29-232 (3) PERMIT APPLICAJION CHE��
PAGE -2-q PLOT A32 ZONE ��
NO DATE
ZONING I IO
2 . PERMIT
3 . OWNER OCCUPANT STATEMENT LICJ IF NOT L /
3 SETS OF PLANS /PLOT PLAN
NEW CONSTRUCTION
6 CURB CUT
7 WATER
REMODELING
9 . ADDITION
0 , ACCESSORY
1 . SIGN / AWNING
2 E - CHECK ONLY - MONEY ORDER .�
13 . SPECIAL U IF APPLICABLE
14 . UNDER - CMR 780
5 . FORM A
16 . FILL
COMMENTS:
�n1tSSi{C�UStI�S -
DEPARTMENT OF BUILDING INSPECTIONS -
INSPECTOR 212 Main Street ' Municipal Building 't
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: % Avg Of T.
JOB LOCATION:
(Map) (parcel) (subdivision)
HOMEOWNER: _-DAVI-D 'e.
(Name- & Address)
(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 Lags Annotated.
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HOMEOWNER SIGNATURE
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No Qa''y"�O T� Alterations
NORTHAMPTON, MASS. A-062• 2� 199- Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
i Location //,?S'e4j f c/a C H11-4- AVE., g(=o eg Al C Lot No.
2. Owner's name ::D ✓ TZ Address 'S1° 11G 11-6 E. LO 6/A4�S
3'.''Builder s name �n t 'Adr t�►!1
Mass.Construction S pervisor's License No. ( Crt q3q Expiration Date
4. Addition
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
Siding house
614.'
Estimated cost:- s (el(oz
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature resporesble appicant
Remarks -, o+tL"c S&i"A -3 EPjk C&I,+Ljrj� W OD CL+&W -tv 6e Uis
-----
00111 viJ
Date Filed 7 File No.
ZONING PERMIT APPLICATION (910, 2)
1 . Name of Applicant: �D E. RC-AlT,Z
Address ://<P 4EC,'y -6 m44 AIDE_FL OeP,�N-6 Telephone: ,,r - pd2/
2 . Owner of Property:
Address: L/8 s/°nyCe h//Lt Af1e,r �L R€n/c,;Telephone: L6 6y0 a/
3 . Status of Applicant: . Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 2-q Parcel# ,
Zoning District(s) (include ov ays)
Street Address ukk .
Required
5. Existin.. Fro osed _by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg . Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- 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 sheets
if necessary) To'T'Z, 5,C41E6 10`4 EIoA !'ERTI F/e-p woa -bSTO:1E To Age
EA1STA4LED T'A MF(7/4S G/L L/ST/n/G /,/T'O
ek/�!!►/EY Z9Y OL�D E ;lA bL 45I&H R6ARTN*R0Me cTR. , =.v c_ . _ //9
•eNCC1ft1s'?° 7-O&C Cc� aPOA/ zvSr.AGZgr!O
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: /�f�;cyac /Q��/ Applicant's Signature: d ��
// THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S cial" P it and/or Site Plan Required:
ing red: Variance Required
gnat �;4 of Build Spector D t
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply wipt all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Departmont of Public Works and othor applicable permit granting authorities.
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