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DEPARTMENT OF BUILDING INSPECTIONS _
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 "
HOMEOWNER LICENSE EMIPTION
DATE: qJ (Please Print)
JOB LOCATION:
(Map) (parcel) (Subdivision)
HOMEOWNER:—_,71 N:1 L,
(Name & Address)
(Home Phone) (Work Phone) 37
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 at
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
r 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 C
BUILDING PERMIT
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. f�. �' .''%-- Alterations-PT .
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair R
a Garage 10,
1. Location Lot No. N�
2. Owner's name 4i - --` hl�� Address
3. Builder's namePlJ-' t.` Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition i 7 I / t� G� ` _ f f t 2, J=
5. Alteration
6. New Porch
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7. Is existing building to be demolished?
8. Repair after the fire -N /,�
9. Garage V 1,4- No.of cars Size
10. Method of heating
11. Distance to lot lines ! 1� rr,
12. Type of roof K//A-
13. Siding house t1A
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
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Signature of responsyti a app,icant
Remarks �'
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MORTGAGE LOAN INSPECTION
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I hereby report that a portion of the premises shown on this plan is located within
a Flood Hazard Area as shown in Department of H.U.D. Federal Insurance Administration Maps,
Community Number 250167-0001A '
Identificat�dP Date Aril 1978
By:
TO THE United Savings -Bank OWNER=
Glenn M. Allan
A(JD THE Lawvers Title Insurance Co
_ LOCATION=
51 Sylvester Road
To the best of my knowledge, informa- Northamptbn, MA 01060
tion and belief, I hereby report that I
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Date Filed File No.
ZONING PERMIT APPLICATION
1. Name of Applicant: riul >n
Address: % } J_il .-,;' k:? Telephone:_
2 . Owner of Property: i°___ =�
Address: !' \ Telephone: 7-T.7
3 . Status of Applicant: i, Owner Contract Purchaser
Lessee other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#18 ,,
Zoning District(s) (include ve lays)
Street Address 1 ,
Required
5. Exiating Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
g. Coverage (Footprint)
Setbacks - front
- side L: R: ' L: R: ' V
- rear
size
Frontage.
Floor Area Ratio
. %open 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)
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7 . Attached Plans: �iSketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. E
Date: "` 9 -
', Applicants Signature: r�
THIS SECTION FOR OFFICIAL TJE�/ONLY:
!' Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
-Fin er ed variance Requ re 's
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,naturof B ilding I ctor ( a e
nuance of a zoning permit does not relieve an applicant's bur onto comply with all zoning requirements and obtain all required permits
,rd of Health,Conservation Commission, Dopaitmont of Public Works and other applicable permit granting authorities.
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PnERMIT APPLICATIO CHECK S
PAGE 3S PLOT _IAJ ZONE '5K 5/ �� -% IYES NO DATE
1 . ZONI FORM-APPLICATION
2 . PERMIT
3 OWNER OCCUPANT STATEMENT Z LICA IF NOT C_
4. 3 SETS OF PLANS Af�PLQT -R
5 . NEW S
6 CURB CUT
7 . WATER
8 REMODELING
9 . ADDITION
ACCESSORY
11 . SIGN / AWNING
2 E - CHECK ONLY - MONEY 0 DER
3 . SPECIAL IF APPLICABLE
4 . UNDER - QMR 780
FORM A
6 , FILL
COMMENTS :