06-054 (3) �7nki;, City of Northampton REQUIRED INSPECTIONS
ttr 7,N'r)i .1 1. Footings and Walls
-1, BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 893
Zoning Fomt No. 962793 Date 9/22/97 Fee$20.00 check smoney Order
page, 6 pa1Ce) 59 .Zone SR/WP Section 127 U Yes fa No
BUILDING PER IT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Roger Martineau before Building Inspections
has permission to strip & install double coverage roof Inspection on Site—Foundations
situated on 423 Raydenville Rd - Lloyd & Ann Ewing Inspection of Planting Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the trams of the application on file in this office,and to the Gas Inspection
provisions of the Statutes and theOrdinances relating to the Construction,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
Any violation of any ofthe terms above noted isan immediate revocation Inspection of Wiring—Finish
of this permit.Expires six monthsfrom dale ofissuance,ifnot storied. Bulking Inspection Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Thumbing,Wiring and Building Inspectors.
Building Insolation—Finish CI fr ie- 30.47
"+ Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors(Fire Department)
and woodstoves
THIS CARD MUSTT B•E /D/ISP Y,$D CONSPICUOUS PLACE ON TIy PRS ISES
CenificateofOccupancy _...--,27. ..0-7-.1
— Building Inspector
FILE / ( � J )
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7C
SEP t 8 ' ;>.
APPLICANT/CONTACT PERSON' � /i Aft AL. . .... 7sf- 7/N
ADDRESS PHONEr ' ;4 / • •
PROPERTY LOCATION: V3 0 l 4a' -, _fi _x 1 / A n*. •i
MAP (o PARCEL: ZONE, _ • /
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.f1NTNG.FORM FIT Tit MIT ..
Fee Paid
Building Permit Filled not .. ✓
Fee Paid , Me."? 0
Type of('nnctrnrijr n' � //
_'New ronctrntinn Y
Remndelingis s - .+�-ra..� La .
_Addition to Fxicting
Arreccnry Structure
RnUd'nlg Plana Tnrbtded` _
Owe • -- -- ..
" , e
I getc n(Plane/Plot Plan
THF/FOLLOWING ACTION HAS BEEN TAKEN ON THIS APE 'CATION.
V Approved as presented based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received& Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ wtZONING BOARD OF APPEAIS
Received & Recorded at Registry of Deeds Proof Enclosed
A."
Variance Required under: § wtZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
_Curb
,�g1C!uuttt from DPW __Water Availability__Sewer Availability
Septic ApprFrval-Bd of Health Well Water Potability-Dd Health
Permit from rvaf Commits' o
Signature of Building for Dat
NOTE:tasuanoe of a zoning permit does net relieve an applicants burden to comply with alt
zoning requirements and obtain all required permits from the Hoard of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
File Na. 16'02/3
ZONING PERMIT APPLICATION (§10 . 2)
PLEASEATYPE
OR PRINT ALL INFORMATION
LE
1. Name of Applicant: /�U ,f/ (C P& I of CA J
�J oio Q¢
Address: ci� !�v550‘17 /5r .�+ y��_��2/4 Telephone: V/3 " 173% - 7/7Y
2. Owner of Property: L.�FJ�G' Z1 Pan )>r�Wtiu'y
Address:7:3 /IRyc4F NV I Ht2 Ri Telephone: 9/3 • CS" - S"23Y
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
n k�
A. Job Location: /71;23 �1`}``JII it..C'r6 k r< Pr/ -F C ,rt'� 1 '?
Parcel Id: Zoning Map# �"' Parcel# 5 Y District(s): .S/<, �( a /
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property M.srk« ....
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Pi En/oaf.' u's%r.cct is --S7al( Do0bilc 0vrot 149
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES IP YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document it
9. Does the site contain a brook,body of water or wetlands? NO DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cozmm to b. filled in
by the Blinding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -front -
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf Parking Spaces
( of Loading Docks
Fill:
{volume -& location)
13 . Certification: I hereby certify that the information contained herein
4 is true
c7dr�accurate to the best of my kit ge�7
DATE: / �e Y / APPLICANT'S SIGNATURE '7 •
NOTE: 1 an of a zoning permit does not relieve an app pant's A,,en to comply with ail
zoning requirements and obtain all required permits from the Be-, - of Health, Conservation
Commission. Department of Publio Works and other appiloable permit granting authorities.
FILE # .
.ACORD CERTIFICATE OF LIABILITY INSURANCE CSR MP DATE IMM/OD/WI
MARR002 09/18/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
KEYES & MATTSON INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
AGENCY, INC. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
1284 Elm Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Springfield MA 010B9-1848 COMPANIES AFFORDING COVERAGE
Paul Lesukoaki, Vice PresidentCowan
Pace No. 413-739-5803 Fax No.413-21 0671 A MassWeat Insurance Company
INSURED SEP •.
2 2 c COMPANY TRUST INSURANCE COMPANY
-I! _
COMPANY
Roger R. Martineau
342 West Road —. mangy
Westfield MA 01085-0000 D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONORION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.,
G9 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE rPOLICY EXPIRATION I LIMBS
LTR DATE IMMIDOTYI DATE IMM/OO/YYI I
GENERAL LIABILITY GENERAL AGGREGATE !s 600000
A X COMMERCIAL GENERALLIABILITY A30350782 06/10/97 06/10/98 PRODUCTS"COMP/OP AGG 9600000 YJ
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY 3300000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $300000
FIRE DAMAGE(Any one In). -P 50000
MED EXP(Ane one person{ 95000
AUTOMOBILE LIABILITY
COMBINED BINDLE LIMIT 9
B ANY AUTO 000149700 11/15/96 11/15/97
!ALL OWNED AUTOS BODILY DYURY i$100000
SCHEDULED AUTOS Tel Pa r3.170
HIRED AUTOS
BODILY INJURY 3 300000
NON-OWNED AUTOS IPE'°"Ia°"O
X; Scheduled Autos
PROPERTY DAMAGE £100000
GARAGE LIARAIY AUTO ONLY EA ACCIDENT £
ANY AUTO OTHER THAN AUTO ONLY'.
EACH ACCIDENT
AGGREGATE S
EXCESS LIMBITT ' 1 EACH OCCURRENCE
,, £
UMBRELLA EDAM AGGREGATE ,
OTHER THAN UMBRELLA FORMWIL-9
WORKERS COMPENSATION AND TORY Y LIA{IDTNOTH-
ER
EMPLOYERS'LIABILITY
G
EL EACH ACCIDENT
THE PROPRIETOR, IMCL EL DISEASE"POUCY LIMIT £
PARTNERS/EXECUTIVE
OFFICERS ARE, I EXCL EL DISEASE-EA EMPLOYEE £
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATIONS
NORT003 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TD MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
City of Northampton BUT FAILURE TO MAIL SUCH NOTICE SHALL tM E NO.: .CATION OR LIABILITY
Attu/ Building Dept.
Main Street OF ANY KIND UPON THE COMP Y,ITS NS OR ENTATIVES.
Northampton MA 01060 AUTHORIZED REPRESENTATIVE
Paul Lesukoski, Vice Pres dent
ACCRUES-5 ChM ACORD:CORPORATION 1988
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kls/ ficy-,C‘)- a" ,/ Zoning
Miscellaneous Additions. Repairs,Alterations,etc. Tel.No. 7.3* `77�� 7/4. Alterations _
NORTHAMPTON, MASS. 9// ffrj 14_ Additions
APPLICATION FOR PERMIT TOA TER Repair
Garage
1, Location /%dam.7k.4- F/dn/(1rX 3 :to,at rzet6 { fi / Lot No.
2. Owners name I' *gelca./w7 Address `/23J !//jycl/-ry viffii Z'r4
3. Builder's name r e2 P194,1/"Cs/PA-v/ Address 'G e/ccr l5 7 r -c1-t ///cd —
Mass.Construction Supervisors License No. 03 y Ira Expiration Date 8'-3/ -f 2 2
4, Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
S. Repair after the fire
9. Garage No.of cars Size
16. Method of heating
I I, Distance to lot lines
12. Type of roof 7Ri .. .- c'n '
13. Siding house
ar/ v
14, Estimated cosi- 3-F,„c"
The undersigned certifies that the above tements are true to the best of his. her
knowledge-1eyd beehyfr7C..-_.
Sig:awre of reeyonnble app scan)
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