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35-266 (2) 4 w 3 orn .� z Z m OM C �_ ^ r v Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location 21 w is (A -j j L C' Lot No. 2. Owner's name h-,,4LD �, � �``�,�/ S�L,�'"'`'`'ilmdress 3. Builder's name 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 14. Estimated cosL- �l 9 The undersigned certifies that the above statements are true to the best of his, her kn ledge and belief. Sig azure of res Ible appicani Remarks 16 1996 r e }t[Sl Kch It cc If% DEPARTMENT OF BULL-DF jG INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' g� Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION ( (Please Print) DATE; ! JOB LOCATION: c,2 J (Map) (Parcel ) k Subdivision ) HOMEOWNER: 1- r r h 1 r c Vq ci Lt i->K-,- A—c-. 1 l+ati� t �'t��..�c GL v (Name & Address ) 2) Wes Jr e(AYJ4y3 (-�,,,� N�,�� w.,.P {vv. � 13 - 5�Y`172 ? ( Home Phone ) (work, Phone ) The current exemption for "homeowners" was extended to include Owner-occupied DwellinGs of one ( 1 )or two (2) fami 1 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 . C�IR780 Section 509 . i . i DEFINITION OF ROt,`EOWNER: Person ( s ) who own a narce 1 of land on which he/she resides or intends to reside , on wh_ch 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 Buildinc Official , on a form acceptable to the Building O- 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 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 f General Laws Annotate AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE f� i c- BUILDING PERMIT _. � 3196 ti a mt#r. ualb " Y YWS. a�r<.u.uMKCi. - ! . 000 r Fr i d (§ 3 h -. 5 a ffiI .j 8 �I a1MI ! d Y � t k £ �2 ��N Pill 1, if !D� t � ■ �l �� Y � +B !i s 3 ifs, r y, n 2 t fM4 ►��,fv�.� 1251996 F R �t 7 x /a Cv /001 if �f�c ccsq�� / o 1 4,xoc -IN 1n4 �ia � �v�c'50 _b? Z L fnr, lbw vim.-, 2 51996 1012 41? /71Y6 5 lq r f,evo ell K r L r 7T 1 6 C.I A � � Till ca ca ❑ "Well, OK, but just once around the block." Memo: Z3fVL CE-DAILY Does not compromise Zoo, metabolic abnormalities LISINOPRIL-STUART •glucoseintolerance- r • insulin resistance-3 Th t hyped etleq may d' - h I the erM of the dos'ng'nterval. d ysl ip- Ple a encl ed full prascdbi g'nl tgrt ir�clutling DOSAGE AND ADMINISTRATION aW WARNINGS and PRECAUTIONS • /dem%a''2 ecbo n ren f giprt,argioede hypotens on,and pregnancy. RM:1.Shi 19M H.et aI.Glucose arM lipid elabolism during long-term lisinopril therapy in hypertensive patients.J Cardiovasc Pharma a.t99n16:905-909.2 Data on/ile,Stuart PharmaceNiwls,Wilmirgton,DE.3.Paolisso G,et al.ACE inhibition improves ©STUART PHARMACEUTICALS insulin-sensNvily in aged insulin-resistant hypertensive patients.J Hum Hypertem:.1992 6: 175-t]9. V 993 zENECA mc. Wilmington Delaware N19897 USA 61 j J 1 , J n N I V a M 3 � n \ CA I r � M 9 l r, 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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This c02amm to be f122ed in by the Banding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks C 1 - side L: �" R:I t L: R: 1 i - rear -7 C .7 Building height Bldg Square footage 6 i %Open Space: (Lot area minus bldg ' &paved parking) Parking spaces # of Loading Docks Fill: '4vol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kn wledge. DATE: - APPLICANT's SIGNATU NOTE: Issuance of a zoning permit does not relieve applioanYs u n to comply with all zgning requirements and obtain all required permits from the Board r)o ealth, Conservation Commission, Department of Publio Works and other applicable perm ran ting authorities. FILE # 61996 File No. a n ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ L V�� t�v I [n��l�� 'X I-A- 761 14,ti Address: 2t w es .F P k-j- j Lki, Telephone: y13 --.5 i l -`-17Z r? 2. Owner of Property: L-Ovv�.1� y'Iti� �i>� � �n � ��w�� .S� V Address: Telephone: 1-113- 5 3. Status of Applicant: ✓ Owner Contract Purchaser Lessee Other(explain): / I 4. Job Location: Parcel Id: Zoning Map# . Parcel# v� District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property krt° s�C1 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): OkiLcl --d. Scrcv. ,` tw po'LL' 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. Has a Special Permit/Vadance/Finding ever been issued for/on the site? r NO DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO // DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) FILE # " _ � A �\71J,✓/.�1ul'. $ 19% APPLICANT/CONTACT PERSON: -f' ADDR.ESS/PHONE: � - PROPERTY LOCATION: ' MAP PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM M.T.F11 OUT 1/ New CnmQtmirtinn r G �f r. G Additinn to Existing -3 Sets nf Pinns I Pint Plan TOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM < 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 Conservation Com ion Signature of Building Inspector Date NOTE: Issuance of at zoning permit does not relieve an applloant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commisslon, Department of Publio Works and other applicable permit granting authoritles. — } N Q Wy 3 t r''r '� $ m : tik r � aa k � y x a e 'a x+� ��f o- � ,*Y f � �s�t4"�j�•�gs�. `X�s*` z �e '� ,� �` ,.,�t *� mot TZ � '}v ,a'�'. € *.,rvr� s. m r x `L 5 E W W s r" ,x � �.•. � ,AFC#'.�'+�. ry��� C$'x" {a� �s �.3 2��� � .r>'�?�^�r 5�:�.��y�w��' ?� ' . s, r a,��� '� M ah paw, A +€- JG, "` x, N Wt RU M�mgp I- M 1 y r x * k o- r r s E ' Ln 0 03 .� r+ ° Ql rn w tJ� rn �. rr n a a rt y ' g' rA P• n �. 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