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25C-007 (8)( - ,17 77 'Z7 •° v > c Z m C-) Yj R M yg 7° -I y Z o r Z m � Zoning U9 R Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -5�52 ' 353 8 Alterations NORTHAMPTON, MASS. 1613 193-6— Additions APPLICa ATION FOR PERMIT TO ALTER Repair. Garage 1. Location y N��"N S NckTuotwl 07M Lot No. 2. Owner's name P L'-72 C-- U N o" Address S An E 3. Builder's name ow Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition Z w.C. 2A^?5rp 25 1 Gsy'tT" 2 96al2S , (4 SoVb 5 V9YU^tk 5. Alteration k4979 A A F140rt2 (n1SV LAS AT C- CCI L INZ- ) I QSTNtk 2 wI M9 6. New Porch 7. Is existing building to be demolished? //d 8. Repair after the fire N/14 9. Garage L--LA / No.of cars Size ! 10. Method of heating N / 11. Distance to lot lines V N f U-66i c4gy 12. Type of roof W!/A 13. Siding house Iy R 14. Estimated cost- ��-5 V The undersigned certifies that the above statements are true to the best of his, h knowledge and belief. Signature of responsible app,icant Remarks Q-KNMfpTO Crz#l! of Nartllaillp f ail $ B �ssaxc(tasetta n DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 M ` HOMEOWNER LICENSE EXEM11TION (Please Print) DATE: 013 9 6 JOB LOCATION: 2 N 0V_-PA ST. . O� 1 (Map) (Parcel) (Subdivision) HOMEOWNER: C . UNmelzl1'�OW1,.1 (Name & Address ) Not2l)A :ST NoRTlkAa Ilj 592- `3_539 15 47 - 9`191 k4 (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one ( 1 )or two (2) families 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 resides 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 BUILDING PERMIT # KTV OCT 4 19,0 F '; S r Q W*N( o Q �.,� s c�TROTA rn.� Os'" I3fMVt9 AND 6Pe-w AtAi LS *t4v CjPL(►,r4 !N L2 . a C-� W G 'DOViR S U*Kjt- s YLOC,c, Cr4 O PGW S WN►.or.1 csF - s Q L .P- 13 R, vv) t O Aern C- CNa� 5 Q © AIR P 40fo'R Q I T-t , I I I I # �I f 13 , �f 6(2t�-raN r�Av r�nn-( LGI rZn P } : A OCT 4 �e Y-� l Q v sue : t tpw = 2 ,S of v' O c, S LES � = 12-/64 O ` /5 N X 00 N= I I I I ..,...,,..,,�.._ MA OCT 4 19010 f SCAtiE: 1 wt-* = Z,5 Pw . �--- tJ i g�� s a c D I OCT 4 Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION Sn 1. Name of Applicant: I'L--!;� y KrV o-(zV6bJt!J Address: ( 42 NOQ-nk ST, Telephone: 5-9'2- — 5 3 2. Owner of Property: S AdAE Address: 2sv`1E Telephone: S/kwt cF 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# Parcel# ( District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 2 I "l l LY Ne._.g-s\O 6-"KCCZ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 2 W WWka Dc*.t4Z 21k�sP-5 25 CVV TTwk , t4W Ut u G 2 ID COWS lam 4-1 krt, fRgjg45 'DWWh-,L (sJ 6�ftgU P12M't l m-ti & l3RArJ PLAS` "', I2-GPA4 R RAMP ctAcPP 12.b)c . 11 x 6, , � ows 1r— C - . 5 .? - ( 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/Variance/Finding ever been issued for/on the site? NO DON'T KNOW d 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 # � � 4 f Lj Ou T 4 f�95 APPLICANT/CO 'FACT PERSON: a AD1�AESS/P ;p;A�: ' PROPERTY LA CATION: MAP PARCEL: r] ZONE THIS SECTION FMOFFIML USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE MNTNC�FORM FITLED OUT Fee Pnid nsIncluded- THF/TiOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: V 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 t fro t' o Signature of Building Inspector Date 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. Department of Public Works and other applicable permit granting authorities. A µ O O b n b 14. '17 . C7. H p «`� W. 0 co � b'L E > N Fy O a rl h-o b0_ 0agco rt , o'� bd qQ 11 n �rr CD Ct (D( ao °Qc, oN n 0 �� ^ �• ca (IQ �pj O rtla 5 � � o � o� rt� to o O ° g a � � �m (� io � O CZ/� m ° :rl zi 04, o (7: t/1 0. td S b d r COD�. g g• ms y (� orJQ as 0 0 o 0 0 5 ". o -1 CC) O � � 'l w c.' �• ° ° � °� b 5 5 i off. � 0 ol SN �. b g r y 9oa 0 5 y �• b � CrosJ L o :3W oj CfTY OF NORTHAMPTON _ j MASSACHUSETTS 1 CITY HALL �f 9' 210 Ma(n Street Northampton, MA 01060 (413) 586-6950 FAX: (413) 586-3726 (Main Bldg. ) FAX TRANSMITTAL DATE: FAX TO TELEPHONE NUMBER: -��13 3 `7r c> �36) TO: FROM: p . Phone Number: 413-586-6950 FA-X Number: 4 13— 585-8312 (Annex) RE: PAGES, INCLUDING THIS SHEET: Gtr /�t�j v 1 1 Y