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c DEPARTMENT OF BUILDDTG INSPECTIONS
INSPECTOR 212 Main Strcet MuniciFal Building ' e
ly
Northampton, Maas. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE_4,-
JOB LOCATION:
(Map) (Parcel ) ( Subdivision )
HOMEOWNER: h)8� (-1 V-e�--�- ) 1�
_ (Name & Address ) _
fi t e
(Hon-,e Phone ) (work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) ram, 11 es 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 AO2,20WNER_ Person ( s ) who own a parcel of land on
which he/she resided or intends to reside , on wn_ch 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 hoineoiqner . Such "homeowner" shall submit to the Buildino
Official , on a form acceptable to the Building Official , that he/she '
shall be responsible for all such work performed under the building
aermit .
As acting Construction Supervisor your presence on the job site
will be reouired 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 cf Employers to Employees for
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may liable for person(s) you hire to perform work for
You under this permit .
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c
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 AND SHALL BE ON THE JOB AS SUPERVISOR.
,,
HOMEOWNER SIGNA'T'URE
BUILDING PERMIT 9
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. [),,- -A + 9 Additions
• Repair
' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location R ti�5 Lot No.
2. Owner's name L� h (A �7-6Grt C T. Addresses
3. Builder's name Address_
Mass.Construction Supervisor's License No. _Expiration Date
4. Addition
5. Alteration (
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- f c d
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Al
Signature of responsible appicant
Remarks
10. Do any sigrtsr'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 col=xn to be filled in
by the BrdlcUng Departmoat
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
'(Lot area minus bldg
&paved parking)
O'f -Parking spaces
�6f Loading Docks
Fill:
location)
13 . Certification: I hereby certify that the information contained herein
41 is true and accurate to the best of my knowledge.
DA=VE: }`�- �� APPLICANT's SIGNATURE 11 6iJ'
NOTE: Issunnoe- of a zoning permit does not relieve an appiio nt's burden to oomply with all
zoning r -qulrements and obtnln ah required permits from th Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE I
,ry(� lM 2 91996
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �)f, C`� 'L ' )�
Address: ci- 02:-T? Zh\) P(�t> Telephone:_
2. Owner of Property: SAP?
Address: Telephone:
3. Status of Applicant: bl/ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 1,/,",
Parcel Id: Zoning Map# O&,c°(2— Parcel#_ District(s):_
(f0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property �Z_P
6. Description of Proposed UseANork/Project/Occupation: (Use additional sheets if necessary):
12 ef1 hS&r f?t')&-�_ ("r;x
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 "I 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 y?�_ DON'T KNOW 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)
j f
FILE # (%
AN 2 9 M6
APPLICANT/CONTACT PERSON:_
"DRESS/PHONE:
PROPERTY LOCATION: ��G
MAP (f—, PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
7.nNTN(r' FORM FIT.T XD OITT
FPP Pnif1
>/
FP,Pairs V
-Rernrideling Interior
Additinn to F kfinv
ArrPCCnry Rtn1rt11rP
(lwnPr rrnnant Statement nr T,irPncP ii
gets of Planc /Pint Plan
TPF
LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: <
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
!Permit from Co servation Comm' I
Signature of Building Insp e
NOTE:tasuanoe c zoning permit does not relieve an applicants burden to oompty with all
zoning requiremants and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
g20 O*� City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 315 Office of the Building Inspector
Zoning Form No. 960907 Date-4/30/96 Fee 2S 0.00 Check# 1075
Page, 25C Parcel 34 Zone UP-B Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Nancy Felton before Building Inspections
has permission to install garage doors. Inspection on Site—Foundations
situated on 29 Northern Ave. 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
** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJC�JOUS PLACU ON P MISES
Certificate of Occupancy
Building Inspector
City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMEN T 2. Structural Components in Place*
3. Complete Building*
No. 315 Office of the Building Inspector
Zoning Form No. 960907 Dat."4/30/9 Fee 20.00 Check# 1075
Page, 25C Parcel 34 ,Zone URB Secion 127 ❑ Yes El No
BUILDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Nancy Felton before Building Inspections
has permission to install garage doors. Inspection on Site—Foundations
situated on 29 Northern Ave. Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspe,;tion of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Built ing Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish clir
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCIJOUS PLAC ON PIREDMISES
Certificate of Occupancy
Building Inspector