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35-119 (2) zz �J PERMIT APPLICATION CHECK LIST PAGE J� PLOT ( ZONE 'S �'" ` '� YES NO DATE 1 . ZONING FORM APPLICATION �-- j 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT L IF NO 4 . J 3 SETS OF S /)PLOT PLA i L 5 . NEW CONSTRUCT IO 6 . CURB CUT 7 . WATER S 8 . REMODELING 0 9 . ADDITIO 10 , ACCESSORY STRUCTURE 11 , SIGN / AWNING 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : �'i11MfpT � Oe a (rz of 'Nort4alliptan e � �lasaRCllasctla DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: - (Map) (Parcel) (Subdivision) HOMEOWNER:_-LAe,Z111/U A.f) -�-- S U S f9lV 1hC1V AJ (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 m_ ay 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. HOMEOWNER SIGNATURE Q0 BUILDING PERMIT ,q O o W43 bp.lO v i T � j 7p -mss CA Z �i > cn0 rn a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location `i'---� MDOSE O 6P(UE- Lot No. 2. Owner's name L-.O—) f S L 1.9 Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition ll 5. Alteration 6. New Porch i 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 14. Estimated cost: The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. V Signature of responsible app,icanl Remarks ,.. i I }-- --z-_. __._ i �,} � i _ __ _t. __ ______ i i i f �itYti � r ' Date Filed 1 003165 File No. ZONING PERMIT APPLICATION (910. 2) I . Name of Ap li ant: Address: (`� �)� l� ' y1 Telephone-: — k 2 . owner of Property: Lt C, n t 1, 4 ,�V A-n -T -)urmo n Address : cn or Telephone: - O 3 . Status of Applicant:_2�Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# Zoning District (s) (include ove ays) Street Address Required 5• Existing Proposed -by Zoning Use of Structure/Property I qL-. (if project is only interior work, skip to #6) Building height %B1dg. Coverage- (Footprint) Setbacks front \ - side L: r�Lo_R: - L: i. �� R: 1AD - rear LID t lot Lot size Frontage Floor Area Ratio M q K IS FT, %Open Space (Lot area nil nus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description pf Proposed Work/Project: (Use additional sheets if necessary) �j^�C�t 1_, r_/_ A 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: i — Applicant' s Signature THIS SECTION FOR OFFICIAL US ONLY: Z proved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: in ing q 'red: Variance Required: gna a of Building. Inspector VZ to 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 authorities. ie71- d°FQ o � w °° L Iv cn c� o w C/1 � ° s' e ' w tz g ° p d a cn o ` 1 y0 (� .� rMIL r ..q H n �rQ 0 rl o d 5 5C9 ooc0 < o rD � � do � o 0 cn �e 9 CY �' � 0 IOD y as N dl cn ~' 08 g, r �• � � 5 � C� ,.� W IJ N, ° 5 (5 ac 5 °° vo o ° cn c T I O N gig °. oo c° c° o' 5 ►C o g d OQ �x a* C7 L, A dE•