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03-009 ,J�assacl�uoelle m DEPARTMENT ON BUILDING INSPECTIONS __- INSPECTOR 212 Alain Street ' Municipal Building Northampton, Mass, 01060 'L a HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: JOB LOCATION:_ 3 (Map) (Parcel) (Subdivision) HOMEOWNER: 7 (f p l r-! /U b fc'o 5 �,7_J I--Q!2{=1 E I_ IS 6 Vr (Nahle & Address) F,�o2� NCB 58y (Home Phone) (Work Phone) The current exemption for "homeowner,s'I .yeas 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 doe.q not nossess a license, provided that the owner acts as supervisor. ' CMR780 Section 109. 1 .1 DEFINITION OF HOMEOWNER: Persons ) 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 (Viability 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 Y BUILDING PERMIT # u ,u 0 1s1'AK M1"N7 OF I;IJ11-DDY'0 (iVSt'�iG'7'fONS - INSPECTOR '.I .1T ua �La et i1Ca.ani ,i? Al liui?dint; '.� \r c,rlluunlato;a, .1'f.,a.ss. 01060 5 SOIJ11) FUE L, RURNING APPLIANC, 6, CHIMNEY APPLICATION PERMIT NUMBER Location 50 l Co Owner or l.ta ^sa'r DO Ci ` am%�.i' (Naanr ) (I1 z,I.l i atI Add7-e_>s) (I --I e. No. ) Con t rac.t:o a° (N a rn,_:) (Arlcia es,) (Tele. No. ) RESIDENTIAL NON-RESIDENTIAL V- One lar;ii.l y Ho me Business Two or Marr: Other Number of Units Specify Stonier; in Batl.ldl.nl; Type of Appliance New _ Wood burning —� Used Coal. LaheLed Combination 9 (o Dat:c of 1-lurch<ase Other Specify Model or Type --- Mhnufacturer iNLGV,-t�,Z> 7-It FIX)6,5i Purchased From 5E6) 2(Z�tL N -,r,y 1-y*M)X-- (Narne of Firm) 1� '• .s_ _�'1 1 roc 6 Hd 016e�, (Address) Cost - Construction & A.ppl.ianctb Chimney New _ Metal. Best:os _W��xisting _ Interior chimney Separate Flux: Exterior chimney --Other nppl i.rartce attachad to flue. ✓Masonary Lined Unli.ncrl Notes & Da tea Signature of Appl ant: (Ad Oess) Approved By Title-. ._ . / Da t L• /dLG/ �-` 4F �Stw rT m'0LY-w 3r }�; 0003;.►0 . Date Filed c-�, File No. it Z NING PERMIT APPLICATION (§10 . 2) 1. Name of Applicant : J ®'R 0-T S Address : a /--r4i KFi c-- !C-a, Telephone:_ y - gg,�-b 2 . Owner of Property: S/IM C Address : Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . , Parcel Identification: Zoning Map Sheet# Parcel# 17_r Zoning District (s) (include ove lays) Street Address C I--. Required g , Existina Proposed by zonincr Use of Structure/Property C-' _ f-r9N11. (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side 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) 6 . Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 1 J N 5]L-A LL UJQo115i©tlr:�- 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: (� �-�itl,� /�� Applicant ' s Signature: t-t�l��� —�� ^THIS SECTION F'OR OFFICIAL USE ONLY: �pproved as presented/based on information presented Denied as presented so for enial: S gnat Buil ' Inspector / to NOTE: issuance of a zoning permit 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, Department of Public Works and odier applicable permit granting authorities. 7/92 FXAS City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 635 Office of the Building Inspector Zoning Form No. 000350 Date 10/8/92 Fee $20 Check# 292 Page, 3 Parcel 9 ,Zone RR Section 127 ❑ Yes ® No BUI]LDING PERM I I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Dorothy Andros before Building Inspections haspemussionto Repair chimney & install wood burning stove Inspection on Sits—Foundations situated on 501 Coles Meadow Road 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 CONSPICU US P ON THE PREMISES Certificate of Occupancy Building Inspector C°P F