23D-014 (3) p City of Northampton REQUIRED INSPECTIONS
4t� ^�4.„
�;�a 1. Footings and Walls
:�r� - BUILDING DEPARTMENT 2. Structural Components in Place*
,m
3. Complete Building*
Office of the Building Inspector
No. 671
Zoning Form No. 962543 Date?/21/97 Fee $40.00 Check# 1616
Page, 23D Parcel 14 ,Zone URB Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Richard Finn before Building Inspections
has permission to replace sun porch on existing foundation Inspection on Site—Foundations
situated on 566 Elm St - Steve Mailloux 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 '/4� >/2 l
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Oh'. 7- '77: 4/7
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection ((` 6-7-fo-cf7
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish a K 3-,2 -18-
1, Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE SPLAY, IN A CONSPICUOUS PL C:E ON 7PRE
ISES
Certificate of Occupancy
FILE #
� \ly
1 6
962543 ^ (��
APP CAN WO 0 TACT PERSON: -9/7
DEPT t3F�A:DD��S :_____�y�
p ~ }PROPERTY LOCATION: ��& -J&#/)-e--'Wa gei.C��
MAP T1 PARCEL: ZONE___ �,��j
THTS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM Vu 1 ND OTTT ✓ ,
Fee Pairs
Building Permit Filled nut
Fee Paid /6/6 e —
Type of Cnnctrurtinn• <'���I�
New f nnctniefinn L
Remodeling Interior
Addition to FYicting S .[
Aceeccnry Structure .4�0-....
Building Planc Included• fir, �j
Owner/Orrupant Statement nr Lirense # es-6PL--
3 Setc nOc / Plot Plan --------
THE. F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: '
Approved as presentedfbased 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:§ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Healt Well Water Potability-Bd Health
it on •o.0:ili Sion
Signature of Buildin ector )//e
NOTE:issuanoe ate zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioeble permit granting authorities.
i---7-"Tr---r“jL._.---O\
\,,,
DEPT OF 8!J''Pttf;IPECTIONS
File No. 9(p L253�3 i
a,1 01060
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: IC N`AP-0 it-,,,,,,
Address: )GJ 1- cC 27 0 e, Telephone: St? (71- 'f/ / 2....
2. Owner of Property: L.0 ( L //L 1"11 0\-t L-L-< V
Address: .5 4i G gL ! � Myt`'1`nnelephone: g Y-- 4$. 6 5
3. Status of Applicant: Owner Contract Purchaser Lessee
- Other(explain): C-Ea-• 01J L ( Or-e e-(~
4. Job Location: t c L-Li4. Si-._` /`4Q•re Oiri li4-77 Y'
Parcel Id: Zoning Map# -7---? .I9 Parcel# / If District(s): tf , R
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) /�
5. Existing Use of Structure/Property TikAG
•--r I" iL/ i 1v c—L ( C,
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
s v N PO C_.ki e C P C1,k_ t.r u,S) At C--
mcJl(-' (- t�vf't ° (Cliw
7. Attached Plans: Sketch Plan Y\ 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 DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page and/or Document#
- 9. Does the site contain a brook, body of water or wetlands? NO X 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 column to be filled in
by the Building Department
'Required
Existing Proposed By Zoning
Lot size �. � pLc- r
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# :pf Parking Spaces
it fof Loading Docks
Fill:
_(volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled
DATE: �j? /I APPLICANT'S SIGNATURE V t
NOTE: Issue oe of a zoning permit does not relieve en ap lioanes burden to oomPIY all wit ~
P �
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
FILE #
- +���Aril ` ' assactinsctts
•
, OF BUILDING INSPECTIONS DEPARTMENT OP BUILDING INSPECTIONS kik
NORTrIF?s;`�ON P'+'�,�G1G60 212 Main Street ' Municipal Building
Northampton, Mass. 01060 or a+.
WORKER'S COMPENSATION tNSURANLI< A_FITDAVIT
(li-nserlpermi ttce)
with a principal place of business/residence at:
-29 W(CAO2y 0 ° N.( P (phone#) 6 ('- 17/ 72- --
(strcdlci ty/stairib p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date) >isr;? >.
/ �" /- 1p V—C/h a''Jil l
OiCam a sole proprietor neral contractor o homeowner (circle one) and have hired
the ontractors listed below who have the following worker's compensation policies:
(Name of Contractor) ZLasurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet ifnrc.- ry to lack de infvematioo pertaining to all co:Irndors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that vihi]o homeowners who employ persons to do ma 6t,,,x-e coastrucdoa'or repair work on a dwelling of
not more thsn throe,units in which the bomoowoer rcaidcs cc oa Coo grounds appurtenant t eroto arc Dot generally considered to be
employers under too worker's.cccr —m Lion Act(GL152,ss l(5)),application by a homeowner for a license oc permit may evidence the
legal Marra of an employee under tho Workees Coa,poosaiioa Act.
I understand toast a copy of thin ers1e nt may be focwardod to the Department ofIndustrial Aoadmt!Oieoo of Irrvranco for tiro
coverage verification and that failure to secure coverage under section 25A of M(L 152 can lead to too'ikon of criminal pervades
c oastumg of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil pass/tics in the form of a Stop Work Order and a
fins 0(5100.00 a day against Inc. .
Signed • 43. f 7"1—/ , 199 7 Fccdcpartmed,lt,aoonly
Permit Number
�r MapIt Lot 4
Signature of Liccnsce/Pcrmittee
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Zoning
1
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. E g 7 4 Alterations
C;,4kili NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
7- Garage
_ '�
1. Location `S 6. 0 EL-At -31/ l N�� n-v'`i Lot No. Q
2. Owner's name � in f L C ti Address SIC 1'� AA f e- Ai/`'� }bt z
3. Builder's name k1& Vt(0 P/N N Address 27 i-it C a 1- ,1 41q"1":"
"
Mass.Construction Supervisor's License No. 5-0 ,1g "f" 113 CV Expiration Date 7( ?8` `1- .777 9,
4. Addition t� FO"a C-( l�,_
Alteration ) eE— 1,c30 L pc 2 c g-
6. New Porch rtQ
7. Is existing building to be demo'shed? 6-5 _5 L_A z t '4c C-7-t►
8. Repair after the fire ' /i//4
9. Garage pi( No.of cars Size
10. Method of heating I (A-
11. Distance to lot lines 1.1 ( l4
12. Type of roof 1( c(` #L L2 ; 0?z L- / -44< 6 C-
13. Siding house Y 1'w 7 L-
14. Estimated cost:- (2 2.3.s cv
t
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief., .+
Signature of responsible applicant
Remarks