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32C-202 (4) (IN o PERMIT APPLICATION CH`ECK S PAGE C PLOT z_)_6� ZONE YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT I 3 . OWN # IF NOT 4 . 3 SETS OF S PLAN NEW CONSTRUCTION 6 . CURB CUT 7 WATER S 8 . REMODELING 9 . ADDITION 10 . ACCESSORY STRUCTURE 1 , SIGN / AWNING 2 ER MIT FEE C - MONEY --ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL 14 . UNDER SECTION 127 - C R 780 15 , FORM 16 . FILL COMMENTS : OM t"A4pTp k � � � �assacftusctls DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION Ir� ` (Please Print) DATE:— / JOB LOCATION: O P p) (farce ) (Subdivision) HOMEOWNER (Na & Ad ess) (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one (1 )or two (2) fami I 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 .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 Off icial, 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 Zo ing Laws, and State of Massachusetts General Laws Annotated N SP BE ON THE JOB A UPER VISOR. HOMEOWNER SIGNATURE BUILDING PERMIT > ? I � v a �I 3 yr .. z m cm > > � °'� ^► m CrJ O ° a ro Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No"� 9_, ~ Alterations NORTHAMPTON, MASS. 19 Additions • APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location l✓j iA /' ��'� Lot No. 2. Owner's name S �3, 5% f�.. Address ' tom'.11",-VILI s 3. Builder's name ���tvtil _,° Address 1/9 �L:%s„ , t�/”.. ��c IPP..9 i Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration r l � t r � cf - 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire N)U 9. Garage I c^-1 t No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house e) 14. Estimated cost- e>✓'z' The undersi ned certifies that the above ements are we to the best of his, her w dge lief. I Ia 0 Sin a of responsible app icon! 8 Remarks �t ti 00346.( Date Filed File No. ZONING PERMIT APPLICATION (510.2) 1. Name of Applicant: Address: LEI-) 5 7- f,,t� o` � Telephone: 2 . Owner of Property: 5 ,e Address: Telephone: 3 . Status of Applicant: ✓ Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# -32-G Parcel# z�o,� Zoning District(s) (include//��o er a �J�,) WLb Street Address 1p � ° ► 5' Required 5. Existina Proposed by Zoning Use of Structure/Property jv/�'rt�� ='Si e- 'oems=. ?� (if project is only interior work, skip to #6) Building height %B1dg.Coverage (Footprint) Setbacks - front - side - 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 4dditional sheets if necessary) r�e�•� L��� �f/'�i - � -'� �c' �r,-� , 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: U A Signature: - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: (/Approved as presented/based on information presented Den'ed as presented so or D dal: gnatur Buildin ector �� D e (VOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required Permits- from the Board of Health,Conservation Commission,Departrnent of Public Works and other applicable permit granting aut-ities. cd rQ °°N' O p0 C/1 t+ w V o *° o Lo- P4 lz g c N p O d r; w w N o W � �3 3 ' w a Q n �' W o � � p• o p S o o s U q cn a * ,L'I o E a� a ° � z � u O •/�•1 0 .s ITVr � C's � A > N O O s 9 ° 4 o Q b 0 ,o � . rg $ bt. U . Q Q 3 2 M oy a 0 14 coo "a V 9 G Q O U y S2 o��QO•�. N Z LL u O y "0 p .> > � 0 C x a U O Q. O Z O cC w Z a U