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25C-236 (2) �j_ 1 4 U i : 171 jk ri V4 Y� O�'C 1lnX PLO ti � B �i�sseccyuacttr _ V# DEPARTMENT OF BUILDING INSPECTIONS _- INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 4 HOMEOWNER LICENSE E -EMP T'ION (, q (Please Print) DATE: JOB LOCATION.- �,s C (M P) ()?arc (Subdivision) HOMEOWNER: � C E'er, � 1).- �( V-G to 6-C C_ (Name_ Address) `C: -2� (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include owner-occupied Dwellings of one (1 )or two (2) fami 1 ies 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 00B AS SUPERVISOR. HOMEOWNER SIGNATURE Akkq_ oQ_� _kt�- BUILDING PERMIT # A I � r a wi 3 o z � 3 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair �c Garage 1. Location !1 0 ' (�, j(`� c Lot No. 2. Owner's name R, \ e �� � Address 8-� �� 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. 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 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icanl Remarks 004455 /�­)�33 v Date Filed File No. ZONING PERMIT APPLICATION 0 10 . 2) � . 1 . Name of Applicant: -Qne�l� Address: `j i Telephone: 2 . Owner of Property: t°, Address: * Telephone: 3 . Status of Applicant:---,—Vowner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Shee j C Parcel# 2 8.G, zoning Districts <,(inc�.ud� overlays) t/ t Street Address 1 Required 5. Existincr Proposed by Zoning Use of Structure/Property L o�C a� r Tom, e Cu (if project is only- interior Vork, 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 Description of P oposed Work/Project: (Use additional sheets if necessary) 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., 1 j � I Date: c,' ��� Applicant Is Signature: / THIS SECT O IN FOR OFFICIAL USE ONLY: /Approved as presented/based on information presented Denied as presented--Reason: S cial" Permi and/or Site Plan Required: 'ng Req ed: Variance Required: gnatur o Iddi�ng/Inspector ate NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning requirements and obtain all required permits from tho Board of Hoalth,Conservation commission, Department of Public Works and ollior applicable permit granting authorfUos. t /C9 City of Northampton REQUIRED INSPECTIONS g 1. Footings and Walls BUILDINGDEPARTMENT 2. Structural Components in Place* ` 3. Complete Building* Office of the Building Inspector No. 533 Zoning Form No. 4455 Date 6/29/95 Fe&40 Check# 4993 Page, 25C Parcel 236 ,Zone uRB Section 127 ❑ Yes 0 No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Michele Kirouac before Building Inspections has permission to alter 2nd floor window to a door/staircase Inspection on Site—Foundations situated on 189 Bridge 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 MISES Certificate o f Occupancy p y Building Inspector Ft-0,f oQ' P� G ti ty ®f Northampton REQUIRED INSPECTIONS 1. Footings and Walls "- $ BUILDING D.APARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector NO. 533 m No. 4455 Date 6/29/95 Fec$40 Check# 4993 Zoning For Page, 25C parcel 236 ,Zone URB Section 127 ❑ Yes 0 No B GPERM11 *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Michele Kirouac before Building Inspections has permission to alter 2nd floor window to a door/staircase Inspection on Site—Foundations Inspection of Plumbing—Rough situated on 189 Bridge Street _ Inspection of Plumbing—Finish provided that the person accepting this permit shall in every respect Gas Inspection conform to the terms of the application on file in this office,and to the 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. Inspection of Wirin Finish Any violation of any of the terms above nc ted is an immediate revocation pe ' g— 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. Buidng Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST PE DISP YED IN A CONSPICUOUS PLACE ON MISES Certificate of Occupancy �.� Building Inspector fl�1��Q�=�al;i1 SilUt L -- I