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36-118 (3) A 00.'ttVUlP�O i .:�' ti Grit laf Nart4alirptan � e t � �iessacllusrtta DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE; -v (Please Print) JOB LOCATION: N / (Man) , (parcel (Subdivision) , HOMEOWNER:RDIVII�' �a�, ;�- ? � %R 471 r (Name & Address) ' � ,I (Home Phone) (Wn=k-JQuRre) 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. HOMEOWNER SIGNATURE BUILDING PERM=T # Z < v -o o• i � v D > ..l m C c X v a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,5`91/ l® !7 Alterations NORTHAMPTON, MASS. g4 19� Additions • Repair ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location 60 / Lot No. 2. Owners name Addresd—?J f? dD 4UZ2Z l,11�,1 z- 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration ;ti-c% llnk- 6. New Porch 7. Is existing building to be demolished? 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- ., / d -'n The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signatu a of responsible app,icanl Remarks CjF 0/guar A&Y A" 00oa� ����� and A pp William F. Weld Governor One ` 4(i&n Awo - 'O'R rc 7107 Kentaro Tsutsumi c� 0,2708 Chairman (617) 727-3200 Charles J. Dinezio SOLID FUEL BURYING PELLET STOVE AFFIDAVIT Administrator FOR PELLET STOVES SATISFYING-NEGATIVE PRESSURE TESTING (FALL 199tfmN-rER 1992 IIEATING SEASON) To the State Board of Building Regulations and Standards: Date 01/21/ 19 9 2 I, Drew McDaniel Assistant Manager , Sales & Marketing on behalf of Pyro Industries , Inc . a manufacturer of solid fuel burning pellet stovcs/heaterz/fire place inserts (circle appropriate products), hereby ce at I e o ing pellet heating appliances. try explicit model Idenllricallon: m q del s : WP2 - Advantage Freestanding and Insert WW1/WWlA - Renaissance and Erin, Freestanding WP3 - Prodigy I and Prodigy IZ Freestanding have been tested.or tested/listed (circle appropriate information)per the negative pressure tat requirement of either ULC 5627/CSA Standard B366.2,or via methods/requirements of similar nationally recognized standards,and found to satisfy the applicable criteria of ULC S627/CSA Standard B366.2 or other nationally recognized standards;additionally,burnback did not occur either during normal or abnormal"negative pressure" testing. MANUFACTURER: P ro Industries , Inc . SIGNED: G TYPED OR PRINT NAME ABOVE Andrew K. McDaniel TrrLE _ Assistant Manager, Sales & Marketing On this ' O-14 day of ,19q;�,then person21ly appeared before me,the above named =STATECOF W A and made oath that the above statement by him/her,are true. ON kes BEFORE ME ecemer 9, 1993 NOTARY PUBLIC MY COMMISSION EXPIRES:_ 19—IL oeaKwIL911 Page 2 of 2 Fl�fh ' ? 0 0 ,2 5 ­t, J 11F111VV>UfVI Date Filed File No. ZONING PERMIT APPLICATION (510 . 2) Name ofAP lie nt: Address : 77 Telephone: A Cam, Owner of Prop)e ty: a' r Ac K/E' Address : a© i �- —Telephone :_ - d/ ( 3 Status of Applicant:Yowner Contract Purchaser �/ Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 3( Parcel# /16 , Zoning District (s) (include overlayr�T t.CP- Street Address � Require5 . Existin Pro osed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) 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 Fill (volume & location) l NNarrative Description of Proposed Work/Prof ct : (Use additional sheets if necessary) ZZ67- 4/- —/Gf� �D 0Z --,112-- 57O/'£ 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: dpp gnau . // THIS SECTION FOR OFFICIAL US ONLY: _L Approved roved as presented/based pp p nted/based on information presented Denied as presented--Reason: S cial'4Reqr' and/or Site Plan Required: g Variance Required:gnatu e f di ector � D e NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquirements and obtain all required permits from the Board of Health, Conservation commission, Doparlmont of Public Works and other applicable permit granting authorities. it,71- o CN o p lz w V 04 ® . 0 to tc w° co d 5 '° I S � S a S � N_ C C O O C 0 LO 0 93 � ENO C: C Z C� ao O >1 U O O C O Ea .+ o � � o A 9 .. � a., bp O U C � w 00 W ra � ° � > e .o � Q w H N J7 O U � b x a o � c� a ° E p co 0 r- o a u � oW " p; W Til 0 H w O M �r O ►c o CnD dq " p dP•ap. cD �. �O O o, FBI O o r EA�• ��' < < z O y �. a: m w r ° o o �. n o .�. • COD $ � °, 05 00 c mn ti� � u, rt �-• � � p G. � � y 7� to C' (M N C=l ° g y A� fD O rj, O �� lot nfQ c C 0 rt- 9. 8 Ul z y � �. �• � � _ ° w u4 °a 71 'S5� 5 fjQ IQ o � fD n ON g. 8 P. c° °c o' 5 '� ° aoo d CD qQ Li y o � y y V-1 ^ i �