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Cite of XM*U _
DEPAR MiEhT OF BUILDING INSPWrIONS ,
INSPECTOR 212 Main Street Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION PERMIT NUMBER �L77
Page Plot Zone%
Jk&Location
Owner or Lessee�G L iW�
N ) aili Addzeas ele. No.
Contractor ii A$
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
i/ New _V Wood burning
Used Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type
Manufacturer Cfl/is•�
Purchased From
(Name of Firm
Address)
Cost - Construction A Appliance $
Chimney New Metal Bestos
Existing _ /� Interior chimney
Separate Flue Exterior chimney
y Other appliance attached to flue
jeO Masonary Lined '
Unlined
Notes S Data: l
Signature of Appli tt
Addr
Approved by: 4 4
Title: Dater
04`'C1VWP�O
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMP'T'ION
p c�
DATE: / (Please Print)
I '� -_ ( mil
JOB LOCATION:
(Map) OParcel) (Subdivision)
HOMEOWNER: Ow ell ll f -J , i u out I dr,
(Name & Address)
.3 Mtkry ire_ 1,N l=' 1c)r-,e ilC,C _ �'��� � 6 l C,6C `f3/Z .
(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 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, oft 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 AND SHALL BE ON THE JOB AS SUPERVISOR.
HOMEOWNER SIGNATURE /�
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BUILDING PERMIT
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �O `� 51 Alterations
19 4`
NORTHAMPTON, MASS. — q Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3(P lj&n-,—, LIB C V L e_v1 e e fA&- ( Lot No.
2. Owner's name �,/t 11\C e v2'i T . '1 i-t_vr xcu-( J 1�, , Address .3(0 M 6-V:1- J fl We_ �(� �—(U4' ��-
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration ( � ( � tl � ) ( Cc
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size l i
10. Method of heating OV C e �Ab Ck 1 d'
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- �i(lD
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�Y Signature ofres nsible app scant
Remarks
".1
Date Filed 003288 File No. :
ZONING PERMIT APPLICATION (910. 2)
1. Name of Applicant: `JI Y1 Ce T• Lw a t- Te .
Address: �(o ���� ^U ., Ir Y7 e l-IQ I-ICS rei 1 C e ,lJ,_Telephone:
,� l.lb't(i5 d/ctr���ttl��rskt`��
2 . Owner of Property: v1(Ct, ,_� - l ILL
Address :5u N Ac,- Telephone: 5���}
3 . Status of Applicant: )Owner Contract Purchaser
Lessee Other (explai.n )
4 . Parcel Identification: Zoning Map Shee # 1�- Parcel#
Zoning District(s) (include overlays) WI&I
Street AddressCo
JReqU3.Existin Pro osed onin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: R:
- rear
Lot 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/ProlIject: (Use additional sheets
if necessary) Y1 S C�� �� o 4 `CV bLk_V"IY1� S 4'-e_ C2 (?-«ck.r
1� StDe_ o - ym-e_
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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: W211 y Applicant's Signature:
THIS bI FOR OFFICIAL USE ONLY:
114,pproved as presented/based on information p resented
Denied as presented--Reason:
S 1 1'* and/or Site Plan Required:
in g Reqe Variance Required:
5- nature Da e
NOTE: Issuance of a zoning permit does not retiove an applicarWs burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Dopattment of Public Works and ollior applicable permit uranting aulhoritios.
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fit of Northampton REQUIRED INSPECTIONS y � }
,DING DEPARTMENT 2. Structural Com onents in Place* N
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3. Complete Building* H
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Yrice of the Building Inspector _ z �W N
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Date 9/13/94 Fee $20 Check# 5249 N N z
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Section 127 ❑ Yes No
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LDING PERMI
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*Plumbing and Electrical Inspections required m 3 D
ncent J. Tumal Jr.
before Building Inspections W W
a pellet stove i W u z cc
Pe Inspection on Site—Foundations m a cs
Jane Lane Inspection of Plumbing—Rough Z
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s permit shall in every respect Inspection of Plumbing—Finish ! W
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on file in this office,and to the Gas Inspection a
ices relating to the Construction, inspection of Wiring—Rough _ c W
gs in the City of Northampton. w U-
toted is an immediate revocation Inspection of Wiring—Finish W t
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date of issuance,if not started. Building Inspection—Rough U) W o W W
issued by this office upon return _ - Insulation Inspection N a C
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firing and Building Inspectors. �� a •
formation: windows, vinyl siding, Building Inspection—Finish
Smoke Detectors(Fire Department) w
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Other
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D L YED IN A CONSPICUO PL PREMISES Z o
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