eft"to- �•
ll// Mass.Construction Supervisor's License No. / Expiration Date
E4Addition_P—t2r� -:5 �" J Y l tx+► A S`C t etA e,-u P�c�
5. Alteration
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
b1 . Siding house
4 Estimated cost- 'j bQ 0. DO
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
i� �Ignoture of responsible app,ican!
Remarks
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: Z 749,(
JOB LOCATION:
n(Ma ) (parcel) (Subdivision)
HOMEOWNER: \b o o 4(-.X (-�. 5 � ? Po n c�,s ( I� rlyre
(Name & Address)
S - s y a
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
owner-occupied Dwellings of one (i )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
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 SIGNATURE
BUILDING PERMIT #
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03' 3
Date Filed File No.
ZONING PERMIT APPLICATION (§10. 2)
1 . Name of Applicant: h;e
Address., 37 Veyxcalcal Dr. -Telephone:
2 . Owner of Property: .ua,,, t Sipe SLt;Js
Address : 37 �2.i c�sctl �� Telephone: Sf6 s,11 a
3 . Status of Applicant: ?"Owner Contract Purchaser
Lessee Other (explai.n j
4 . Parcel Identification: Zoning Map Sheet# Parcel# 2-1
Zoning District(s) (include over ys)
Street Address ,
Required
5 . Existing Proposed by zoning
Use of Structure/Property enc2. yes.
(if project is only interior work, skip to #6)
Building height a5` la
%Bldg. Coverage (Footprint) o �� .27 0 , �r
Setbacks - front 3 3(7 p '
- side L: 2_ R: 3 _L: R: X13 lam '
- rear t f
Lot size 12, i
Frontage. a y a
Floor Area Ratio
oOpen Space (Lot area minus
building and parking) CD y53
Parking Spaces Zx
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) I- _,a (&av S ,pLn J,&t q fgj k.a.&e w , fc,t
Y
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: 7 °f'-/ Applicant's Signature: � �
— THIS SECTION FOR OFFICIAL USE ONLY:
t'Approved as presented/based on information presented
Denied as presented--Reason:
S Ecial' Permit and/or Site Plan Required:
-in g R 'r y1: Variance Require
�,7 7
gnatwre of Building In2flector ( at
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NOTE: issuance of a zoning permit does not rciiovo an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Dopaitmont of Public Works and other ap6licabio permit granting authorities.
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