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34-007 (7) PERMIT APPLICATION CHECK LIST PAGE PLOT / ZONE /Q9P 1hp, ES NO DATE ZONI -FORM C IO 2 . PE - s . w O t� 3 S NEW CONSTRUCTION 6 . CURB CUT 7 WATER 8 , REMODELI 9 . ADDITION 0 , ACCESSORY 11 . SIGN 2 , PERMIT FEE - MONEY ORDER `Cu �- 3 . SPECIAL UI D WITH DEED IF APPLICABLE 4 , UNDER SE - CMg 78o 5 FORM 6 . F ILL' COMMENTS : ���" ( -,L i ^ / , � �- . � ^ � > * ° � �� \ � \ \ } ( � \ c ��� } \ ° � � � y� ^ i . � } � � � � i ! � < i } � � � � { : ��� { , � �. . ! � �> ! , � � � ��`® � ) �� �, � d ./ � � � } | `�� ` . . . . . . : w � w ,�� � a < ` ® � � � � . . \�. �� . \ �� < \ � �. �� . __ - a w ti t i �4 1 j i - 4, a t } r i F e , a —s 4 I v. ' t_ �f y, � 2 • }". W� ,. ,. f # ... .. ,-+« � M! «� _.__.__..._ .,_...,,w.r-� ��� � �T AW ... AW „Ow Ak Oak Ak oft 4m AM Ak Aw AMR Aft .w A. ow AM AM Am .A w". A r AWA # A Aft ow - A0W A c° A 4m Aft Alk Alk t b � d Aft r OF BUILDING INSPECTIONS SPE trect ' Municipal Building ' 7 inpton, Mass. 01060 uLICENSE EXEMPTION l� ease Print) D2 JC 4- cmap) (Parcel) (Subdivision) HOMEOWNER: PcNq L_i eaE2roA M 159 01Z►4Ey w L_L_ P-a.& Address) N©RTHArnPT©N r0 A blC�l ( �� $(,ol�G3 `� �SL$�{ 254�'�41 xS-T1a (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 AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE t{� � >jtQ° ae�.vrtir2�n BUILDING PERMIT # A > z a � � T 3 c 0q� eD "I in z ri > v m eD Zoning ;cellaneous Additions,Repairs,Alterations,etc. Tel.No. `�bywGaCoJq Alterations NORTHAMPTON, MASS. 5JJa+ 19 Additions ✓ % � ' APPLIa CATION FOR PERMIT TO ALTER Repair Garage Location 1 5 S —rUR K Gy NIL.L R D P40R7 "A Me'C QN,MA Ofd Lot No. Owner'sname RONA L1ERFRMAN Address 15S -rURKEy HILL RQ. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date Addition G WC t ` , Alteration New Porch Is existing building to be demolished? 1%,I n Repair after the fire Garage No.of cars Size Method of heating F v1~C"0 ' i v i i 1 ATE: Distance to lot lines Type of roof Siding house 0 Estimated cost- 3�n� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. n \ Q�§ (.#l�/•!A'(/ Signature of responsible app scant emarks 1� U Date Filed Sf a4f c?5- File No. 7— VZONING PERMIT APPLICATION (910. 2) 1 . Name of Applicant: GNA U E$ER MAN Address: l�59 'TURKEY H 1 LL- R, Telephone:,-�(vSq 2 . Owner of Property: _SAME Address: Telephone: 3 . Status of Applicant: , Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet#7 Parcel#_, Zoning District(s) (include over ay ) It AA 00 Street Address `Jta, I Required 5 , Exis-tina Pro os d by—Zoning Use of Structure/Property (if project is only interior wdl2k,uskitl to 6) B ' iding height %Bldg. Coverage (Footprint) U -3.2-160 i,5071) Setbacks - front - side L: R: L: R: a0' - rear n Lot size 51 Frontage. Floor Area Ratio oopen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project: (Use additional sheets necessary) if(o' X f Of DecJ ' c3::7F 640o-M _-5_(Q E ©f::- If MAV F-VIENTLJA H AV E > r OOZE f 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: 6 12-1rl a S Applicant Is Signature: qt r-mom ZApproved THIS SECTION FOR OFF L UICIASE ONLY:as presented/based on information presented Denied as presented--Reason: cial�' Permi nd/or Site Plan Required: e i d: Variance Required: gnat f B ldIng c or ( to NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply witit all zoning requirements and obtain all required pomtits from the Board of Hoalth,conservation commission, Dopaitmord of Public Works and othor appiicablo permit granting authoritlas. a a Akio k sit MAN 1 AM r s�X.z "ON f r ;* y y 'yam' j tq Mill pant Too IVA M11 xs ' :n x a F T�, • o � 3 3 y � a � i 5 dik A y At dik dam l e i 1 ,1 p YlMf .o a a � aY M�F • B 4 7 • .k 1 � , a • a - t Ale• ± B , �'��, _ as Yi w a 4 1 ,3 l r srw • •r� lrA �,��_