38B-009 (24) Ci ;y of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1413 01 ice of the Building Inspector
Zoning Form No. 963339 Date 42/98 Fee$40.00 Check# 916
Page, 38B Parcel 9 ,Zone SI/GI Section 27 ❑ Yes U No
Bun
...J PER .,,,,,41T
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Oliver Iselin before Building Inspections
has permission to construct demising wall,interior partitions,egress door Inspection on Site—Foundations
situated on 136 West St - N'ton Properties - 2nd floor - Mass Live LLC Inspection of Plumbin -Rough��
X
provided that the person accepting this permit shall in every respect Inspection of Plumbg—Fuu
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, Inspectioa 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 datti of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issu._d by this office upon return insulation Inspection
of this card signed by the Plumbing,Wiring: and Building Inspectors.
Building Inspection—Finish �1�•< �-�` - �'
Smoke Detectors(Fire Department)
Other
THIS CARD MUSPA CONSPICUOUS PLACIE ON PREMISES
Certificate of Occupancy
Building s for
of `Gtrc�', — ti�..0 1 i►t p fart �aut� i.iw �,,,,e,� . � ��r�9
e2y City of Northampton REQUIRED INSPECTIONS
alls
BUILDING DEPARTMENT 2. Footings
t uccttugral and Components in Place*
3. Complete Building*
No. 1413 Office of the Building Inspector
Zoning Form No. 963339 Date 4/2/98 Fee$40•00 Check# 916
Page, 38B Parcel 9 Zone SI/GI Section 127 ❑ Yes No
BUI]LjjlNG PERMIT
We
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Oliver Iselin before Building Inspections
has permission to construct demising wall,interior partitions,egress door Inspection on Site--Foundations-
situated On 136 West St - N'ton Properties - 2nd floor - Mass Live LLC 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,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
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 PREMISES
Certificate of Occupancy
Building s for
�.�.,... FILE #
9G .11339
MAR 2 711998
APPLICANT/CQNTACT PERSON:
ADDRESSIPHONE: ,,3C'--���te- 2�,1,.
PROPERTY LOCATION: j�'�' �J`�� /n- Awe
A�5L-C-
MAP 39'B PARCEL: ZONE L
THIS SECTION FOROFFICIAL USE ONLY:
PERMIT APPLICA►.TION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EMLED 0111
Riii1ding Permit Filled ntit
,t lu a,
Addition to Existing"
dam..
ArcessaryStrnrhire
THE LOWING 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
I/
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 C nservatio o mis io
Signature o Building lnspector ate
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other apptionble permit granting authorfties.
MAR 2 71
.9 �� '�
`• File N43�' �-
I
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL =FORMATION
1. Name of Applicant: /_117l)_S'S L)VI LL_C
Address: JY!•JC 1 L1 N Telephone: 1-01
2. Owner of Property: tv
Address: P C• +��� ��� ��17* Telephone: e6 3 y
3. Status of Applicant: Owner Contract Purchaser -,,"Lessee
Other
sI(explain):
4. Job Location: t� tt�f) ��� _n_ �/ � e��_
Parcel Id: Zoning Map# -3t'?8 Parcel# C District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 01;• � -TVrf_*-J6- / '*16�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
CV 4,,L jf_S' }tom N0 _'D 111n, opvn-,J o,4 /MtEn,v LeT 4N o
(o/ZL'03 i, iaiz "Lee l'/r-O'Ove T-I'
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 4 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 Document#
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: tJo
1)N 1)F-.e THI 5 re rLH I T'
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 C01tU= to be f122Affd in
by the Building Department:
Required
Existing Proposed By Zoning
Lot size S ^/vat 20'doo sbc}
Frontage 106
Setbacks frnnt
side L: R: D L: R:
- rear
Building height '3(o
GSD
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking Spaces
f of Loading Docks
Fill:
"(vol-ume.-& location)
13 . Certification: I hereby certify that the or anon contained herein
is true and accurate to the best of my owl ge.
DATE: APPLICANT�5 SIGNAT RE RE
NOTE: 113suanoo of as zoning permit does not rellev pplioant's burden to comply witip,.Amil.
zoning requirements and obtain all required permits from the Board of Health, Co6serivation
Commission, Department of Publio Workj3 and other applionble permit granting authorltles...
FILE
l t tih� C 7 '1998
.�paT HAM p0�
a �.. 6ifl) jai Nart11ttl pfall
9 � �lassachusrtts
rm DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
,J
(licenst&permittee)
with a principal place of business/residence at:
S b f,E� ✓ �-5�,i w� (phone#) / - L 2 y
( city/stat(J-7 p)
do hereby certify, under the pains and penalties of perjury, that:
(�T am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, general contractor or homeowner(circle one) and have hued
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Cpmpany/PoUcy Number) (Expiration Date)
(Name of Contractor) (Insurance Cbmpaoy/Policy Number) (Expiration Date)
(attach additional short if neoessary to include mfotmsuon perms ma to all ooufmc ts)
( ) 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 while homeowners who employ pe=nt to do m&kde.+jace,oomuuction or repair work on a dwelling of
not more than throe units is which the homeowner resides or on toe VVInds appurtenant tberdo are not generally ooaridered to be
employers under the worker's oration Act(GL152,ss l(5)�application by a homeowner fora license or permit may evideaee the
legal status of an employer under the Worker's Compemation A*L
I understand that a copy of this atatemeat may be forwarded to the Departweed of Industrial Aociden&Offroe of Irssersaoe for the
coverage verification and that failure to secure coverage undor sOction 25A of MOL 152 can lead to the iatposition of criminal penalties
ootnisting of a fmc of up to S 1,500.00 andlor impriso of up to one yearend civil penzWes is the form of a Stop W ork tOnder and a
fits of$100.00 a day against me.
7
Signed this ` _day of �?�r 1995 For de a:tmMA"use only
/7 Permit Number
Map# Lot#
sip of LicmSee/Pern dttee
V � —
o
a
Cv R
;0 -s Z
j > * ✓�
1 pr m �
Zoning
L
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. ` y / L y Alterations
NORTHAMPTON, MASS. 19 1� Additions
' APPLICATION FOR PERT41T TO ALTER Repair
_ Garage
1. Location it - l j
Lot No.
2. Owner's name #'0 r`DI-A`1''ra,j �'r�o�(r i>CS OJC Address JOG 7-7-1 440 L y ak E v t <7110
3. Builder's name L "J Address If 1-)c10 I'e IJ7-tr` /vOr2 J)t/1---,--r'4J
Mass.Construction Supervisor's License No. (03 10 Expiration Date
4. Addition
5. Alteration 3V#L-0 %�E��rI, ,� G- tj (1-1 - C�Nr ��; 2�y � /e�,�t�T�'�an1 or�L �✓ �,=1ekj-I
6. New Porch
7. Is existing building to be demolished?
S. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-
6�� �
i The undersigned c ru ' s that the above statements are true to the best of his, her
knowledge lied
Signature of responsible app lcant
Remarks
E
i
r. i998
MAR 2 7
o"TATioNS_ -
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