35-045 (4) i
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ���" ��� Alterations
NORTHAMPTON, MASS. A ;2-- 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 fi:!XA e4 0 6 g!r,'a Lot No.
2. Owner's name , ce~ d ,, ��f. .�/�� Address !2 6 2 9�,4 of",
3. Builder's name , qz�rf- Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition ✓ ,,�„✓� 1 ���cf�
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire ,(/n
9. Garage No.of cars Size
10. Method of heating
1 I. Distance to lot lines I9 n X0 (1_L2 /E;T^�, _ TO
12. Type of roof
13. Siding house
14. Estimated cost /' 00th, 0C)
r
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of,r sponsible appicant
Remarks
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p� gQ Git, af �trZ���1lt}7�t7Ti
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DEPARTMENT OF BUILDING I14SPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 "
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: �- ���J
JOB LOCATION:,' V ,�, Av xp
(Ma ) (parcel) (Subdivision)
HOMEOWNER: 16/)ur4,9z7 �t—,rl, � '��.
(Nam Address) ,_
1 ,/4 � �� ���� lt 4, (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 Laws Annotated AND SHALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER. SIGNATURE
BUILDING PERMIT
004472 �
Date Filed / S File No.
ZONING PERMIT APPLICATION (§'ib . 2)
I . Name of Applicant: CV f L 'o?
Address: - ,p Telephone: 5
2 . Owner of Property:
Address: 6 Telephone:
3 . Status of Applicant: X Owner Contract Purchaser
Lessee Other (explain _ )
4 . Parcel Identification: Zoning Map Sheetf jj� Parceli`_"//� r
Zoning District(s) (include overlays)
Street Address ,
Required
5 . Existing Proposed by Zonin
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R _ Lf R: 3S'l v
- rear 0,, r
Lot size
Frontage.
Floor Area Ratio
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Descript ' on of Proposed Work/Project: (Use additional sheets
if necessary) t`Z i¢ ,�{ 4-X/
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.
i
Date: Applicant' s Applicant's Signature: i ,
^THIS SECTION FOR OFFICIAL USE ONLY: r
Approved as presented/based on information presented
Denied as_ presented--Rea son:
S ecial' Per and/or Site Plan Required:
'ng Re e Variance Required:
gnat f Bui.ldin spe r �yj� / ate
NOTE: Issuance of a zonin does not relfove an applicants burden to comply With all zoning requirements and obtain all required permits
from the Board of Health,conservation commission, Dopattmont of Public Wofks and oUior applicable permit granting authoritlos.
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