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6 Office of the )Insyertor of Puilbinjis =_ '`•ET"~
212 Main Street •Municipal Building -- °-
Northampton, Mass. 01060
CERTIFICATE OF OCCUPANCY
October 14, 1997 #302
Page No. 35 plot 291 _
Building (Name) Single Family w/att/2 car garage Address 117 Woodland Dr – Lot#20 _
Owner Richard Boyle Address 17A Northampton St – Eton
Applicant SAME Address SAME
Use: 1st Residential Occupancy
2nd Occupancy —
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Bui-lding XX Existing Building
l
Elevator Electrical
Plumbing
Building � % ;� `– {'= GAS
9 - �1
Ins ui ,
04-(t1.Nf P�.O
2 I 1 Crzt� lad y#l�ttnt rtnrl z
3 B - �aYaxchnsctta
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE t MAVIT
(li censecJ permi tt ee)
with a principal place of business/residence at:
�c�6/___7i����L���G�' (phoney)
(stmet/ci ty/state/zip)
do hereby certify, under the pains and penalties of pe9ury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job.
ce Company) (Policy Number) (Expiration Dale)
I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date)
(Name of Contractor) (insurance Company/Poky Number) (Expiration Date)
(Name of Contractor) (InsumoComp<my[Policy Number) (Expiration Daze)
(Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date)
(attach additional sht t ifnocesury to inc}ude info cq)pertaining to all ooabmd r3)
(/am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:➢lase be aware that vrtri]o bomcownm woo =ploy pcaom to do g irdm.ace coo4ntctioo'or repair work on a dwelling of
not morn than throe units in which the homoowncr sides or oa the grou cb appurtenant:hereto arc not l;enailly 000sidacd to be
employers under tbo workers onmprau4ca Act(GL152,ss 1(5)),application by a homeowner for a llccase a permit may evidence tho
legal stahro of an employer under the Wockcls Compooulion Ail
I understand that a copy of this uascmmi auy be forwarded to the Department of Industrial Aceide &Offioe of Imur■ncb for tb,
oovaige vctificatioc and that failure to&==coveraga under section 25A of MOL 15M can lead to tha imposition of criminsl Penakies
oonsis>7ng of n fine'of up to S 1,500-00 and�or of up W one year and avil pemltia in the form of a Step Work Older and a
fino o(3100.00 a day tgaiml mSigned W/ jVday of_ 1997 F«�dcparirncs�alu,00nly
Permit Number
1v1ap;{ _Lot Al
Si of Li eribi
• :� a Z
7CJ o in Z
> > cn 0
?5 Z
�- rn
I �
Zoning y
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `� /'�U� Alterations may✓/s� ���P-�/
ti NORTHAMPTON, MASS. 19 Additions 1.2,>
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location - - ��
L' ,��� / Lot No.
2. Owner's name���/> ,���� L Address �Z7;7 /
3. Builder's name//C , �L
��� l ` Address /,�9�%�/ //�•9--� ��C�S � '7�-�/
Mass.Construction Supervisor's License No. � / / Expiration Date r12,1
4. Addition ,!�
5. Alteration 2 /V//Jr�-�,�> /��)® I �S4�C J', z� /it/
6. New Porc�,t/- �C1�� /�2 Zr2-
7. Is existing building to be demolished?
8. Repair after the fire /VC
9. Garage_ A� No.of cars Size
10. Method of heating_ `-CUrGP lD A0 Ti�/60K— /L/ iZ:>✓�`PC/ S>�S�`��
11. Distance to lot lines Cam' J'c)13P_ 012/,�P �c e 15 � ;:nOc'n'I 1,�'/
12. Type of roof-4e--,
oof _ Lr°Frzc�r L//ye �p — ,roi'�l n�/2 ele!, {�
13. Siding house
14. Estimated cost:
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sig re of responsible appican!
j
Remarks S�'i%l�/F > SAG/� c))(I�'� ,F`1 ( .S()C/I I/Q�L.--
i-r-
X i S .�/t' ✓�/r/fI /� ljn4 M 'C'P —Tc� Ex
Do a exist on the roe
10. any signs e p p rty7 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 l�
IF YES,describe size, type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This eol—m to be filled in
by t_be Building Depnrtmcat
Required
Existing Proposed By Zoning
Lot size
3
Frontage ell �
Setbacks - front
- side L: R:150 L:4 R•
- rear
Building height / ,
Bldg Square footage °
r �2 o
%Open Space: -7 c-;?
'(Lotarea minus bldg v
&paved parking)
AS
O'f -Parking spaces
# %f Loading Docks
Fill: C�
(volume -& location)
13 . Certification: I hereby certify that the information contained herein
4� . is true and accurate to the best of my know edge.
DA'Z'E: APPLIC.ANT's SI'GNATU Q�
MOTE: I ua o0 of a moning permit does not relieve an rappiloanr urden oompty with t+il
moning requirements 'and obtain my required permits from the Board of Health, connervation
Comntisslott, Department of Publio Works and other applioable permit granting authorities.
_m
'u FILE jF
Fi 1 e No. 9 4
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR P=T ALL INFORMATION
1. Name of Applicant: z'✓�-9�' L�
Address: elephone_y✓ � ��� �
2. Owner of Propert4 h.' � ✓ lf,C -�
Address: ✓���Telephone: __] — ✓J��d
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: � too ✓l%G
Parcel Id: Zoning Map# &6 Parcel# � District(s): S '
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S//j/�L ,���� �✓✓ �p.�/J e
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan �ite 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_l✓'_ DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or ocument#
9. Does the site contain a brook, body f water or wetlands? NO Y DON'T
Y 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)
FILE # (? .1
?C_kM-_ONTACT PERSON:
ADDRESS/PHONE: J d_;)7-N,
PROPERTY LOCATION: '
MAPS PARCEL: / ZONE
THIS SECTION FOR-0FFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNC�FORM FH.T.FI) OUT
Fee Pnid
lRiii1ding Permit MUM nnt
Fee pgid / 7
_1RPmpdelin2 Interior
Addition ta Existing
Arrmsory Structure
1
T FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
FApproved 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: § 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 Health Well Water Potability-Bd Health
!Permit from Conservation Commission
L�
/9
Signa e t - Date
NOTE:issuanoe o a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain Ball required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applioable permit granting authoritles.
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