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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE:
JOB LOCATION:
. (Map) (parcel) (Subdivision)
HOMEOWNER:_ E1 C t1 A 2 2 ?0 W Grz5
(Name, & Address)
130 C.9 5iiucl7" ST_
(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 doer, not possess a '
license, provided_ that the owner acts as supervisor. GMR780 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 -Offi.ci.al, 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 SIGNA %°z�G �ti - �t!-GG^G•'z .
BUILDING PERMIT
7
>
_ 3 a
a:
z _ cm o
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. q1 9 Alterations
NORTHAMPTON, MASS. 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
• Garage
1. Location 13 ® r�N r!S'�c t"T" S'% Lot No.
2. Owner's name_ ��C-rf A/Z.� T �U w S Address %3 d C-)4 S i S i
3. Builder's name W n% R Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition NC
5. Alteration Kt 7-C_H Est) ZAP/AS r CyU ZE c Ti 0,,C
6. New Porch /N4>
7. Is existing building to be demolished? 4)6
8. Repair after the fire A)o
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_
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief. J7,,
ca
Signature of responsible app.icaw
temarks
004451
Date Filed 2z PS— File No.
ZONING PERMIT APPLICATION.-(S-i0,. 2)
1 . Name of Applicant: 4444-0 PQWE;.Q.s
Address: t 3eq C_y41— Telephone: 15g'= -Y/
2 . Owner of Property:
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet#_/7 C_ dParcel# �3 ,
Zoning District(s) (include over,la s) l�
Street Address I«r ,
Required
5 . Exis-tincT Proposed by Zonin
Use of Structure/Property '
(if project is only interior work, skip to #6)
Building height '
5.-' B1dg. Coverage (Footprint)
Setbacks - front r
side L: R: Y _R:
rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking) tia.
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) �rtN �xai4�vsrcJ��l .uy L� ; a•v
7. Attached Plans: Sketch Plan Site Flan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special" Pe it and/or Site Plan Required:
ing R i d: Variance Required:
A(of g I gnat ctor ite u d
NOTE: issuances of a zoning permit does not reliave an applicant's burden to comply wigs all zoning roquiroments and obtain all requirod permits
from tho Board of Hoalth,Consorvation commission, Npartmont of Public Works and opior applicable pormit granting authoritlos.
PERMIT APPLICATION CHECK I_IS
PAGE 17L PLOT L3 ZONE G�� � ES NO DATE
1 , ZONING FORM APPLICATION LS
2 . PERMIT APPLICATION
3 , OWNER.-OCCUPANT STATEMENT / LIC A IF NOT
4 3 SETS OF PLANS /PLOT PLAN
5 , NEW CONSTRUCTION
6 . CURB CUT
7 WATER AVAILABILITY FORMS
8 , REMODELING INTERIOR
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 , SIGN / AWNING
12 , PERMIT FEE C C ONLY - MONEY ORDER --�
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 , FORM A
16 . FILL
COMMENTS ;
i
i
�
� ' ' City of Northampton REQUIRED INSPECTI ON'
S
9
e BUILDING DEPARTMEN 1. Footings and Walls
� 2. Structural Components in Place*
3. Complete Building*
No. 518 Office of the Building Inspector
Zoning Form No. 4451 Dat. 6/28/95 Fee $40 Check# 523
Page, i 7c Parcel g_3 Zone igg Seciion 127 ❑ Yes ® No
BUI:LDING PE 'N
R- 41T
*
THIS CERTIFIES THAT Richard Powers required
Plumbing and Electrical Inspections
before Building Inspections
has permission to Kitchen renovations Inspection on Site—Foundations
situated on 130 Chestnut Street Inspection of Plumbing—Rough z
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,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
Any violation of any of the terms above noted is an immediate revocation Insp})ction of Wiring—Finish q/7/ xs-'
of this permit.Expires six months from date of issuance,if not started.
Bui!rjing Inspection—Rough MI—N 7-
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection l'G 7.1
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish Otl y7✓b�� '�1
Smoke De.:tz-ctors(Fire Department)
Other
THIS CARD MUST BE E4SPLA IN CONS PLA O THE PREMISES
• Certificate of Occupancy -1
(A ?L !l;II SiIU�