17C-282 (3) cS
*jVJL40p, �/ 11 #9JU Zi\
0 '0 Gf T of Ngrf} ailrptan
�iSt KC11❑t[Ile
DEPARTMENT OF BUILDrgG INSPECTIONS
INSPECTOP 212 Main Strcct ' Municipal Building
Northampton, Mass. 01060
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: t
JOB LOCATION: e- c � !`
(Map) (parcel) ( Subdivision )
HOMEOWNER:
(Name & Address)
( Hon-,e Phone ) ( Work Phone )
The current exemption for "homeowners'' was extended to include
OFmer-occupied Dwellinqs of one ( } )or two (2) fami I ies and to allow such .
homeowner to engage an individual for hire who does not possess a �
license, provided that the owner acts as supervisoK. CMR780 Section 109. 1 . 1
DEFINITION OF HOMEOWNER: Person( s ) who own a parcel of land on
which he/she resides or intends to reside , on wn -- ch 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 homeoi-�ner . Such "homeowner'' shall submit to the Buildina
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 maw be" liable for person( s) you hire to perform work for
i 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
z General Laws Annotated ANO HALL BE ON T E JOB AS SUPERVISOR-
HOMEOWNER SIGNATURE A�L �\
BUILDING PERMIT
i
I
•° .o
T 'y
v -o o•
Z
v
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. r/—� �%1� fa Alterations
NORTHAMPTON, MASS. L '` 'l 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location U W-,� Lot No.
2. Owner's name P I I') L AL Address LILy,� Lo eNj C�
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition /V
5. Alteration
6. New Porch PJ
7. Is existing building to be demolished? /1/l
8. Repair after the fire /V
9. Garage /F No.of cars Size
10. Method of heating CT F6(� �� i -
11. Distance to lot lines
12. Type of roof ( ` '
13. Siding house '
14. Estimated cost:- '
r
The undersigned ertifies that the above statements are we to the best of his, her
�� knowledge and
� r
Signature of responsible appicanr
Remarks LA��"_. '-L
10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO'/
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPL TED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coltsffi to be filled in
by the Bni.ld±ny Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
Lot area minus bldg
' &paved parking)
of. "Parking spaces
# of Loading Docks
Fill:
'4voldme--& location)
13 . Certification: I hereby certify that the i formation contained herein
is true and accurate to the best of my kno led
r,. DAVE: �� APPLICANT's (SIGNATURE avll 1
NOTE: Issuanoe df in zoning permit does not relieve an pplioanre burden to comply with all
zoning requirements and obtain nil required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
`'.''; FILE `
i` i)j 2 41996 >
File No. �'
ZOIZING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: IT L.1l_t ` Telephone:
2. Owner of Property:
r
Address: Telephone: �;✓�
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property }�i=. ,� �) '(✓ ,
6. _e�sccnption of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO ✓ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE
APPLICANT/CONTAC,YP' RSON. 0aJL1(
ADDRESS/PE(ONE
PROPERTY LOCATION: ZZ
MAP / J PARCEL: ,2,?--2, ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee pflid
Fee Pnid C. ff
L� &a L Z
Builffin2 Plans Incinded- Z,
.? �»+
� (:rJ
TH�FOLLOWING ACTION HAS BEEN TARN ON THIS AP ICATIOM.
Jj Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation Co Sion
Signature of Building Insp o Date'
NOTE:issuanoa of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Public), Works and other appiioable permit granting authoritles.
ttiW
City of Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 420 Office of the Building Inspector
Zoning Form No. 961016 Date 5/28/96 Fee$40.00 Qreck#M.O. & 2559
Page, 17C Parcel 282 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERmi r
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Daniel Cahillane before Building Inspections
has permission to strip & reshingle roof,3 replacement windows & drywall. Inspection on Site—Foundations
situated on 18 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 CONSPICUOUS PLACE ON ISES
Certificate of Occupancy
Building Inspector
City of Northampton REQUIRED INSPECTIONS
e
1. Footings and Walls
BUILDING DEPARTMEN T 2. Structural Components in Place*
3. Complete Building*
No. 420
Office of the Building Inspector
Zoning Form No. 961016 Date 5/28/96 Fee$40.00 Check#M.O. & 2559
Page, 17C Parcel 282 ,Zone URB Section 127 ❑ Yes ® No
BUI DING PER.NHT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Daniel Cahillane before Building Inspections
has permission to strip & reshingle roof,3 replacement windows & drywall. Inspection on Site—Foundations
situated on 18 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 InspF;ction of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough 1
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 -9 7
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE Tu)ISPLA CONSPICUOUS PLACE ON RE ISES
Certificate of Occupancy "! 1
Building Inspector f,--- ---
C,ot�t�` 111;11 Sr)(J�