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36-132 (4) Z) T � � a Z n R �o cn O Z rn Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. .3 '1 8� Alterations a XNORTHAMPTON, MASS. QA!S4 19 4ezAAd ditions APPLICATIO FOR PERMIT TO ALTER Repair Garage 1. Location—?// �QQ 6 /Ezo L-e_ � ✓ Lot No. /3� 2. Owner's name,,,3 %�'a P �/, (� �..5 Address'4�/T//,��� 3. Builder's name �l� Address Mass.Construction Supervisor's License No. 4A Expiration Date 4. Addition 5. Alteration I f3,p L 6–a O U 4:p 6. New Porch A N 7. Is existing building to be demolished? A/b 8. Repair after the fire 4/Q 9. Garage AIA No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cosL- Cp ^*d The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app scant Remarks (ACClelkva/ [12DR-/C -1� A6 r>/ 6W 19'P h4 cZ le& 1� 1 4 ae 1 �/ E� 3 � l'_i-Z�' D'.� �L7x1`�A1ll�lfDTT e l7 - Q filcsrrtc4utc(Ir , DEPARTMENT OP BUILDING INSPECTIONS INSPECTOR 212 Main Strcct ' Municipal Building Northampton, Macs. 01060 HOMEOWNER LICENSE EXEMPTION -� r _ ( Please Print) DATE k� ? L� ) C JOB LOCATION:�1l /� /� (Map) l( (Parcel ) ( Subdivision ) HOMEOWNER: `)�A !i, (Name & Address ) ( Ho ni,e ?hone ) (Work. Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) Tami 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 . '1MR780 Section 109. 1 . 1 DEFINITION OF HOKEOwNBR: Person ( s) who own a parcel of land on which he/she resides or intends to reside , on wh?cn 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 . person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to ` the 'Buildi no Official , on a form acceptable to the Building 0=fcial , 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" certifii-s 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 JOBA�S SUPERVISOR. HOMEOWNER SIGNATUFZE j' BUILDING PERMIT ); F AM A A ,.W AM AM Amw AWM AMW All. Am" x. AIR*: .R l'. AAM AWk low Kv AOW u w , o• Q �, , �L i i I 00 i i 10. Do any signs exist on the property? YES NO � J IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO_,�, IF YES,describe size,type and location: 1.1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO LACK OF INFORMATION. This c01=n to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks r7 - side L: R: L:/_R:_ C - rear Building height Bldg Square footage ��- I`� %open Space: '(Lot area minus bldg () &paved parking) _9f -Parking Spaces, of Loading Docks A Fill: /V '4vol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DA'L'E: Pj APPLICANT's SIGNATURE ' NOTE: "Ua)noe`of A zoning permit does not relieve an applioant's burden to oompty with all zoning uirements and obtain till required permits from the Board of Health, conservation Commission, Department of Publlo Works and other mpplioabla permit granting authorities. ',`„ FILE f File No.Wf .ZONING PERMIT APPLICATION (§10 . 2) PLEASE TY'P;E OR PRINT ALL INFORMATION 1. Name of Applicant: Address � 2. Owner of Property �4 1 I� t l � /_,, CJ Addres�.-J,/ �::. �T_> �, .��} I '1\ Telephone: '�// 3 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# -� Parcel# District(s): 'r -- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): SAC U'c'J y �''L' L�' /� fl c2c l ✓ e �// A 1 7. Attached Plans: Sketch Plan 1 Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitA/ariance/Finding ever been issued for/on the site? NO :�L — DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO--�,_ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) FILE # 4 p � tF APPLIfCANT/CON; ACT PERSON: C� ' �C Zit —0117 ADDRESS/PHONE: fl PROPERTY LOCATION: '� - MAP 3 ( PARCEL: ° ZONE�l � THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7.0NING FORM M.TFI) ()ITT Fee PAid Byyilding Permit Filled nig , 0 Building Plan-,Trichided- THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: ' Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under. § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservation Co mission Signature of Buil g t '/Date(` NOTE:Issuano•a of a zoning permit does not relieve an applloant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commlealon■ Department of Pubiio Works and other applloable permit granting authorities. n ro z CD a ,� � ao t•.�,•�•'yo ITI CD o ° o x p w o N D d dal CL rQ in I;s CD c x � n � � x � x Ddb g � ° cvw p• w y CD CDll o C] a x as $ ; n O n tz) LQ p =3 c c o a cr ¢ d �' Z 5CD FP o onp < cn CD z tz C4 tz CY uq 00 ►� g ° cD � " `b emu. p yy ` — y � o 0 o 11J 5 C 'U Cn N 6 CL Ol cl CA p' C7 fD �' O QQ cn' Uq O cn M :3 V o ao o. 9 r o a "mod ° CL PIT, c o �. 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