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29-361 (4) PERMIT APPLICATION CHECK IST � 22,z PAGE '"- _ 4`" aadU44� 'YES NO DATE 2 . 3 . IF NOT 4� 3 SETS QF--PtANS /PLOT PLAN 5 , NEW CONSTRUCTION 6 . CURB CUT 7 , WATER AVAILABILITY FORMS 8 , REMODELING INTERIOR 9 , ADDITION 10 . ACCESSORY STRUCTURE 11 , SIGN / AWNING 1 2 , PERMIT E - MONEY ORDER 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - CMR 780 15 , FORM A 16 . FILL COMMENTS : v s f� •R A i 2 { i 1 Q�npT of Nart4alliptan AassachuaCliff z DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: (Please Print) JOB LOCATION• HOMEOWNER: (Map) . CParcel) (Subdivision) � w�N2 ���k u c k A{ Ed�.�oe I OR l U+✓ (Name & Address) ��y—oc�S� Shy-385 3 (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 at license, provided. that the owner gets 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 m_ ay be'liable for pE�rson(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 ,t/ , BUILDING PERMIT # z �p v M 0 z � o r Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. '"6b��° Alterations a NORTHAMPTON, MASS. 'V4- /(� _ 19 3 Additions APPLICATION FOR PER MIT TO ALTER Repair Garage 1. Location Lot No. 2. Owners name_ Address___aa7 64C60ok- Otzw 3. Builder's name Address i9 y-r#!m#r ry ,�ti}S S Mass.Construction Supervisor's License No. Expiration Date 4. Addition / N SQ L L ccl(/ � ktd�✓�D 1, 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 13. Siding house 14. 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