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17A-185 (3) y (0)0Sltn1(P�O Grit 41 � �rsrxcfiuscilr . DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 y HOMEOWNER LICENSE EY2.NP`.rION DATE; 7mC.� - l`) �J (Please Print) JOB LOCATION: / a /I/, (Map (Parcel) (Subdivision) HOMEOWNER: �m S C--i r--�Lw �L (Name & Ad ess) (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 at 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 persons) 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 JOB AS SUPERVISOR. HOMEOWNER SIGNATURE BUILDING PERMIT # now Al A Aj -e krAA ,3A L- PERMIT APPLICATION` CHECK LIST PAGE PLOT Af5 ZONE X73 / � _ YES NO DATE 1 . ZONING FORM APPLICATION / 2 . PERMIT I I ON 3 . OWNER OCCUPANT IF NO 3 SET S PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER S 8 . REMODELTNG 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN / AWNING 2 , PERMIT FEE - - MONEY ORDE '�±k> G.. 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 7 - C R 780 15 , FORM 16 . FILL COMMENTS : "0 'v o' v a 3 Z rrl � z cn O > > —3 Z m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -' - Alterations NORTHAMPTON, MASS. r:- � !A<' 19`,1 Additions APPLICATION FOR PERMIT TO ALTER Repair • Garage I. Location Lot No. 2. Owner's name Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is exiWng building to be demolished? f 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. a Signature`of respons4ble applcant Remarks F 0039 Date Filed File No. ZONING PERMIT APPLICATION (510.2) 1. Name of Applicant: J'03 4; Address: 1 A) Telephone: 3- 2 . Owner of Property: ,e-�� Address: Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Zoning Map Sheet# I114; Parcel# Zoning District(s) (include overlays) Street Address 3 - �- Required 5. Existina Pro osed by Zoning Use of Structure/Property v�- (if project is only interior work, kip to #6) Building height e-, %B1dg.Coverage (Footprint) bc Setbacks - front - side - 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 Proposed Work/Project: (Use additional sheets 1 n cessary) 02 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. odd ���� Date: D Applicant's Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL US ONLY:- - Approved as presented/based on information presented Denied as presented Reason for Denial: Si ature of Building Inspector Date NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits from the Board of Heafth,Conservation Commission,Department of Public Works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS a BUILDING DEPARTMENT 1. Footings and Walls $ � 2. Structural Components in Place* 3. Complete Building* No. 996 Office of the Building Inspector Zoning Form No. 003423 Date 10/1 1/94Fee 20 Check# 2948 Page, 17A Parcel 185 ,Zone URB Section 127 L) Yes ® No BUIIL- DING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Joseph K i re j c zy k before Building Inspections has permission to Rebuild old chi rkpo rnn.Q tnstorage sh@d Inspection on Site—Foundations situated on 173 North Maple 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. ** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPI US PLAC N THE PREMISES Certificate of Occupancy - -- spec [�._