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' DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060 M
HOMEOWNER LICENSE EXEMPTION
(Please Print)
DATE: ;,�[ .�
JOB LOCATION: IM k 7
(Map) (Parcel) (Subdivision)
HOMEOWNER: L/ //,V zy ZI I
(Name & Address )
(Home Phone) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings_ of six ( 6) units or less and to allow such
homeowner to engage an individual for hire who does not possess a
license, provided that the owner acts as supervisor.
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 to six 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 S I GNATURE
BUILDING PERMIT #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
so NORTHAMPTON, MASS. 19 Additions
.APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location A-) /Imti J` �7 if Lot No.
2. Owner s named f 1 f,;'c��Y? � � �j is i/ ��r� Address 4 �. ij n S ,/�
3. Builder's name L)4&,i i7 w A z li f W71-d Address /�e'l
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 6'i i f .
13. Siding house
14. Estimated cost:- �"e'-e—e
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signatura,'of responsible applicant
Remarks
SH
PHINTaSHOP
' as-zac+�ti
. Date Filed r7 cf-D— 00003 '—
File No. Q4/D 61 r7
ZONING PERMIT APPLICATION (§10.2) (�
1. Name of Applicant:
Address: elephone:
2 . Owner of Property: '
Address: Te phone:
3 . Status of Applicant wner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# aL4 Parcel# 067,
Zoning District s) (include overlays) (iE13
Street Addresses
Required
5. Existina Proposed bv Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height f""tivl
%B1dg.Coverage (Footprint)
Setbacks - front _ 16 Ala
- side 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 Proposed Work/Project: (Use additional sheets
if necessary) -�W ;5
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: /� 7�q,�� Applicant' s Signature: -
- - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
JUL 7
Approved as presented/based on i formation presented
Denied as presented
Reason for Denia �
Signa e of B ilding Ins or Date
NOTE: issuance of a zoninW wrA does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
7/92 FXAS
City of Northampton REQUIRED INSPECTIONS
j 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 433 Office of the Building Inspector
Date July 9, 1992 19
BUI DING P RMIT
THIS MAY CERTIFY THAT William Douyard Insp. on Site — Foundations
has permission to Construct a 12'x16' storage shed Insp. of Plumbing — Rough
situated on 32 Perkins Ave. Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started.
Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA E ON THE PREMISES
Certificate of Occupancy
Building I or