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17C-269 (3) ,} � i, ♦tia0�KH�pTO a g a Grif# of 'Nart4aillp f orr � �assacltusetls DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION �,�� Z(Please Print) DATE• JOB LOCATION: 1 -7 G 2-69 (man) ar�e,l) L ( Subdivision) HOMEOWNER:_ _Y© Y0. +�- nn 1'\ �- L t. l� S 1 E LO R E WC� (Name & Address) (Home Phone) (Work Phone) The current exemption for "homeowners" was 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 does not possess a ' 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 of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PERMIT # 0 a > o b � tv b o r a to Z Lop) n O ac �t Z � Zoning U' 7 �� � Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �'''QQ 3 Alterations NORTHAMPTON, MASS. Y-, - 2-2 19 OC3 Additions Repair a APPLICATION FOR PERMIT TO ALTER �-- ,, �I Garage 1. Location �-- -�-- Fri ���'V Lot No. Z. _ 2. Owners name s0�{�-- ll M �� Address 5l L l LG-� S'Z' 7PL-Q P,EW CE 3. Builder's name SD H YV 7A` S T t CT�A Address 5' 1 Z"'1 L CX S7— Mass.Construction Supervisor's License No. 2- � l Expiration Date 4. Addition N _ 5. Alteration 6. New Porch Z8 7. Is existing building to be demolished? N 0 8. Repair after the fire i V�A 9. Garage No.of cars Size 10. Method of heating �V T- 11. Distance to lot lines 6Q t pro �PLJI t3 AA- S��E'J 2S 'z= `r ro✓� 12. Type of roof 13. Siding house `1 14. Estimated cost:- sue D The undersigned certifies that the above stat are true to the best of his, her knowledge and belie. Signature of responsible app,icant Remarks I'1\00 Azz u 001 Date Filed 62 Z File No. ZONING PERMIT APPLICATION (910 . 2) 1. Name of Applicant: , Address : 51, _F%UIZg (_ Telephone:) 2 . Owner of Property: Address : 5'( L,kL_L_,,y 177- Telephone : S,2 S 3 . Status of Applicant:-K-Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 17 arcel# � V , Zoning District (s) (include ov laysC' ' ' Street Address , Required 5. Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprin Setbacks - front - side L: - 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) 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification : I hereby certify that the information containe ein is true and accurate to the best of my knowledge . Date : 6 &Z a3 Applicant' s Signature : THIS SECTION FOR OFFICIAL USE ONLY: !� Approved as presented/based on information presented Denied as presented--Reason : cial' Permit and/or Site Plan Required: -ng Re ired: _ Variance-- Required :_ gnatu e of Buildi nspector ` IlEfte 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 other applicable permit granting authorities. 0T)- City of Northampton REQUIRED INSPECTIONS . BUILDING DEPARTMENT 1. Footings and Walls e 2. Structural Components in Place* 3. Complete Building* No. 504 Office of the Building Inspector Zoning Form No. 001293 Date 6/23/93 Fee $20 Check# M.O. Page, 17C Parcel 269 ,Zone URB Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John Smith before Building Inspections has permission to Repair/replace roof Inspection on Site—Foundations situated on 51 Lilly 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 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 JS;PL E N THE PREMISES Certificate of Occupancy ng Inspector �,