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36-173 (3) • i A (r k iaf 'Nort4alliptan 7 = 7 C �. � �i«sasc�uaeUr DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 " HOMEOWNER LICENSE EXEMPTION DATE; (Please Print) //` T y JOB LOCATION: 71-7 PtO�,VCF- 10040 (M p) (parcel) (Subdivision) HOMEOWNER:_ L P df ILCP ; L Go y"F_ i4 t.-!7wrz- ?/7 F6� fC�N g-.,o dress) .Afd4*h¢,1"yew -1" (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 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 Zoning Laws, and State of Massachusetts General Laws Annotated AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE -AzDCLCLO C BUILDING PERMIT # T � x > CA Z > o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage Location 717 CaX6AC E- ?,04P Lot No. /Z./Owner's name U40 h ca-mo e A. G/ZO'ffZ Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4 Addition rlo Srr—_ /Jr Votm7VC W40 604w*r'6 syv vE, tS TO CO DC 5. Alteration 6. New Porch 7. Is existing building to be demolished? S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 1 Siding house 14. Estimated cost© i' The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ♦tJ..i'��� Signature o respo le pp�icanl Remarks • �Y�YM 00335.E r Date Filed g�14Q� File No. ZONING PERMIT APPLICATION (510: 2) I. Name of Applicant: efco w ' dN/FerPv Address: LU=/r,#L -7%/,gyp V � L gp, t Telephone: .. 2 . owner of Property: Z- PAJI t? � L*Ok/VC A• L/Zo?T� Address:_'7/­1 lRa.& Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain Q£.¢L jE-5rj*M Alel~r" ) 4 . Parcel Identification: Zoning Map Sheet# 3(,1 VarcelfI , Zoning District(s) (include' ove ays) a 0 - - - Street Address / Required 5. Existincr Proposed by Zonin Use of Structure/Property (if project is only, interior work, skip to #6) Building height %B1dg. Ccverage (Footprint) Setbacks - front - side L: R: L: 'R: - rear Lot size Frontagre. Floor Area Ratio • %open Space (Lot area minus building and parking) Parking Spaces Loading signs Fill (volume & location) C6) Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 7-0 50F /9' -Kt52`-/N6 locop 60/zuW6 c5771 e/'Z /S .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: 9befby Applicant's Signature: THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S cial" Permit and/or Site Plan Required: nd g Re ie : variance Requi : S gnatu o ua.ld or D to NOTE: 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,Dopadmont of Public Works and other applicable p fmlt granting authorities. PERMIT AP LICATIO CHECK S NO DATE 2 , 3 . OWNER OCCUPANT STAT EMENT LIC . 0 IF NOT 4 . 3 SET PLAN 5 . NEW CONSTRUCTION Q . CURB CUT 7 WATER 8 , REMODELING 9 , ADDITION 10 , ACCESSORY STRU 11 . SIGN / AWNING 2 . PERMIT FEE - CHECK ONL 13 . SPECIAL UI D I EED IF APPLICABLE 14 . UNDER SECTION 2 - C R 780 15 . FORM A 16 . FILL COMMENTS : a� ► ' ► a p 0 ° U c ao Z to to 0 r'it o v� p, cs. o o ac ti � � � c '� o c ° S ao ►- C ' cz ° * o i�•l � ® o 0. v o p� C4 3 z O + gzO C, �i U O O 5 O D a V 1 p � � � 0 O ° C O 1 O V u z U 4ipp g 0 • u o :d ro a' too J ... •PAM O NN � U a o v � 3 w c co a 0 11, r� a � CC1 3 .� S 41 0 1214 r- s 41 44 0 G a 0 .0 ro m � [�[yy O +4� yob❑❑ 4. •K c� �q F� C N cd O W U bA 0 cd o i ro b a � o U •u ��•�• p R. U O ° c�� O L1. 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