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17A-100 4 EERMIT APPLICATION CHECK LIST P A G -Y S.s NO DATE oltn:t R 2 , PE LT; _AAALIGA Iou 3 , . E � tk IF NO y' ,- .. �. 7 4 . -- E PLANS /PLOT PLAN ` 5 , NEW CONSTRUCTION 6 , CURB CUT 7 . WATEE AVAILABUITY FORMS 8REMODELING INTERIOR 9 . 6DDITION 10 , ACCEHORY SIBUOTURE 11 , SIGN AWNTNG 2 CHEQK ONLY - ONEY 0 RDER 13 , SPECIAL. PERMIT REQUIRED WITH DEED IF APPLICABLE J4 UND.ER SECTION 12 - CMR 780 15 , FORM A 16 , FILL COMMENTS : 04�,�pTO Crft� of 'Nart4amptan _ � yilessxdtnsrtts I DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building 'Y Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION ,, (Please Print) DATE: 3 JOB LOCATION: (Map) (Parcel) (Subdivision) HOMEOWNER: �. 1 (Name & Add le ss) (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 ai 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. HOMEOWNER SIGNATURE j BUILDING PERMIT # a y o b � C A. C � v b o r a � � r a O / Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 1 J U c1 ,F-7 Alterations NORTHAMPTON, MASS. 19 Additions ti APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location a 3 �GQ�1 et,J Cl tom' 1 �= pt) Lot No. 2. Owners name Al LL.�/.'} eV/r L/ Address 5A, A4 3. Builder's name nllJIAMI ZZZ; =- o< -ev All Address S,�7 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' ,��G� /Al y / 13. Siding house v� 14. Estimated cost:- 7 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature oJrespon !e appeicanl Remarks of 0011?i :j 1 P Date Filed__ File No. ZONING PERMIT APPLICATION (510 , 2) I . Name of Applicant : f Address : Te ephone : 2 . owner of Property: `�` �v] Address : Telephone : 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain : ) 4 , Parcel Identification: Zoning Map Sheet# 1714 Parcel# Zoning District (s) (inclu P overlays) Street Address e Required 5 . Existinq Proposed by Zoning Use of Structure/Property X, 4 - (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 Description of Pr posed 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 . Date : Z, Applicant ' s Signature : S: r !� _ _ _ V_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r THIS SECTION FOR OFFICIAL USE ONLY: i/Approved as presented/based on information presented Denied as'presented--Reason : S cial' Permit and/or Site Plan Required : `nd g wired: _ Variance Required: S gnat e o Bu r hv at NOTE: Issuance of a zoning permit does not reliave an appiicnnl's burden to comply with n11 zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Dapaitrnont of Public Works and othor nppiicnblo permit granting nuthoritics. 16-71- City of Northampton REQUHZED INSPECTIONS BUILDING DEPARTMENT I. Footings and Walls V t 40 2. Structural Components in Place* 3. Complete Building* No. 430 Office of the Building Inspector Zoning Form No. 001219 Date 6/8/93 Fee $20 Check# 316 Page, 17A Parcel 100 ,Zone URA Section 127 ❑ Yes ❑ No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT S.D. Mulvaney before Building Inspections has permission to Repair/re-shingle roof Inspection on Site—Foundations situated on 23 Grandview 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 CONSPICU PLA O THE PREMISES Certificate of Occupancy _. g Inspector