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31C-011 (3) 0cw+�rnr DEPARTMENT OF BUILDFNG INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 y HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: 14, t at9 9 JOB LOCATION- (Map) (parcel) (Subdivision) HOMEOWNER: (Name & Address) !a W 2,.,� /�✓e.� /vat- Aa . ©to 6 y �_Y6-- �o c (Hom& 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 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 AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE � -`� �'( IZAk✓ BUILDING PERMIT # a 70 'v T � a .. r .� Z vrn Z � o A -s i Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location !o 6Jg,-vC 6.4t , Lot No. 2. Owner's name `7zt.j� A2. '_1-G.� Address I° LJ121+-.i 4VtiC 3. Builder's name Address_ Mass.Construction Supervisor's License No. _Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? ND 8. Repair after the fire 9. Garage �o No.of cars Size 10. Method of heating No 11. Distance to lot lines Nd 12. Type of roof 13. Siding house 14. Estimated cosL- ,g�,�,,�x, l�oa The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. $ig�nu�p of responsible app icani Remarks �S 4 A Date Filed , 003503 File No. ZONING PERMIT APPLICATION (§10.2) 1) Name of Applicant: Telephone: ou Address: (o COQ,,,,. r � p c f J2 . Owner of Property: - /JgirL,e Address: _Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Zoning Map Sheet# f Parcel# / Zoning District(s) (include overlays Street Address /) ' ..a Required 5. Existinq Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %Bldg.Coverage (Footpri Setbacks - front - side - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Project: (Use additional shuts if necessary) TooC s(Al . '.r+r sue-► (� z h�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: d 2,4 , PQQLf Applicant's Signature - - - - - - - - - -- ==�- - - - THIS SECTION FOR OFFICIAL U E Y: Approved as presented/based on information presented Denied as presented 'a n fo Denjal: ign ttre of Build nspector 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 auttwrities. PERMIT APPLI))CATION CHECK LIST PAGE «' PLOT Cr ZONE C&-o- X61 y Ikk Ike ES NO DATE 1 . ZONING FORM APPLICATION 2 . PER-MIT 3 . COWNER NOT 4 . 3 SETS OF PLAN 5 . NEW CONSTRUCTION 6 , CURB CUT 7 WATER 8 , REMODELING 9 ADDITION 0 , ACCESSORY STRUCTURE 11 . SIGN 2 . PERMIT FEE - C - MONEY OR E = 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL 4 . UNDER SEC - CMR 780 15 . FORM A 6 , FILL COMMENTS: � a z cc � c 4 rr ° ° w =04 c l o -.81 I I S ON � o Cs. � cn cn asp a n O N z CCU d,o O u > W LL, Ao o Q 4-) -1 N ° -5 o O 4. 4--) ° > � .14 s2 A � c w �� . �, o • O H •� :�o :� a ° oob ' ° V1 Q FA bB Cc: 21 � 3 W x CQo 2 � a ° 0 NO cn co LO M°o a� o c o o w 04� V �, a W o sr. "d• o0 Q N O�'as.an■� Z Q a U