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36-158 (2) '�O�'StinMP�o'L 8 Crzf ofm &Xarf4zaillpfan ,m dJtRth(fdf�Id DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 " HOMEOWNER LICENSE EXEMPTION DATE; (Please Print) JOB LOCATION: S("" — /,5- n� (Map) (Parcel) (Subdivision) HOMEOWNER: (Name & Address) (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 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 Annot ed AND ALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT # " a z a � z m E7 Z R � o Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location '1440 4),e S' Lot No. 2. Owner's name Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch a.P 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 cost:- The undersigned certifies that the above statements are true to the best of his, her `,, Q;� knowledge d belief. _ " i' Signature of responsible app ican7 Remarks • ISM Date Filed File No. ZONIN PERMIT APPLICATION Name of Applicant: Address: Telephone: G" 2 . Owner of Property: Address : , Telephone: 3 . Status of Applicant: lj'owner Contract Purchaser Lessee Other (explain ) 4 . Parcel. Identification: Zoning Map Sheetlf 3(0 Parceli Zoning District(s) (include veil ) Street Address c `~ Required 5 . Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height oBldg. Coverage (Footprint) Setbacks - front - side L: R: L: - rear Lot size Frontacg3e. Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) Narrative Descr'ption of Proposed Work/Project: (Use additional sheets if necessary) 1 � 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 knowled Date: ApplicantIsSignature: �"— / ^THIS SECTION FOR OFFICIA L iY ONLY: G' r Approved as presented/based on information presented _D.enied as presented--Reason: S , cial' Perm't and/or Site Plan Required: in g R 'red: variance Required: gnatuke� of Buildznc , rispector �` at IOTE: issuance of a zoning ponnit does not refiove an applicant's burden to comply with all zoning roquiroments and obtain all requirod pormits om tho Board of Hoalth,consarvation Commission, Dapaitmont of Public Works and other applicablo pormh vranting authorities. lei-)- Q .y OD o °o Fo cy�T Q: � Y 'Rood (� o •�.m•� � o ..r o 0 OD CA a �C o N H o a "0 y mn bb �; 0 af9w m � C4 ti cn � � � fig• ca ° a go ro ° d � M � � B rt p � A� o m 0 \ 1 z � Z r• G r� IWO rt � o o 0 9 92. m � � cr °, °+, 0 ado N Ul m W t-.) A ° ° 0 o ct pt b 5 j j s j j o O `° o g o g. fli 10 ►b a °' aoo o Cm ° o �� 5 fD 5y ® Z3 n CD NO O �owe%,,� Q RR �D Y� rt H ►�, O .0, > (A) O oNo c a �-- � CD � �• � c S � o � � Q 8. 6 44 00 OD rt 14n b x4ao• NS' � � o � oN �+ �" Q. tD to 0 y tz S. � ff W g• °° ago°° b rt :n X m �o i..� C A cvo ' h w [n to C' o a'`� � � " g• rte• '- � �„ �p �' y O 1 E4. g � rt CA In � Q 0 G Z ri O yao 5 ao o o, °, CJQ N Ul cr OQ 5 I s i o O O (IQ 7 C (D to C rte• �.• •�Z'• r7 y �+ y W p� Q �. W z