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17C-284 (7) +�0 tiA)(pTOy o fl Grit of 'Nar 4ally f an ywdl6dC�f USC��d DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION j (Please Print) DATE:h j�/ �j JOB LOCATION: �T l (�t ✓�j (Map) (parcel) (Subdivision) HOMEOWNER: �l�I�i('I IQ /Lt p©�:s (Name & Address) (Home Phone) (Work Phone ) The current exemption for "homeowners" was extended to include Owner-occupied Dwellings of one (1 )or two (2) fami 1 ies 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 AND SHALL BE ON THE JOB AS SUPERVISOR. HOMEOWNER SIGNATURE �� BUILDING PERMIT z � _ D R e NS > z? m � r v _ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.Noh 3 9� 32`1% Alterations NORTHAMPTON, MASS. �� J T 19J4 Additions � APPLICATION FOR PERMIT TO ALTER Repair ( r Garage 1. Location 2(9 L 1 t�C4 s- Flcw�`1� �� Lot No. 2. Owner's name �i IBC. OR IDA V`z� Address 3. Builder's name gobou 4' P. QO< Address ? /y t e. Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? no 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:- $ 20) >O 0 0-0 The undersigned certifies that the above statements are true to the best of his, her kncwl a and belief. Signature of responsible app icant Remarks rWO Vaj76-1_S 40 Y&I 47,70 --dYLt QAA,4-C 1 rl 5 Lc Q717 GtYI SA2,21-1-0e.k ✓(o,,J Ft 'Y I � 0034 Date Filed File No. ZONING PERMIT APPLICATION (§10.2) 1. Name of Applicant: �l'��,1 I IQ M �©SS Address: Z<Z L�(I�r 4-e c, �A�;In� Telephone: ,a 4 y 2 . Owner of Property: SAW► Address: Telephone: 3 . Status of Applicant Owner Contract Purchaser Lessee Other (explain: ) 4. Parcel Identification: Zoning Map Sheet# A Parcel# Aq) Zoning District(s) (include rA.a Street Address Required 5. Existina Proposed bv Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg.Coverage (Footprint) 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 if necessary) (0 )O QQ 7( 17 f 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: / Ob zz y Applicant's Signature422Z� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: ;Approved as presented/based on information presented De 'red asp sented o if or er�'a - 'Signatu-r -o f Building I ctor Date NOTE: Issuam m 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,Departrnent of Public Works and other applicable permit granting authorities. PERMIT APPLICATION CHECK LIST -PAGEOW PLO ES NO DATE 0 imo 2 . 3 . IHT LIC . 0 IF NO 3 SETS OF -PLANS PLAN NEW CONSTRUCTION 6 . CURB CUT 7 WATER S 8 . REMODELING 9 . ADDITION 10 . ACCESSORY C U 11 , SIGN / AWNING 12 PERMIT FEE - M ONLY - MONEY OR 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - C R 780 15 . FORM A 16 . FILL COMMENTS : City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Footings and in Place* 3. Complete Building* No. 1078 Office of the Building Inspector Zoning Form No. nn�465 Date 10/20/94 Fee $80 Check# 1966 Page, 17C Parcel 284 ,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Priscilla Ross before Building Inspections has permission to Insulate, sheetrock, repair porch & new shingles Inspection on Site—Foundations situated on 28 Lilly 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 CONSPICUOU PL CE THE PREMISES Certificate of Occupancy Buildin or