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O m D h n a m m-1-Z-1 -4U)3 n w (Oil m O w 3-D-Im D N O o a am _ (n _ T -1 N -1 •C (n 2 T m N•ON .'O T ro O < v OWP (n r D O (n 07 r O v1.OP w 3 S C z o0o m g m a o0o z ww 0 S m 0 0 N n Z O n n O m o 0 Q m vl -1 m 3 O w a a m V d __ _ C .. .v N m M O W O c n •0=0 =VW z Z Cl ro x V�vl -n0, m .. z C' _ OVW 0110(7, 10,00 0 --4:)VV - OoW O 00 O OOV 000 O •• •O W a .,r C\1 m w, r Z Z > -� Z —• X .� Cfl et Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No, r r-` Alterations NORTHAMPTON, MASS. ►` 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location S� Lot No. f � 2. Owner's name L,�C ��rh-1 Address r S 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? I' 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. i S gnature of responsible appicant Remarks i `7 CLx# m}� of �z#IlttfaiY L 0 4 �A56ACI�IIHf��E DEPARTMENT OF BUILDING INSPECT ONS INSPECTOR 212 Main Street ' Municipal Bui1 ing 2 Northampton, Mass. 01060 ` HOMEOWNER LICENSE EXEMP ION (Please Print) DATE: I� � - JOB LOCATION: /I z/1 4/ �1 a Parcel) ( Subdivision) HOMEOWNER: " �I ) D).�� "-� A,,c� N e & A51dress ) ( Home Phone ) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( I )or two (2) f imi 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 . DEFINITION OF HOMEOWNER: Person( s ) who own a parcel of land on which he/she resides or intends to reside , cn 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 buildin 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 a d 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 # Do an signs ebst on the roe YES NO 10. Y 9 property?� 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 Cc,== to bo fl,7 7..s in by the aaildiny D.partmsa t Required Existing Proposed By Zoning Lot size Frontage .�- Setbacks -frnnt fee - side L• R• L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: f6 97 APPLICANT's SIGNATURE NOTE: issuance of at zoning permit does not relieve appiiomnt'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 applioable permit granting authorities. FILE # File No. / �1 ZONING PERMIT APPLICATION (§x.0 . 2) PLEASE TYPE OR PRINT ALL 1WF0MaTX0N 1. Name of Applicant: Address: L6 Pj� ,C), Telephone: L� - 2. Owner of Property:' Address: ' L� Telephone: 3. Status of Applicant: _X-Owner Contract Purchaser Lessee Other(explain): 4. Street Address: �, Parcel ld: Zoning Map# � Parcel# 77 District(s): (TO BE FILLED IN BY THE BUILDING DEPA RTMENT) j 5. Existing Use of Structure/Property /��`� � Lam- �1 CCU ► '�✓ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): �y 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 4 ir Planning Departrnent Files. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site NO DON'T KNOW X YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW JC, 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 Conservati n Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SI E) FILE # i '- APPLICANT/CONTACT PER ADDRESSIPDONE: PROPERTY LOCATION: '� v MAP PARCEL: ZONE THIS SECTION FOR-OFFIC USE ONLY: PERMIT APPLICATION CBECIKLIST ENCLO ED REQUIRED DATE ZONING FORM M.T.VD 01IT Fee Paid IRnilding Permit Filled mit Addition to Existing �4 { f THE LOWING ACTION HAS BEEN TAKEN ON THIS ICATION- Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOA Received&Recorded at Registry of Deeds Proo Enclosed Finding Required under: § w/ZONING BOAO OF APPEALS Received& Recorded at Registry of Deeds Procf 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 Potabili -Bd Health Permit from Conservation mission Signature of Building 111SP206F 7 Date NOTE: lasuanoa of a zoning permit does not relieve an a piioant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission. Department of Publio Works and other ap linable permit granting authorltles. Owe UQ c ,, � � < CA A Y O p• G7+ O a 0)v 0, 8 v� a A Co E EP 0 (A '05 b �TJ"d �► O co A� h+ O ►-] � °► ccoobb n a Q Q Q ft E �Q � g � C7 ao L o A ° x zi = P O y o y• a C17 (JQ' °�', �. g. °, 5 °moo, a ya o a. o m R• ` Co n sss r � C' O O b+ rQ Q O. 92. O G 00 CrQ CT O N �n s s O ►*, rd C/1 (TQ N O y � ~ ~ D �+ P. =. C�7 W N p O 5 5 O g co CA u00 0 rA © 4t: CrQ n co 4 ism y ' " Wv Wq Yz nt Iwo c � s s �} FED 4 W-0 01,141 44­i�M r M 1441 ] * , e x F " � , Iwo s Ge r its MW, -i HMO r > 4v, r, s"Ai• j 'r'r'f •per ' a " } "" �- g �' ,'`� r s SZ owe CrQ C 'gyp 6-3 Ln O x •* s Cfl ��PPA . OR ( `3 � •v r m y "-a Va y a.CrQ a 0 Lp- O n a ZY n y o • La `ts. u. -c• ' Q 9T. OD a � �a