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29-345 (4) PERMIT APPLICATION CHECK LIST PAGE 2 PLOT 37'-'J ZONE l�ii�/� � t��-` ` YES NO DATE 1 . ZONING FORM APPLICATION 2 , PERMIT APPLICATION 3 , OWNER OCCUPANT E E NOT 4 . 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 , WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR — 9 , ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN AWNING 12 , PERMIT FEE QK O fly�MONEY ORDER 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 FILL COMMENTS :%,,,t-mot: IL .afotf� »t}tort DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building ' Northampton, Mass. 01000 HOMEOWNER LICENSE EXEMPTION (Please Print) C� � � DATE: 2 � JOB LOCATION: (Map) (PArcel) (Subdivision) HOMEOWNER: ��� e��F J��C ame & Address) C/ 6 (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 resided 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 S I GNATURE BUILDING PERMIT # a a o � v � b a E. -h o � w o z M ., o � a � o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 6 l G 19� Additions APPLICATION FOR PERMIT TO ALTER Repair ( Garage 1. Location C !'e-- Lot No. 2. Owners name c I c� �v r S� Address C c ec 3. Builder's name "l r Address 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 No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 7 S� 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge anabelief. a / 1 Signature of responsible appticant Remarks J � 001 216 Date Filed , j '� File No. ZONING PERMIT APPLICATION (510 , 2) I . Name of Applica Address : �� Telephone : 2 . Owner of Property: ltc•Cl?4 Address ; C, Telephone : 3 . Status of Applicant:-zowner contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification : Zoning Map Sheet# ­�?Z Parcel# .J S�r Zoning District (s) (include ove-rlays) Street Address Required 5 . Existincr Proposed bv Zoning Use of Structure/Property C S e � (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: R: Lt R: - rear Lot size Frontage Floor Area Ratio' %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) l 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify that the information contained herein is true and accurate to the best of my knowledge . Date : -e �_ n Applicant ' s Signature : -THIS SECTION FOR OFFICIAL USE ONL'YO - r - - - - - - Approved as presented/based on information presented Denied as presented--Reason : Special'fRi it and/or Site Plan Required : ,-Fin ing d: _ variance Required :_ of � 7 S" gnatur f Building I ector ate NOTE: issuance of a zoning permit do-as not rellove an applicant's burden to comply with all zoning roquiroments and obtain all required permits from the Board of Hoaith, Conservation Commission, Departmonl of Public Works and other npplicnbia permit granting authorities. /&"7')- f 3 r� QV,q,K�,k sum My +' S# �"1% �k # f`w � 3f :�� 5 �`�YYS�• � P w3"k. � �3..� C r k s•s `� F MW vp of 4 MR � t<� t %� £ - �""°•�9 •�ffi .1P�"P'Pw"` khSn�YN.'a ��'t+�r+W'YY'� an a NO UM nj MA ow " a QQ pt�st, A41 A 31"o NJ - - "ZMpag Mv ISM Zx ST IF 1 low 1 d r 1 s3 � �k'�`" a� � �.a•�'�. ,r' E �,`s!_•�.� � i a My w4 kW a# F d. t 5�.`#°i�fi `'' ta�•:dh4 •su"� 3 Pcd 7F`: ' r i '` k '' �'v„t``k+a i %' r s a .s �`� .s £` r uy, +• kr aef ._ du ., ' "' " ,�` nY'a ° p ,t€$- u .€ qu zf` Ws *t ME f ro� t , ,,m + 02— k+✓T# "5'? � s-ti'. � ` �"yr�i tt-� +•� ie� ^� ��u���s'�,.�€�•`�-s r rs .a a t S r Lanz no All Pro Kama v r �r4 P•'s sg �: t r '?'-�. 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