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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EX 14PTION
/
DATE: (Please Print)
�/ - � �'�
JOB LOCATION:
(Map) (parcel) (Subdivision)
HOMEOWNER:_ %UI t y- l G°
(Name & Address)
�� �(1�T t�iLx�S F�G�ft l? /i�r�L%1` ✓G°T'/U /Itf$
(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 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 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 A0 SHALL BE ON THE-JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE f
BUILDING PERMIT "
! T �
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. //-I/r 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location (,06Z- 1UVf Z2U F441 f � lU -! /' � � _ ' � Lot No.
2. Owners name AAIW9, /U' • lE7�6 Address (OU4 nJO TIi I 7 A1jX 4,f
3. Builder's name �GK L iC;,t/ COis i �C ��? ✓ Addressi L ;1";!"
Mass.Construction Supervisor's License No. Expiration Date
4. Addition 26 qWl f 96h-A,,IF ly X�j K �i�a� MX
5. Alteration
6. New Porch
7. Is existing building to be demolished? /(1/10
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost 4
The undersigned certifies at the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,tcant
Remarks
J
14-NOV-1994 15:03:04 Hampshire County Registry of Deeds Receipt No: 9676
Marianne L. Donohue, Register of Deeds
33 Kino Street
Northampton, MA 01060-3298
Name: MARK TEECE Addr,
Receipt Type: OR
Payment
Iota! rages: 0002 Fees faxes
tee: 10,00 Cash: 10.00 $ 0100
lax: $ O,oO ChecK: $ 0.00 $ 0.00
Misc: $ 0.00 Charge: $ 0.00
Charge Code:
Comment: FINUIN6
rReceipteo By: FAT PLAZA Status: PAID
DOCUMENT'S: 940025873 to 940025873
BUOK ASS16NMENT: UK Book# 4587 Paqes 0111 to 0212
Type Page Doc Mref Consider$ Record Fee excise lax Stat disc Fee Record Date Document# book/No/Page Status
---- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------- --------- -------------- ------
MIS3 002 UU01 0000 EEO 10.00 oleo 0.00 14-NOV-1994 15:U5 940025873 OR /4587/0211 INIT
Paqe 0001 of 0001
Y
003598
Date Filed File No.
ZONING PERMIT APPLICATION (510. 2)
I. Name of Applicant: 'ul.� N• `!
Address: Z- &ern"7N 5 0" Telephone: q/3•-5� �f-PD T
/UD9LTH/9'OV72T Aj fi <A
2 . Owner of Property: MA4,k Address: 14o 2.- A1ox-r r.4n wf . -vW Telephone: t'C3 SSA- o°rte
3 . Status of Applicant:_:,,,:f6wner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheetf Parcel# ,
Zoning District(s) (include- overla s)
Street Address 60, �.
Required
5.
Exis-ting Proposed by Zonin
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: i 5 R: 5;:z�, L: r U R: .6
- rear
Lot size &0 /
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). ►vy - FEEPLA,:�F- e7)Cl5"t 416 4,X& PE49 ~Z)
t
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 knowled ,
Date: �'�- 6- q Applicant's Signature: *y��
THIS SECTION FOR OFFICIAL USE ONLY:
'Approved as presented/based on information presented
Denied as presented--Reason:
Special•' Permit and/or Site Plan Required:
tiding fired: Variance Required:
S. gnat e of g Inspector D to
NOTE: Issuance o(a zoning permit does not repave an applicanCs burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,conservation commission, Dopartmonl of Public Works and oUier applicable permit granting authorities.
PERMIT APPLICATION CHECK LIST
PAGE PLOT 23 ZONE 12'� YES NO DATE
ZONING FORM APPLICATION
2 . PERMIT I L_
3 . 0W O
3 SETS OF PLANS /PLOT PLAN
NEW CONSTRUCTION
6 . CURB CUT
7--,- WATER
8 REMODELING
9 , ADDITION
0 , ACCESSORY C
11 , SIGN / AWNING
2 , PERMIT FEE - C - MONEY ORDER
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABL
14 . UNDER SECTION 127 - CMR 780
5 , FORM A
16 . FILL
COMMENTS: 'F
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1226 Office of the Building Inspector
Zoning Form No. 003598 Date 12/2/94 Fee $40 Check# 941
Page, 2 Parcel 23 ,Zone RR/Wsp/Wp Section 127 ❑ Yes No
BUI]LDINGPERMI F-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Marc Teece before Building Inspections
has permission to Replace existing deck 6'x6' & add 14'xl4' deck to it. Inspection on Site—Foundations
situated on 602 North Farms Rd. Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CDNSPICU4U PL CE �T PREMISES
Certificate of Occupancy
Buil ' pector -