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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 10 C H--P-I?O f /rInl t So-li i,_ 4_ { r4.-1 l / h,- '- u .,p. SSG -Lki s7 Z, lJt (A-c�y 0a. � - NO �'L o 2 e=•.r C a"-- JM 0-. 2?�!f}N. �I r fl .58y-1?62 f 0Y-41/72 8�/-- YB ��/ ==z gy m z _ " 4:7/40(- at I s 11 2 t' X$" 171 f A'' 7--i- G- PL Y/iocza F L 2'' X,f,� w DLLs _ �\ b�o, /IQ JO/ A — — — T2 - — - � -- 2) 7I( ,k / I/ `r G� �L ltibo� '/(^4 yL S /,Q/N c_ I -�---- �y is- 4_7 Rriontr- 1 (-1. 2 ye -R , sPK4.1:s-4-66cam $ I Pn-� f o c l' —3 0 (.00--- - r E f U N(T- �p — 1 - rj At s P`" 1- dwb z G'� (o $ _9 it I J zill t I I l l I I I I 1 I I 1 I IJ I I 1 1W1 ! } l If 1 1 ( i l r twit -e 'ri IT 744f3 99s' �b �7z, . r o > \ S ti4-* , \,....------1 CD a 3 c o � ., zn ri, o .j m VZ o 1 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