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I am a home owner performing all the work myself. NOTE:pleaxe be aware tied v bilo homeowners wbo employ pa-w=to do=bdcm• c, coavnZIon-or fir work on a dwelling of not moto than throe traits is which the homoowncr resides oc ea tho groua<h zppu una ,Saco=not gaxrally considered to be msploy,aa under the viockreez oompens4oa Ad(GL152,ss 1(5)),application by a homeowner for a license oc permdd may cvidcoec the legsi data of in employee unciarthe Workeet Compoosatioa Ace. I uadasi+iad dut a copy ofthix dxtcmmt may be focwerdad to the Dcpwu.n2 of Industrial Aecid=&OfEoo of Icnurxaea for the coverage verification cad that failure to soatre cowrago umcr socdoa 25A of MOL 152 can lead to the'imposition of criminal pcmltics comistitg of x•finc bfup to S1,500.00 aadlor imprss of tip to one year abd civil peaLhia is the form of a Stop Work order and a fan of 5100.00 x day agninsi'ma Signed ' J_ day of _D-t c 1997 For&p=tMCCLd—Only Permit Number Map# Sigaahae ofLicauseelPe t��4K�MprO e ® Crif� of 'Nox#1lumptoll Y ` = I M 6 JMa son C1?nsefig DEP RTMENT OF BUILDING INSPECTIONS f � Q: INSPECTO t FFC 3 X99 212 Alain Street ' Municipal Building ' t l l ` Northam ton Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE• «�.� ✓ I JOB LOCATION- p (Map) (Parcel) (subdivision) HOMEOWNER: 3 7,C�r trr t! (Name & Addres ) ' (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 resides 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 BUILDING PERMIT # . � v < �. r. ZZmm cn C: 70 in Z cn O rn t- 7 c<_• I ,.ur Zoning Miscellaneous Additions,Repairs,Alterations,etc. �-� Tel.No.5�P5 00 7 Alterations NORTHAMPTON, MASS. f/<C'��c� ? 19 Q7 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 32,3 r-Jrj '51r,,t f // Lot No. 2. Owner's name °r l e'er Address 0 W<,„/qtr,:, l e ,;ra0.5 i(4 3. Builder's name 0t-1A-e r-- Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition _. 5. Alteration 6. New Porch 7. Is existing building to be demolished? ego Z1;44, / S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines r 12. Type of roof �StO a,.1 13. Siding house 14. Estimated cosL- ��� NO The undersigned certifies that the above statements are true to the best of his, knowledge and belief Signature of responit1bit appicant Remarks 10. Do any signs exist on the property? YES NO x 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: 11. ALL INFORMATION MUST BE COMPLETED, or .PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to be filled in by the Building Department (Required Existing Proposed By Zoning Lot size J Frontage NON&C, Setbacks F Nd Nc - side L:3p IF: 2: L:C3J�: C496i�. - rear Building height - Bldg Square footage %Open Space: (Lot area minus bldg Q d� Q q �y ! �y ' &Paved Parkin-) � [•� GD O l•�. LO [/ # pf -Parking spaces of Loading Docks ,,rr Fill: _(volume--& location) 13 . Certification: I hereby certify that the information contained herein G, is true and accurate to the best of my knowledg . DATE: APPLICANT's SIGNATURE Z J" NOTE: loe of a zoning permit does not relieve an ap 1 oant's burden to ply wit0'.III zoning requirements and obtain all required permits from the Board of Healttl, Conservatlor Commission, Department of Publio Works and other appiioable permit granting authorities. ". FILE # u DEC 3 1997 , � Fi 1 e No. i DEPT Eih` `©" T G PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ° e\AOQ Address: %) '� *n r k / #ago r Telephone: 2. Owner of Property: 1e1n e/- A( n Address: 3;3 qr'c-L-c 1� Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): -}- 4. Job Location: Parcel Id: Zoning Map# �"5 Parcel# �L� District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMEN 5. Existing Use of Structure/Property' 6. Description of Proposed QseMork/PfojectlOccupation:,(Use additional sheets if necessary): 7. Attached Plans: Sketch Plan 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 PermitNadance/Finding ever been issued for/on the site? NO 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) 10. Do any signs exist on the property? YES NO 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: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size 4 q 4 Frontage 1?V2-001 VT C'RjNw[E 5' Setbacks - frnnt IUD n"' - side L: IN Pr R: �� L: : C##�IJL /5/ - rear 311 JR. 310 4�_• _,2 0 Building height 35- Bldg Square footage %Open Space: Lot area minus bldg pct oy &paved parking) Cj[•z <o 88.6 trl0 lG # Pf Parking spaces f %f Loading Docks ND Fill: '_(vol-time--& location) �� A '13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledg . DATE: APPLICANT's SIGNATUM, NOTE: is a oe of a zoning permit does not relieve an plioanra burden t000mp.ty witir,..al1 zoning requirements and obtain all required permits from the Board of Health, Conservation Commisaton, Department of Publio Works and other applioabie permit granting authorities:;. FILE # J :A DEC 3 File No. s DEPT OF BUILMI G IPl r=cC`i+ir' NORTHAMPTON MA 01060 ING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: On , Address: i O ilft(fI (, ALP,Z926S A� iFJ ___Telephone: J RS–0079 2. Owner of Property: Q y10 tG r C? Address: _ t'� �i _Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# �g Parcel# District(s):�j,�/J�1�� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property fRMtL.`k OCCLAFk jC,`l 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): — iTIQI� OF 0, 7-.7).-�& V-r c.. PQ? F A901A 2 VE41c A'j !9 J.( _1�Y�YE frltt�Nb �e+a�� 7. Attached Plans: Sketch Plan _�C Site Plan ?C 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 PermitNadance/Finding ever been issued for/on the site? NO DON'T KNO:A.r___X _ 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# YY 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 # J l ./U 7 AI IT PERSON: 96;7 ONE U DEPT Or "° PEATY LOCATION: a�� 1�� 0,if MAP__,,? PARCEL: //f ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE znNING, FORM EH.I.VD 011T -- Fee Pahl Buddin2 Permit Fillet] out FPr Paid TyT]e of Cnnstriictinn- New Constnirtinn Aridition to 'Existing Arressnu Structure (Dune Ocrnnant StntemPnt nr T irensc, H 3 4ets nQIM 4(faPInn THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: F Approved as presentedfbased on information presented XDenied 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 Conserva ' Commis ' n �C 4-0115-x 2 Signature o ui g or D to NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain call required permits from the Board of Health. Conservation Commission, Department of Publio Works and other appiioable permit granting authorttles. ' FILE # PLICANT/CONT'ACT PERSON: PROPERTY LOCA'T'ION: MAP PARCEL: 0ey ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee Pnid Buildin2 Permit Eilled nut Remndplin2 Interior Addition t�Exisfing L� yi T OLLOWI TG ACTION HAS BEEN TAKEN ON THIS APPLICATION- 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: V,, from DPW Water Availability Sewer Availability Septic Approval-Bd of Iea1 -:. . ell Water Potability-Bd Health w it f Conservati ommission Signature of Buildin ector Date NOTE:lssuanoa of a zoning permit does not relieve an applioant's burden to oomply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applion'ble permit granting authorities. n b 14. 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