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' DEPARTMENT OF BUILDING INSPECTIONS -
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
her—,,- I L _ -1 (Please Print)
DATE: •
JOB LOCATION:
(Ma ) (parcel) (Subdivision)
HOMEOWNER: 1`l L `;-_ 1, '; ►��
1 (Na e Address) I
" 2 I (-,l 66C 11-11C e, A.
(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 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.
HOMEOWNER SIGNATURE
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. W t, "-5 �� Alterations
NORTHAMPTON, MASS. ] �`� 199 Additions
'
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location n Vex Gi n k Lot No.
2. Owner's name /�/f 'j L L 6�.F� Address
,Builder's name Address SA N1 e
` ass.Construction Supervisor's License No. Expiration Date
/4. ddition n
5. Iterationi�- ;��• �� 'p r�l1� j '( C�
New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating P&C!),G ,,& c
11. Distance to lot lines
12. Type of roof
13f Siding house '
\�1.(v Tystimated cost-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks ,!yam 11 /tea �Jt/y'
Date Filed 002434
File No.
ZONING PERMIT APPLICATION
�. Name of Applicant: AL �r'� r J
Address: fit' Telephone:
Owner of Property: S f j l'►�
Address : ru� Telephone:
3;' Status of Applicant: L—owner Contract Purchaser
Lessee Other (explain. )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District(s) (include )_) t,(.,04
Street Address /0
Required
5• Existing Prong ed by Zonin
Use of Structure/Property
(if project is only interior workO sktb to # )
Building height
%B1dg. Coverage (Footprint
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
r^ Fill (volume & locations '
6 Narrative Description of Proposed Work/Project : (Use additional sheets
if necessary) n' , k C, - --. �.
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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: L� 13 Applicants Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
ZApproved as presented/based on information presented
Denied as presented--Reason:
S cial" Permit and/or Site Plan Required:
ng R u� d: Variance Required:
wSagnattYre�'of'
uildin� ector � ate
NOTE: Issuance of a zoning porrnR 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, Dopmtmont of Public Works and othor applicable permit granting authorities.
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