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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building ,
Northampton, Mass. 01060 "
HOMEOWNER LICENSE EXEMPTION
DATE:
(Please Print)
�' /
JOB LOCATION-
(Ma ) (parcel) (Su division)
HOMEOWNER: / ` > , 6/ (!z ;_ -.4- I c r C' �' .h ,
(Name ' Address)
l .alo n � 5 Li- 16 l `
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
owner-occupied Dwellincrs 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, 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 SIGNATUREIC �. .
BUILDING PERMIT #
a � z
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � l' `T Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ;L1 40 o -�-S s`F• t-lc�(��/L� c-� Lot No.
2. Owner's name/4/r-{L:.d jjj6'A! %30-1}raH. dthl61 Address ✓Z{ �Iotves <j
3. Builder's name °— Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition - C�Lc 1�C'PtZ�t� gl,>C_.
5. Alteration
6. New Porch
7. Is existing building to be demolished? 1t1/0
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating ¢-r/ L
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cos h1000,
The undersigned certifies that the above statements are true to the best of his, her
knowledge d belief.
signat e j res ns b!e app lcam
Remarks
003050
Date Filed File No.
ZONING PERMIT APPLICATION (s10. 2)
1 . Name of Applicant: V,C',h6�e, hi'l
Address : .1-/ �/ Telephone: S6,
8,
2 . Owner of Propei4ty:_/�/664i(-'�t d�c�LC,I/�i� Z)1_30�fcf
Address :_; / 5T Tbleprfone: 378s( -,64J-T
3 . Status of Applicant: ✓ Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
Zoning District(s) (include ova lays)
Street Address Z(
Required
5• ExistincT Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage Foot print)
Setbacks - frontI
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/Prof ct: (Use addit 'on 1 sheets
if necessary) ��°fc(lam�z�n� s l�v r'A G rf e�c�M t � YC
'r
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 know edge. /
Date: Appl icant r s S ignature: KI,dd,ti
THIS SECTION FOR OFF — _-
. ICIAL USE ONLY.
Approved as presented/based on information presented
Denied as presented--Reason:
S 'Pcial-• Per it and/or Site Plan Required:
'ng R i d: Varianc equired:
gnat Hof Bui.ldin ector D te/
NOTE: Issuance of a zo permit does not relieve an applicant's burden to comply Mai all zoning requirements and obtain all required permits
from the Board of Health,Conservation commission, Department of Public Works and other applicable permit granting authorities.
PERMIT APPLICATION-CHEC
PAGE 7fi P LOT < Z ZONE �� Z- 1 -4 S NO
rr DATE
ZONING APPLICATION U ERE]
U
2 , PERMIT
3 . 0 NOT
S t�
5 . NEW S
6 CURB CUT
7 WATER
8 . REMODELING INTERIOR
9 ADDITION
0 . ACC
SIGN / AWNING
12 , PERMIT FEE CHECK ONLY - MONEY ORDER 911M
13 , SpECIAL pEgMIT REQUIRED WITH DEED IF APPLICABLE
4 . UNDER - QMR 780
5 FORM A
6 , FILL
COMMENTS:
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City of Northampton - REQUIRED INSPECUONS
BUELDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 741 Office of the Building Inspector
Zoning Form No. 003055 Date 8/8/94 Fee $40 Check# 2419
Page, 17A Parcel 177 ,Zone URB Section 127 ❑ Yes No
BUI]LDING PERM. IT
, r
*Plumbing and Electrical Inspections required
THIS CERTD'IES THAT Michael Murphy before Building Inspections
has permission to Install an outdoor spa Inspection on Site—Foundations
situated on 21 Howes street 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
r provisions of the Statutes and the Ordinances relating to the Constriction, 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 T E DIS D IN A CONSPICUO P CE THE PREMISES
Certificate of Occupancy
-
r Buildin r -
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