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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street 4 Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EMdP T'ION
DATE:
�� 3 (Please Print)
JOB LOCATION: g-,C)*_Ct
(Map) (parcel) (Subdivision)
HOMEOWNER: S AY,YJ QA Wb o
(Name & Address)
(Home Phone) (Work Phone)
S'e-b It 1�6 i _ "� 1 qE 2-v q Y
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 az
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 "ka_
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. <5 l� Alterations
NORTHAMPTON, MASS. ° vtvh�cti 3o 19 3 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4�' p` ` �T�-4�- ' Lot No.
2. Owner's name 1A to Address Q W J•t
3. Builder's name w '° Address 3 6P&n6 Ll ?-C.Q
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch M G
7. Is existing building to be demolished?
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8. Repair after the fire
9. Garage
NTO No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house CA-V ," W 'j t^�`��' S't ►�
14. Estimated cost- c�
The undersigned certifies that the above statements are true to the best of his, her
knowled and belief.
rSignature of responsible app scant
Remarks
op C12G
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Date Filed �`. 3Q- L'' File No.
ZONING PERMIT APPLICATION (§10 . 2 )
I. Name of Applicant: l'v� dto�ew��
Address : iSG (Do-k Telephone: Rah,
2 . Owner of Property: S Ay-r�
Address : nyl-� Telephone: �,
3 . Status of Applicant: • Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District(s) (include ov rl IA K►
Street Address
Required
5. Existincr Proposed by Zoning
Use of Structure/Property
(if project is only interior wor , skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: I�:,.. 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)
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7 . Attached Plans : Sketch Plan Site Plan
8 . Certification : I hereby certify that the information contained herein
is true an accurate to the best of my knowledge .
Date: App1icantIsSignature
/� THIS S E O F
CTIN FOR O F C
Y A
IIAL` USE ONLY
pproved as presented/based on information presented
Denied as presented--Reason:
Special• Permit and/or Site Plan Required:
Fin ing Re uired: Variance Required:
1
11 Ad/73
S1 a ure uildin -Inspector ffat0_
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, Deparunont of Public Works and other applicable permit granting authorities.
Jc"71-
City Northampton TIof REQUEAED INSPECTIONS
BUILDING DEPARTMENT 2. Swctturrsal and Components in Place*
3. Complete Building*
No. 1Q97 Office of the Building Inspector
Zoning Form No. 002027 Dateil/30/93 Fee $40 Check# 2618
page, 17A Parcel 52 Zone URB Section 127 ❑ Yes ❑ No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT �. ncra wolosenko before Building Inspections
has permission to Install vinyl siding Inspection on Site—Foundations
situated on 156 oak street Inspection of Plumbing—Rough
provided that the person accepting this pemut 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 Ordinw ces 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 ofissuance,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 its l �
Smoke Detectors(Fire Department)
Other
THIS CARD T B LAVED IN A CONSPICU PLA N THE PREMISES
Certificate of Occupanc
p-erector
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