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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 g Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location /fit 1 C itc 1 h A/li 0 r) Lot No.
2. Owner's name c:,i s' , t': C r k Address / 1 4 4,T:-=r h ti A
3. Builder's name Address '� C `'
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage ci t= 1 No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof S c7?
13. Siding house
14. Estimated cosL-
f/ `'1 L� The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of resp s, a app!cant
Remarks C_/11 t.J �ci C ita
4-)'L,- S r1 z� &-j jq-1 'c S' �� t'>�J ^,%=:J �� f� a-- _
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DEPARTMENT OF BUILDING INSPECTIONS �
INSPECTOR 212 Alain Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
( Please Print)
DATE: ! '%/ � J A 6— ) 4�, �..-
JOB LOCATION: ` /ii t e ff-cC 1--TI /V 4V y,0k- c°iy-,4/-t 197z,, ' f174- o/ U60
(Map) (Parcel) (Subdivision)
HOMEOWNER:- {f�fi ICE o t),'S' Ik i',- A7 Z_L&: /`
(Name & Address )
(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 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.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
NOV 1 21996
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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 cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# ,pf. marking Spaces
#' %f Loading Docks
Fill:
'Avol-time--& location)
13 . Certification: I hereby certify that the information contained herein
_ is true and accurate to the best of my knowledge.
D20E: APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applionnfe burden to comply.wittfi,pki ,
zoning requirements and obtain all required permits from the Board of Health,, Conservation.
eq B vation..
Commission, Department of Public Works and other appiiombie permit granting authoritlos:
�� FILE #
1
21996 File No. �l I
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 7tW--r?--14� 1
Address: /j /91J . Telephone: 5 J ff-- 01 �f 41
2. Owner of Property: r�R ,a7L 4_oli.
Address: %7 �Av Telephone: S� .S L'
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: /q i �' i�c h�•�, flH'�
Parcel Id: Zoning Map# �j�� Parcel# '7`� District(s): zae
(TO BE FILLED IN BY TH5 BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 2"
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
I'o jcc t/ f-9,6781-kc L— C t!j zi�6 S At A "1 JE),C C tt //V
��4 J4L &X! S—5 A;
—
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. Ha Special Permit/Variance/Finding ever been issued for/on the site?
N DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands N07;
1
FILE
tit 2 f r
1996
APPLICANV6 TACT PERSON:/
"DRMTHPNNE:
PROPERTY LOCATION: 2L
MAP L� (l! PARCEL: ZONE 16t�
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMJT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
113tvildin2 Permit MOO Q.-t
T OLLOWING 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:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservati o In pp
Signature of Building IrLotor Date
NOTE:Issuance of in zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
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