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17A-153 (2) �o���Aroti ate-\ a �ff�T .af Nart4unrpfan , yv�iSdRC�lid fled DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 4 HOMEOWNER LICENSE EXEMPTION i (Please Print) C� DATE� I y ,G�t�t'_ at � n JOB LOCATION: ho (Map) ( rcel It (Zubdivision) HOMEOWNER: M11ame & Address) z r' //,2 (Home Phone) (Work Phone) The current exemption for "homeowners" was extended to include owner-occupied Dwellinqs 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 ND SHALL BE ON THE J B AS SUP VISO . HOMEOWNER SIGNATURE Z f BUILDING PERMIT # > a c n' � c z -, 7 z > O ^* m z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions i ' APPLICATION FOR PERMIT TO ALTER Repair Garage ation 6 Lot No. 2 Owner's name Address a k f ns 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date Addition D Alteration Se!s'>GA CA A rp �"� `��'�S�O✓� C�C�fTlY1 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 3. Siding house I . Estimated cost ` on?) J The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ` 0 Signature of responsible app icant Remarks X 'v ' 004013 Date Filed File No. ZONING PERMIT APPLICATION 1 Name of Applicant: Address:-Lo may., elephone: L- 2 . Owner of Property: Address : , Telephone: 3 . Status of Applicant: L-tvner Contract Purchaser Lessee Other (explain ) 4 . Parcel, Identification: Zoning Map Sheetif 11 Parcelf��.h; Zol'iing District(s) (include ov lay �n l� Street Address (1�1 d , Required 5 . Existing Proposed by Zoning Use of Structure/Property (if project is only interior wo k, , ski to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side LZ L - rear Lot size v Frontage. Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Descri tion of Proposed Wo k/Project: (Use addi ' nal sheets if necessary) Attached Plans: Sketch Plan Site Plan Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowle ate: Applicant's Signature �� THIS SECTION FOR OFFICIAL USE ONLY `Approved as presented/based on information presented _Denied as presented--Reason: Special' Permit and/or Site Plan Required: Finding Required: Variance Required: 0 z ,� gnature of ildi Inspector Date )TE: Issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning roquiroments and obtain all required pormits n tho Board of Hoaith, Conservation Commission,Dapattmont of Public Works and other applicable permit oranting avthoriQos. City of Northampton REQUIRED INSPECTIONS • 1. Footin s and Walls e BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 166 Office of the Building Inspector Zoning Form No. 004013 Date 3/23/95 Fee 40 Check# 4437 Page, 17A parcel 153 Zone URA Section 127 ❑ Yes © No BUI]LDINGPERNM *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Diane Dostal before Building Inspections has permission to Convert seasonal porch to year round porch Inspection on Site—Foundations situated on 60 Fox Farms Rd. Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terns 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 N SES Certificate of Occupancy Building Inspector PERMIT APPLICATION CHECK LIST PAGE PLOT X53 ZONE W_ &0 44Y 7_&k4%'5 � ES NO DATE 1 . v a/a� 45 ZONING FORM APPLICATION 2 . P I If 3 . OW 3 SETS OF PLANS ZELOT PLAN 5 . NEW CONSTRUCTION 6 CURB C 7 WATER 8 , REMODELING 9 , ADDITION 0 , ACCESSORY 1 1 , SIGN ,+f 2 ERMIT FEE C.� 3 , SPECIAL I IF -APPLICABLE 4 , UNDER S - CMR 780 5 . FORM A 16 . FILL p COMMENTS : C t �tl�U -