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36-177 (4) f r T � I � r Z r, �` �► rn m ::C- ..1 ts7 ^� 70 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Y%- 3 YS-3 Alterations NORTHAMPTON, MASS. �� J �1t� 196 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location %S �(/ ✓jam Il�,'��E'. nR 'i p e�,n,� Lot No. 2. Owner's name 4:24 eeit Q ., IL4 r a I A eP_le/Z_ Address �.5� �IJUI%'�t� A QA/ 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 6 5. Alteration No 6. New Porch Ye 7. Is existing building to be demolished? n/D 8. Repair after the fire A.10 9. Garage .4j D No.of cars Size c 10. Method of heating AA)9 1 E 11. Distance to lot lines 12. Type of roof s't 1AX LE _62S_ W) 13. Siding house (J100 14. Estimated cost: The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,ltan! Remarks r 006 Date Filed File No. ZONING PERMIT APPLICATION (910.2) 1. Name of Applicant: /, q • Address : '�' ° Telephone: - 2 . Owner of Property: 06,01,2f qZ-1 E2 16 Address: Telephone: 3 . Status of Applicant:_,Z/Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 3( Parcel# 1�7 , Zoning District(s) (include over� ys) Street Address 5 Required 5. Existina Pro osed by Zoning Use of Structure/Property 00 PC (if project is only interior work, skip to #6) Building height f., ' %B1dg.Coverage (Footprint) NN S Setbacks - front tV " - side L: R: L:_ •/7 R: 0' - rear Lot size Frontage Floor Area Ratio s. . %Open Space (Lot area minus building and parking) a Parking Spaces Loading t ly"rwr Signs IVox1 Fill (volume & location) 6. Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) i 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: ` - ?4�� Applicants Signature: ,_z��n/�✓ ���: / THIS SECTION FOR OFFICIAL USE ONLY: r �' Approved as resented based on information resented C P / P Denied as presented--Reason: Special' P mit and/or Site Plan Required: 010in 'ng uired: variance Required: gnatu of BuildiAg inspector Dtte NOTE: Issuance of a zoning permit does not relieve an applicanCs burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authoritlos. 0 11AJd pTOy p 4 Cr tt i[T# ilYZ I�I�11Y�l iYlt � �2cssacfriuctla - DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION: (Ma ) (Parcel) (Subdivision) HOMEOWNER: (Name & Addres _ (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include owner-occupied Dwellincxs 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. 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 SIGNATURE l /J BUILDING PERMIT # I i i f -r I j - I I i I I t f +_ r }} I i I I r_- fi - I f 1 I I jI 3 3 t- �I I W W W W W / coo �N .-Na aa_a N N N N N N ___ _.._._.... �...,...,ti.. 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