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35-001 (5) a T � 70 = a .Z Cn .� I C� A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S G yT— Alterations NORTHAMPTON, MASS. / -- 2 Y 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location ° V(S 4e, pu , Lot No. Owner's name j 0 S�, ( 6. 1 TS©� Address S �–�- 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition n,v CGS eS o 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 cost- _ The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. / 4!�!4 Signature of response le appicant Remarks A, f !3 r I yS r/� 141✓n of �r� ( &d S te% /�c Vic" / /H kA/l ( 4 W re 4!3 ,ee -1 �✓� Tom t7 At, l S`' =o�� ATOy Crz a fax#f��nt}rf�rt DEPARTMENT OF BUILDING INSPECTIONS - INSPECTOR 212 Main Street 4 Municipal Building yt Northampton, Mass. 01060 HOMEOWNER LICENSE EX1?MP'T'ION (Please Print) DATE: JOB LOCATION: t (Map) ()?arcel) (Subdivision) HOMEOWNER: TOS l yi 6 1 . t„ a 1 A J,,; (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, oft 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 persons) 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 # Date Filed 0 `r-L" `" File No. ZONING PERMIT APPLICATION (Sio . 2) Name of Applicant: Address : �� S / ,�;' �-1 Telephone: 2 . Owner of Property: Address : Telephone: 3 . Status of Applicant:—L,--Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# , Zoning District(s) (include o rlayq) Street Address Required 5 . Existincr, Proposed by Zonin Use of Structure/Property " (if project is only interior wo , kip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front side L: ; 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) 4 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/ q.3 Applicant's Signaturer• THIS SECTION FOR OFFICIAL USE ONLY: ZApproved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: inding quired: variance Required: n h, gnat r of Buzldin nspector N ate . NOTE: Issuance of a zoning permit does not roliove an applicant's burden to comply with all zoning roquiroments and obtain all required permits from tho board of Health,Conservation commission, Dopaltmont of Public Works and other applicablo permit granting authorities. CrQ y. 0 a "' Z o� l 1 v'-• i fD r+' E' � O *q � OO NJ ra (IQ CM $ ° ll a 0 n o "' W C7 D CWD CD La reel �R R. 0 Met ~. � o � o n On V ' o 0 CD rD CID4 r� 0 d O � go • nyrill. tz d (IQ aq p o O ►O*, 0 \ o' � � � a U � Q, C�prl w ►d ° O (JQ � 5' U�4 ° :i� A � ('� o' voo C' via 5 y try d O � `/ � O .ter `� `r't'• `.3 .`S• .'T• H ll� qQ p g b sy rQ CD I i • PERMIT APPLICATI/ON CHECK L�IIST PAGE -' PLOT ZONE YES. NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEKENT LIC . # -IF NOT 4 . 3 SETS OF -PLANS T PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 , REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTUR 11 . SIGN AWNING 12 . PERMIT FE -,,CHECK - MONEY 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : .._._...___..