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32C-146 (2) .r s z h! „ a I 3 o Z Z T, o Z _. rn o o � 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-- _ 't i Y g Crz't of 'Nortliallip toil "� " �Resxcltuscttg I . M 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 ''�f � f?.� r�, e ��,,. rte' (`•E( - r° O 4 --- -------- P- "' i i-b TZ-- kil?-� ll-C 4-f I) I?Z-A-TF6, r 1 13,,L l Tz' G I -S', i t J 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. 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