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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Maas. 01060 "
HOMEOWNER LICENSE E D=ON
DATE-
(Please Print)
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JOB LOCATION:_ � J C CA P/I'-r✓1 M Rol e "Q-.e
(Map) (Parcdl) (subdivision)
HOMEOWNER: /r'dl el /- U/,( , �-MAK
(Name- '& Address)
(Home Phone) (Work Phon.
The current exemption for "homeowners" was extended to include
owner-occupied Dwellings -of one (1)or two (2) families and to allow sup ,
homeowner to engage an individual for hire who does not possess
license, provided_ that the owner acts as supervisor. CMR780 Section 109
DEFINITION OF HOMEOWNER: Person(s) who own a parcel of land
which he/she resided or intends to reside, oft which there is, or !2! o
intended to be, a one or two family dwelling, attached or detach 14 (r
structures accessory to such use and/or farm structures. A person w
constructs more than one home in a two-year period shall not
considered a homeowner. * Such "homeowner" shall submit to the Buildi;
Official, on a form acceptable to the Building Official, that he/sl
shall be responsible for all such work performed under the buildin
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.
HOMEOWNER SIGNATURE X::t_&_1>/
BUILDING PERMIT #
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-7 Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. fie- 3 / Alterations
NORTHAMPTON, MASS. J cIIkf L 19±44 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 17 Lot No.
2. Owner's name z��—�---� Address l SAC
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration X�r_� 32 s�o
6. New Porch
7. Is existing building to be demolished?
8. Repair after the five
9. Garage No.of cars Size
10. Method of heating 0
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- �Q
The undersigned certifies that the above statements are true to the be
knowledge and belief. D
Signature of responsible app icant
Remarks J�
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Date Filed File No.
ZONING PERMIT APPLICATION (Si0. 2)
1. Name of Applicant:
,�6r�:-
Address: ��� {.ems -is? '?
2 . Owner of Property:
Address: /y� [► ���,c,! S Telephone: 5 l -,s 7 .
3 . Status of Applicant: (/Owner Contract Purchaser
Lessee Other (explain: Q �
4 . Parcel Identification: Zoning Map Sheet# t?C:. Parcel#
Zoning District(s) (include 'vela s
Street Address / ►
Required
5•
Existing Proposed by Zonin
Use of Structure/Property
(if project is only interior work.UskilW 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 o Proposed Work/Project: (Use additional sheets
if necessary) V) � N/&-e_t
Y
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.
Date: ,"^l�r Z Applicant's Signature:� c�� ti —_
THIS SECTION FOR OFFICIAL USE ONLY. r
//Approved as resented based on P / information presented
Denied as presented--Reason:
S ecial' Permit and/or Site Plan Required:
n ing 'red: Variance Required
gna of But nspector a
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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 outer applicable permit oranting authorities.
iell_
City of Northampton REQUIRED INSPECTIONS
g a 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 474
Zoning Form No. 002721 Date 6/3/94 Fee $20 Check# 3366
Page, 17c Parcel 96 ,Zone URA Section 127 ❑ Yes No
BUI]LDINGPERmir
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Robert Whitman before Building Inspections
has permission to Strip and reshingle porch roof Inspection on Site—Foundations
situated on 140 Chestnut 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
** Install per Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU U -PL THE PREMISES
Cendficate of Occupancy --
Building Ins or
IMF