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DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 4"
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE:
JOB LOCATION:
( ap) (Parcel) (S bdivision
HOMEOWNER: ,)a/3f3
(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 m_ ay 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 Lo al Zoning Laws, and State of Massachusetts
General Laws Annotated
HOMEOWNER SIGNATURE ~
BUILDING PERMIT
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. + Alterations
a NORTHAMPTON, MASS. �C� �::�-�-' 19 Additions
-�APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �
Lot No.
2. Owner's name �:1 �Tl G.� -� Address_
3. Builder's name `�/}/r Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition _
5. Alteration i/�5 7A,d-7-16,J ei5 f 6�+`✓ 'c — f�C, C �� , x N `l tn%.
6. New Porch
7. Is existing building to be demolished? N _
S. 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
14. Estimated cost:
The undersigned certifies that the above statements are true to the best of his, her
knowledge and b of l
Signature of responsible app,icant
Remarks l
,t1 Ljei File No.
Date Filed �' _ /
ZONING PERMIT APPLICATION (§10 . 2)
1 . Name of Applicant: —b�j P jes-16J
Address 5-,X V U / fMt / Telephone: 6N-/55,5_
2 . Owner of Property: �c11-fiJ
Address : (, / Telephone : -1 9 IS
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Jq D Parcel# � � ,
Zoning District (s) (include ov ads) �P,_
Street Address ` l�U ,
Required
5. Existihq Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: 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 Desc iption of Proposed Work/Project : (Use additional sheets
if necessary) I b orj,' j " 2a
7
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 knowle
Date : '� 3 Applicant's Signature:
/� .� � �� pp g
THIS SECTION FOR OFFICIAL U E ONLY:
Approved as presented/based on information p esented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required :
indtng R ired: Variance Required :
gna e �;na uildin c or ate
NOTE: Issuance of a pp ermit 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.
i i"71-
City of Northampton REQUHZED INSPECTIONS
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 975 Office of the Building Inspector
Zoning Form No. L Date 10/21/93 Fee $40 Check#
Page, 17D Parcel 21 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John P. Weston before Building Inspections
Install 1 zero clearance fireplace and
has permission to two (2) replacement ;windows Inspection on Site—Foundations
situated on 105 straw Ave. 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 CONSPIC U PL ZE ON THE PREMISES
Certificate of Occupancy
Building Inspector ��-
�t�t r:�1;it SilU1
PERMIT APPLICATION CHECK LIST
:,� ..x''Pt �'�'; ' L91►1 'L IQ % -� YES NO DATE
1
ICATION _
�.�--
2
3 . ;,<
NOT
4 . 3 SETS OF
S PL
5 . NEW CONSTRUCTION
6 . CURB CUT
7 WATER
S
8 . REMODELING
INTERIOR
9 . ADDITIO
10 . ACCESSORY
STRUCTURE
11 . SIGN
G
12 . PERMIT F E
- CHECK ONLY - MONEY- ORDER
13 . SPECI PERMIT
REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION
127 - C R 780
15 . FORM
16 . FILL
COMME TS : _
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