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29-090 (3) PERMIT APPLICATION CHECK IS / r PAGE - �S ES NO DATE 1 . ZONING FORM APPLICATION 2 . PERM : I 3 . OWNEB OCCUPANT STATEMENT Lici # IF NOT SEIS OF PLANS- - /PLOT PLAN 5 . NEW QONSTRUCTION 6 CURB CUT 7 WATEE AVAILABILITY FORMS 8 . REMODELING 9 . ADDIJION 0 . ACCEESORY 11 . SIGN / AWNING 2 ERMIT FEE - Lk 3 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLIC B 14 , UNDEF SECTION 127 - CMR 780 15 FORM A 16 . FILL COMMENTS , r 4 T Q y s _ � o 1 N d Q 3 -- J �. 3 w T � n \ � .CJ - - c- S ti tf V_ ,e� q J v 5V �s `L V + f � f i CrS 7 of 'Nart4aillpfan DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 a" HOMEOWNER LICENSE RxFMPTION DATE: �7 (Please Print) JOB LOCATION: 30 13r%et wtc0 (Map) (parcel) (Subdivision)HOMEOWNER:_—� C"� I Z.:k (map) . S V, ­z c`. (Name & Addre s) (Home Phone) (Work 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 S ALL BE ON T4 JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT " a ,> o 70 � T � � z a =1 3 c Z `m .. -s � z L Z 3 ° � ..j m r v ° Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ' y� Alterations G � NORTHAMPTON, MASS. = t`" 19 19 C Additions APPLICATION FOR PERMIT TO ALTER Repair !4"� I Garage 1. Location a-1 rlerwcy U 7E ZII{ Lot No . 2. Owner's nameAtL� Ei*-& Zit 4 azk-1 Address 30 ?r rierwCDd ►ii�f tJ�. 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration '► ii t. �+ln ' ' I G re-al- �or� r err) 6. New Porch_ �� a 7. Is existing building to be demolished? 8. Repair after the fire W) 9. Garage l\j JA- No.of cars Size 10. Method of heating k61UE r 11. Distance to lot lines_ l? 12. Type of roof_13. Siding house_ 14. Estimated cosL- j ©. I The undersigned certifies that the above statements are true to the best of his, her knowledge beli . Signature of responsible app,icant Remarks y Date Filed File No. ZONING PERMIT APPLICATION 1 Name of Applicant: Address: U new ' W v -Telephone: 2 Owner of Property: ffl-ap-A iira'irm Address: Jo Y,r f e,rw" � Telephone Status 'of Applicant:�Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# ,-_ e( P�rc if q0 r Zoning District(s) (include v rlays) (;t f �,5 Street Address 30 l , Required 5 . Existin Proposed b Zoning U_ ___se of Structure/Property (if proj ect is only, interior wy�k, J skip o #6) Building height %-Bld.g. Coverage (Footprint) Setbacks - front - side L: R: rea Lot size rZ_ Frontage. Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Descr'ptipon of Proposed Work/Project: (Use additional sheets if necessary) KV,0 WAt-LS an � '�tr� r h ►� h rx�C'G --U� s l i o 6 fiwts be p,,rt owl) 7. Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that the information con ained herein is true and accurate to the best of my knowledge. Date: 2145—c�J Applicant Is Signature• / THIS SECTION FOR OFFICIAL USE ONLY: L'Approved as presented/based on information presented Denied as presented—Reason: Special" Permit and/or Site Plan Required: Finding R q fired: Variance Required: _ S. gnature of ui.lding Inspector at NOTE: isauanoo of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from Cho Board of Heaitft,Conservation commission,Dopaitmont of Public Works and otiror applicabfo permit granting authorilias. Ie il- •� b N A as •� p» °, z 0.�" OW rA W Oy �. r• p '"' Es K .,E! 0 y 0 Ln �. .' ff " x CD .�.o xoo ID �, y " o R ZJ t:d g � �. w po :9 CCD °o n b 0 5. ¢ CD g• 5' °o � °' �D o ril MM Pv 5 o 0 J 0 m m ` o � � yg5 E � � g ¢' � ' ('� y 0. o Z ICI � o p O � r 5 5 ro d _ y UQ Q a kD Ul qQ CD E 0 (IQ biro yy Q ZEr ti rn rn � -J