17C-285 (5) i
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE MCEMP'I'ION
(Please Print)
DATE; Aqv_
JOB LOCATION:
, �(May) 0? C61) (Subdivision)
HOMEOWNER: X�/ lS ev✓
(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
st"ructures 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
7 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 Lasts Annotated.
HOMEOWNER SIGNATURE "^_�� � •
BUILDING PERMIT ((
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.�� 19 /TT Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1 Location 2, 4///v J;-/ Lot No.
wner's name ���''�� �• /c /�-f ° ^`� Address
3. Builder's name �-- Address L/'��y � ��lr�,e"pN C vy1 ✓�
Mass.Construction Supervisor's License No. Expiration Date
O4Addition -4-
S. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
4. stimated cost:- 6DO
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks
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Date Filed 002f -- u
File No.
ZONING PERMIT APPLICATION (Sib". !)
1 Name of Applicant: v/P�
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Address:
pP
Telephone. a
2 Owner of Property: PA �c S
Address: L.; // %�a�,v�,� e�-r�, Telephone: _17Y6
3 . Status of Applicant: wner contract Purchaser
Lessee O er (explain )
4 . Parcel Identification: Zoning Map Sheet# r7 Parcel# G�,
Zohing District(s) (inclu v lays)
Street Address :5
Required
5. Exist3*na Pro osed by Zoning
Use of Structure/Property
(if project is only interior work, stip o #6)
Building height
ldg'Coverage (Footprint)
Setbacks - front i
- side L: ad ' R: L: .46 R:
- rear
of 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)
y �
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:_ ���j�'1` Applicant I s S ignatur / ✓�Tom,
THIS SECTION FOR OFFICIAL USE Y7 — — —
Zoved as presented/based on information presented
Denied as presented--Reason:
Sp ial" Permit and/or Site Plan Required:
d g Re i.r Variance Requ red:
G
gnat of Building I pector �� D
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 tho Board of Health,conservation Commission,Dopaitmont of Public Works and olhor applicable pormil granting outhorilios.
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City of Northampton REQUMED INSPECTIONS
e 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 477 Office of the Building Inspector
Zoning Form No. 002728 Date 6/3/94 Fee $40 Check# Money Order
page, 17C Parcel 285 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI rr I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT David Hickson before Building Inspections
has permission to Replace exisitng deck and add 6' peCtion on Site—Foundations
situated on 32 Lilly street Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the teens 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 terns 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 CONSPIC PL N THE PREMISES
,Certificate of Occupancy
Building Inspee6F -
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