25A-145 0
c ^.
z
3 a
Z
M z
>
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. C L{ '1 iUL Alterations
NORTHAMPTON, MASS. `� .t4 I�X' 19gS Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location LPL LA j\1 G rzl �/� 1 Lot No.
2. Owner's name Address c C+ k
3. Builder's name l�t •,v-1 rVS )� Address �
Mass.Construction Supervisor's License No. N /A Expiration Date
4. Addition a5
5. Alteration ao1 l�
6. New Porch nt !A
7. Is existing building to be demolished? N to
8. Repair after the fire r,
9. Garage N(A No.of cars Size
10. Method of heating to l r k
11. Distance to lot lines
12. Type of roof t C�� -
13. Siding house N A
14. Estimated cost-
The undersigned certifies that the above statements are true to the best of his, her
knowledge an bell
Signature of responsible appicant
Remarks t4 li `) l J X Li L X 0 a A 14
fro
---. -----�---� _ Jni
Z7'-°--
d
� a
F--15---�
f
-.........4
Yo lee T/'4
1...Ca+ 2- �.',
Space oce-ople = y -70616', 5 , FT, °g
DuT 5H'i a
(rzf�T af 'Narf 4ally fan
DEPARTMENT OF BUILDMG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass, 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: S , � LG I ���
JOB LOCATION: {
---r-- ,,(Mat) ()'arcel) _ (Subdivision)
HOMEOWNER:
I P�✓1� P` y
(Name & Address) f
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one (1 )or two (2) fami lies 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 SH L BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE ,,,,,
BUILDING PERMIT #
0
Date Filed File No.
ZONING PERMIT APPLICATION (510. 2)
1 . Name of Applicant: 1110ivitA-= i-. e)e_1
Address: yc} ,`lcr2 � Telephone:2 . Owner of Property: ✓}, �� �_, �' t °��
Address: , Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# ���� Parcel# 14
Zoning District(s) (include ov
Street Address_ rlay
qq ,
Required
5 . ExistincT Proposed by Zonin
Use of Structure/Property rjfv cat ` 14 P
(if project is only' interior work*_qkip to #6)
Building height
oBidg. Coverage (Footprint) e
Setbacks - f rcLnt
id L: R: X L: R:
- rear ' l
- Lot size L��np
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
if necessary)
.Y
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: < (Ce C" Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S i.ai' Permit and/or Site Plan Required:
nd'ng R i ed. Variance Required:
4S� na.tu e f Bua g Inspector f5ate
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply With all zoning roquiraments and obtain all required pormits
from the Board of Hoafth.Conservation commission, Department of Public Works and otlier applicablo permit granting authoritias.
/c9�
Vez
v� a
z y
OD
C o .41 W s
to
a3
�
q CyC
fr o o LU
w �n U „ 5 rw ao ,S °� to
NM
L 0) 3 3 .� 9
S 0 0 4,4
a .o i a
� W
� z
C� ago O
o
W k.0 a
OD
ra 4.4
x
4no o -4
O o u . � �
4J rNR
gz En a)
{ O N 4J y 0 V no
4J z a s 0
� 0 -lq
x U N a w y .
F'
ON 4-,
a o, o �
4.
0 � A � a� � c�d
0
H
a W o c � • 3
N x N
A, O Z o
U
�. en
M'e•.v•� � N a U