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17D-029 t' °� :twrp2b S\ VA:- �''' d (! J ks • full asctts ^ _ '= - . reklui,, . t WM.-. -----=:--, DEPARTMENT OF BUILDING INSPECTIONS 4 _ INSPECTOR 212 Main Street ' Municipal Building - = Northampton, Mass. 01060 r HOMEOWNER LICENSE EXEMPTION y _ - -- (Please Print) DATE:. " y S JOB LOCATION: (Map) (parcel) (Subdivision) HOMEOWNER: j(- .� (Name' Ad ress) 5 5 :.....2 (.J..c e . 7 - , , , r- c. ;:ke-i /1-'4 s -770 5 (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 State of Massachusetts General Laws Annotated AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE -" . /// /, / _ � - '`� - 7 BUILDING PERMIT # '9 T A c 't c m z = > 3 -h o "" r © z m c ..l F R N = F r. . CC x z v G O 7. o 1 e Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No.. EJ - 7 708 Alterations %r NORTHAMPTON, MASS. 19 j' 3� Additions ! A' APPLICATION FOR PERMIT TO ALTER Rcpair Garage 1. Location .. 7 C "ice tom ,4 ' &t T G `" e L e -- Lot No. 2. Owner S Owner's name + Gz -e-{ A (2 0 5 ° 5 Address . 5 - 7 5/ � (A.) .4 VI ,4 (-Z:t c' 3. Builder's name Address Mass. Construction Supervisor's License No. Expiration Date 4. Addition ea,/ 2 3,4 ethiht.c. rjel /2,7e..41A--.7 5. Alteration g`tv.,,i't.,-)d. .{ i {ti-' 6. New Porch -- 7. Is existing building to be demolished? 8. Repair after the fire i RA? 9. Garage No. of cars / Size ■ 10. Method of heating Q 1 Lie-4c,-— 11. Distance to lot lines 12. Type of roof Si(A-4( 13. Siding house (,C 14. Estimated cost - ' c,=...) 5 J vac The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 5,77/1..4- (),,, ///7" . 1 ( 1 Signature of responsible appucant Remarks , ' �., 1 Date Filed 3/ 5 c----- " File No. Z O - NING PERMIT APPLICATION ( §10.2) . 1. Name of Applicant: e- .-e ,..rat,..- . . Address: ., , . / , ,.- ,_ /I' elephone: 5 2. Owner of Property: - - Lt m' Address: • • S.. _ A / _ y- , -. ele •,' one : ' 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explai • ) 4. Parcel Identification: Zoning Map Sheet# (71) Parcel# (' Zoning District (s) (include overt ) (` ` lam • Street Address a'? 4 ) . Required 5. • Existing Pro osed by Zoning Use of Structure/Property j� 1 -� u t,' � ^ -- (if project is only interior wo &kip , #6) Building height %Bldg.Coverage (Footprint) 1 ,--"' Setbacks - front J C side L: 12: L:. - rear (4 L/ ' - Lot size " Frontage. w • Floor Area Ratio V 7 -%Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Descri•tion o,frroposed Wo k /Project: (Use addi,ional eets if nec- ssary) C `` e9 f <° ' 7. Attached Plans: 15 Sketch Plan Site Plan . 8. Certification: hereby certify that the information contained herein is r e and accurate to the best of my knowledge. D a t e ' • Applicant's Signature , , . � / • '��e� --, THIS SECTION FOR OFFICIAL USE ONLY: • Approved as presented /based on information presented Denied as presented -- Reason: ci S•- al'Perm' nd /or Site Plan Required: • • Req it d: Variance Required: 47 --e--- ---,--- 7_772.77 - 2 .'k ql 7____ t9, 0 / 4• 5 -- y' gnat r of BuildIng . _s- or at 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. �7 e94 / MILL RMIT APPLICATION / CHECK LIST . PAGE I7P P PLOT � ZONE 5 T 1.. (.C�te , YES NO DATE 1. ZONING FORM APPLICATION V _ 51'16 2. PERMIT APPLICATL.O _ 3.( OWNER OCCUPANT STALEMENT / LIC,# IF NOT 4. ,.-- -&ETS OF PLANS /POT PLAN 5. NEW CONSTRUCTION . 6, CURB CUT . 7, WATER AVAILABILITY FORMS 8. REMODELING INTERIOR 9, ADDITION 10. ACCESSORY STRUCTURE 11. SIGN / AWNING . ( l 12. PERMIT FEE — CHECK ONLY — MONEY ORDER 3 30 1 . 13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE , 14. UNDER SECTION 127 — CMR 780 15. FORM A 16. FILL COMMENTS: ii .� City of REQUIRED INSPECTIONS • q �-- _ 1. Footings and Walls BUILDING DEPARTMENT Strtictairal Components ill Plwe* 3. Complete Building Office of the Building Inspector No. Zoning Form No. 003858 2/8/95 Fee $40 Check # 3324 per, 17D Parcel 29 ,Zorn URB Seeh'on 127 L3 Yes (ia No IDINGPE • * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Stephen Ross before Building Inspections Remodel interior & add seconf floor bath, ' has permission to install replacement windows. Inspe ct bn on Site— Foundations s on 57 Straw Ave. Inspection of Plumbing :Rough r NB ifs Inspegti in of Plumbing—Finish ►. ' i proved that the person accepting thi permit shall in every respect conform to the terms of the application an file in this office, and to the Gas Inspection moonsofthe`Statutesandthet inatr'.+cesrelatingw ct ins ctian , I iion of Winn g -_-Rou ' • s ' , s"► : � taf itn City violat of �ofttat, - m is an is a�s ttt t a 'on of Vrtring --- I n h *TAI' Ef petrnit. , . [ -otng In "'tif Rough otc A certificate of�p byt b - .. this e ; Insuj on �, t ° , • of �, • card i by the Plunuttg,. ' anti i I a TIIIS CARD IVIIJST . rtE Ois P ICU • I' CE : ES CArtificate of Occupancy m a4" ae" sa n t 1 w sue_`