38B-008 (17) City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1168 Office of the Building Inspector
Zoning Form No.
963063 Date 12/18/97 Fee $320.00Check# 1339
Page, 38B Parcel 8 ,Zone GI Section 127 ❑ Yes No
BUI]LDING PERNM
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Raymond Wischhof before Building Inspections
remodel interior space__&__ac-cesisible_bathrooms Inspection on Site—Foundations
has permission to -
situated on 126 West St - Smith College - Physical Plant 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 CONSPICUOUS PLACE ON THVREMISES
Certificate of Occupancy
uilding Inspector
FILE # t
z199
„ APPLICA.NT/CONTACT PERSON: A'
ADDRESS/PHONE::
PROPERTY LOCATION:
MAP_ PARCEL:_0 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee PAid
Type of Constnirtinn-
to Fxktin2
-3
T OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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: § 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:
p0 Cut from DPW Water Availability Sewer Availability
6ptic Approval-Bd of Health Well Water Potability-Bd Health
it fro Consel;vat* m2- //5
' '
Signature of Building 'ector D e
NOTE: issuanoe of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorities.
0�-�ttAAlPT0
2 ti
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3 B I�xisxcE(nsctta
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMTENSATTON INSURANCE AFFIDAVIT
(li ce�permi ttec)
with a principal place of business/residence az:
/c-' ,?;G cL- '��. ,� '/ fz A7L :.>'O1!
(strceUci ty/stare/�p)
do hereby certify, under the pains and penalties of perjury, that.
(y� I am an employer providing the following workers compensation coverage for my
employees working on this job.
(Insurance 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) (InsuranceConipany/Policy Numbcr) (Expiration Date)
(Name of Contractor) (Lusurancc Company/Policy Number) (Expiration Date)
(Name of Contractor) (Instrancz Comp my/Pohcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml sleet if nooc,ciry to include informstioo pcxtniaing to ell axdrnct4n)
( ) 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 wbilo homcowDm who employ pasom to do **,t •r'coastvc6on or repair work on i dv+--tag of
not moce than thtoo unity is wfsich the bomnowacr rtzidcs oc oa the grounds appurtenant thrrcto enc Doe wally oomidcrcd to be
employers under the worker`s oompensatica Act(GL152,,31(5)�epplica.60a by a homeowner for a ficcasc a permit may evidcacc the
1cg21 annus of an omployoc under tho Woukoel Compcmatioe,Ad-
I undaTtAnd tbst a copy of this rutrmcni may bo focwnnied to tbo Depart oeoi of Indsutrial Aecida&Of oo of Inxuancn for tbn
ooverxgc vaifieatioa and that fail=to secure covcrago under soetioa 25A of MGL 152 can lead to tba imposition 0f criminal Penalties
oomistiag of x fine of up to 11,500.00 n�Ala impr6oamcrA of up to one year and civil pcnsliics in the form of a Stop Work Ordcr and a
fit»0(5100.00 i day igaiwl mc.
Signed this / _day of f 1991 FCC acpntricrltaluseonly
Permit Number
m2p4 Lot#
C/
Si of LicanseelPeriftuttm
.. GO-)
File No lJ }
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
t. Name of Applicant: Trustee's of Smith College (Physical cal Plant)
Address: 126 West st Telephone: 999-2441.-
2. Owner of Property: Same
Address: Telephone:
3_ Status of Applicant: x Owner Contract Purchaser lessee
Other(explain):
4. Job Location: 1.26 West st.
Parcel Id: Zoning Map#�� Parcel#—� District{s}: -�-
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5 Existing Use of Structure/Property Warehouse, shops & Offices
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
To create more office space & accessible bathrooms from existing warehouse space.
The offices will be for use by the Smith College Physical plant managers.
7 Attached Plans: x Sketch Plan Site Plan Engineered/Surveyed Pians
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8 Has a Special PerniiUVariance/Finding ever been issued for/on the site?
NO._ DON'T KNOT;� x 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 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 x NO.
IF YES,describe size, type and location: Hanging tavern sign, 2'-4."-x. l'-10", @ front of
Phyical Plant at 126 West St.
Are there any proposed changes to of additions of signs intended for the property?YES__ NO
IF YES,describe size,type and location:
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION
This —It== to ba f.111.d in
by the Buildi-ng Department
Required
Existing Proposed By Zoning
Lot size N/A
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area mi-nus bldg
&paved parkLng',
# of Parking Spaces
# f'f Loading Docks
0
Fill:
-{volume -& location)
13 . Certification: I hereby certify that the information contained herein
(,, is true and accurate to the best of my knowledge.
DATE: /' -t -/:? —,?"2 APPLICANT's SIGNATURE
NOTE: lsauuno4a of a zoning p4Qrmit doers not relieve an apfflioants 2r�den to Mply with all
zoning requirements and obtain all required permits from the Board of Health, Canservotion
Commission, Department of Publio Works and other applioablo permit granting authorities.
FILE I
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 585-2441 Alterations
NORTHAMPTON, MASS. 11arPmhar 1 , 19 97_ Additions
i i
APPLICATION FOR PERNOT TO ALTER Repair
Garage
I. Location 126 i^Ie s t s t. Lot No.
2. Owner's name Trustee's of Smith College (Physi4calAddress Plant) 126 West st.
3. Buildeisname ,Address-/ 01,,1z
Mass.Construction Supervisor's License No. l"% _S %.1 a(, Expiration Date--9—? 5 ;S;'
4. Addition
5. Alteration Remodle space in Central stores for offices and bathrooms
6. New Porch
7. Is existing building to be demolished? No
8. Repair after the fire No
9. Garage No No.of cars Size
10. Method of heating Existing (steam adi 4on)
11. Distance to lot lines Same
i
12. Type of roof Existing (rnbbPr & built- ,111)
13. Siding house Existing (masnnr3�)
14. Estimated cost:- $80,000
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appicant
Remarks