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25C-007 (10) a �t o _• ,, a 3 O Z m r •.�. V Z G torl m ^► :v o C Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S�K2 _ 353 8 Alterations NORTHAMPTON, MASS. l a�3 19 76 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location 4'z N&K-r�A S;1 4 WC TjjftM OTUJ Lot No. 2. Owner's name P C-mz C, �9 1E°t�C'v t1J Address S An E 3. Builder's name CW"A' Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 2 W. , RAPS , 25n 1 (st nyq � 2 Dft- S , 14 SHig&-T3• V 5. Alteration ke-PA- IQ FL.ETM. INSSV L-Aj ATnC- Cf=1 L W4- ti I IISVktk R w1042CM15 6. New Porch MA 7. Is existing building to be demolished? W/O 8. Repair after the fire NIA 9. Garage &-LA No.of cars Size 10. Method of heating N A 11. Distance to lot lines U N C U-gk&j(=a•+-v 12. Type of roof W/A 13. Siding house N R 14. Estimated cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icant Remarks �(ttM;pT O �H35ACI�I18ttt7 � t �-, DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 M HOMEOWNER LICENSE EXEMPTION ! (Please Print) DATE;_ JOB LOCATION: U Z (Map) (Parcel) ( Subdivision) HOMEOWNER:- f= '(2 C . U NN L=, �0 ►� (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 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 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 f{� BUILDING PERMIT # aM•w THIP ti n:ru-1v.� _r-a OCT 4 I�� flame c�mos B .s A►.,9 t� LO . M-cmv63 sDO 0 �.; 2t�Pl..r�t.cm c�►..rti" ro/t►�wS- �P` ! t'3AY CS w) *W, Arl�r-P C NA 5 FT. 4 I, U� -4 T S - ---- I I uu-E = 2 .S F , L---, ; _-__- , S p� 1 2-/6 4 J � / I i F � 1 AMW AMW G�2 N ST , Fka"T MA w F"V ' �x- -�.i J f SouT +4 ID. Do any signs exist on the property? YES NO IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This C07— to be filled in by the BallcUng Department Required Existing Proposed By Zoning Lot size I '2 arc 2e c cfrrL I Frontage , 6 pD Setbacks -frnnt "7) k'D C6� - side ' L: R: 10 ' L: R: - rear Building height 3, It fro ' 6-tg Bldg Square footage �- %Open Space: '(1-0t area minus bldg &paved parking) f -Parking spaces _ # %f Loading Docks a. rr Fill: .=(voZ-ume--& location) "13 . Certification: i hereby' certify that the information 'contained herein, _ is true and accurate to the best of my knowledge: APPLICANT's SIGNATURE 3 D7�'1'E:• ,. r NOTE: Issunnoe of a zoning ""� 1 } g permit does not relieve an applioant's burden t000mp wltlx.,+Rl�� -1 zoning requirements and obtain all required permits from the Board of Heatih.,,l004:$er4 atlon , Commission. Department of Publio Works and other appiioa gpth ble permit granin : ugrities.y- :y ��s, FILE File No. 9 .� ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: I'�=71�0_,' y ^O&_D6Vj'1,j Address: ( �� '�d t"E1 + Telephone: - 3 S 3 2. Owner of Property: Address: 5!?rd lE Telephone: S/V'l E 3. Status of Applicant: ✓ Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# SSG Parcel# l District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 2 W't�L_Clk*kp_ Qx�'Ps g 25 / cxt;iTy 2 0 a, .5 . 1_-A Cwt u t- Slkts � D�YwI (5tiJ (✓ t � T� f'YLLI+n+.IwrL & 86�' cr.► p1 ,� LA� Ft.6rr� 1 tJ 5 U LA- ti Ad-nC C9IL,t N 6r 3 '7 (�C. r1 f r� w ►►©o rS 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 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---V—/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 # ki �A 4 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP a�) PARCEL: ZONE�,� THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Ritildinfy Permit Filled 011t �— C of 131fin-y I Plot Plan � . i..� TP�OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: .4,j/ 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 fr t' o Signature of Building Inspector Date NOTE:issuanoa of a zoning permit does not relieve an applioant's burden to oomply with all _ zoning requir-aments and obtain all required permits from the Board of Health, Conservation Commisslon. 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