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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 #
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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
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