23A-015 (4) City of Northampton REQUIRED INSPECTIONS
` ' 4i BUILDING DEPARTMENT 2. Footings and Walls
:L� .
� �; 2. Structural Components in Place'
3. Complete Building*
No. 633 Office of the Building Inspector
Zoning Form No. 962968 _ Date 7/10/97 X0$90.00 check 6899
Page, 23A Parcel 15 ,?.one Uae Section 127 ❑ Yes 0 No
BUILDING PERMIT
* Plumbing and Eketrical Inspections required
THIS CERTIFIES THAT Valeriy Foksha before Building Inspections
has permission to construct 2ndtloor entry door & decking Inspection on Site—Foundations
situated on 18 Park St - Fitzgerald Properties Inspection of Plumbing—Rough
provided that the person accepting this permit shall hi every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas InNintion
provisionsof the Statutes and iheOtdinances 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 ofissuance,ifnot started. Buildinglnspection—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 PNCE ON o SES
Certificate of Occupancy
Building Inspector
ill
15111
I IIFILEFILE I - i kJ ld tiJ 13
JUL' I 1997 7
APPLICANT/CONT'ACT PERSON: V r f `"/.dha 6612-9$73
'7ADDRESS1PHONE;i 344 _ f . ..r '�� to re). P 01 615"
PROPERTY
1615-
PROPERTY LOCA'ITON: 17 201 ..: - �irxxcx 1�
MAP ,23
/9 PARCEL:
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTf.T F,1} CHIT _.. Les"--
Fee Paid
Building Permit Filled nu V.i
Fee Paid �eY 7�i IS • — _ ✓� ,
Type of C'nnctrurtior• ..,
New Cone '. . — r jA c
Remdd rl'nv�n_tPrinr � :r ` sk ��
„/moi/l .. �r // / _.:.09//1.11
Addition is • • <LL.lfdir"/s`.'' ' x • 414 L'.N. _ ..
Arreccnry Stria- •
,Building PlansTnrtnded-
Owner/Ocrnpnnt Statement nrIce-rts_g_il Q6.,2a
Sett of P7anc 1 Pint Plan
THEXLLOWING ACTION HAS BEEN TAKEN ON THIS APP 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:§ n/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed,
Variance Required under: § wfZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Rd of Health /Well Water Potability-Bd Health
_Per%.. Conserv: ion Commt�n
tee' , ,� dam_ , � 9 /0 c
Signature of Buil. g •- .f! pate
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to oomph/ with an
_ zoning requirements and obtain all required permits from the Hoard of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
1 "�
,'... 1 1997 L/ (7
File kroloGi o
ZONING PERMIT APPLICATION (§20 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of,Applicant: . I�,LLkk/ 7gy
Address: 3 42 ce-f.e t L rt f.2ktJ =Z Telephone :61AV Ce> A 9483
2. Owner of Property: tO lr7j Pn g - t /
Address:41 /tJ�r4alr Telephone:C9&J .SSt -2, ,.29
a Status of Applicant: _ Owner Contract Purchaser/ Lessee
Other(explain):_„
4. Job Location: / 2i /p.K IC'/
cit
Parcel Id: Zoning Mapf$ Parcel# 15 District(s):
(TO BE FILLED IN BY
THE BUILDINGDEPARTMENT)
5. Existing Use of Structure/Property 2g (,..�/ -Cita
it •
i6. Description of Proposed Use/York/Project/Occupation: (Use addonal sheets if necessary):
A .kte/1] am
rileljr .w W.
qq /� 7h�
Jttf At:)H .e-k// /0GC475 Ct He-/ F!a/T25fr'id r6' , -)iwro .,-Ai!'
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 Flies.
&. Has a Special PermitNariance/Finding ever been issued forton the site?
NO x7' DON'T. KNOW I/ YES IF YES,date Issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW V 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 V
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:
I1. ALL INFORMATION MUST BB 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
•
Frontage
Setbacks - front
-side L: R: L: R:
- rear
•
Building height
Bldg Square footage
•
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking Spaces
#' of Loading Docks
Fill:
4volume-& location)
13 . Certification: I hereby certify that the information contained herein
ceis true and accurate to the best of my knowledge.
DATE: 7/1 / 9)' APPLICANT'S SIGNATURE
NOTE Issuance of a zoning permit does not relieve an applicant's rden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission. Department of Public Works, and other applioable permit granting authorities.
FILE #
14_4-h an g 054"
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a� a is _ I 1997 Gitg of Nortlranfpfnn *—sy
B•pi'ttrar . DEPARTMENT OP BUILDING INSPECTIONS WI::
212 Main Street ' Municipal Building —_
Northampton, Mass. 01060
R'OREPR'S COMPENSATION INSURANCE AFFIDAVIT
i. Vim` F _
fOicmti--rp=ravtec)
with a principal place of business/residence at:
(s¢„uc tyfs tdnp)
do hereby certify, under the pains and peo:lties of perjury, dru.
() Ism an employer providing the following wockeits corpcnseueo cove.2 to for my
ewptoyees working on Ibis job-
(SnvrenCon t'ny) (Policy Number) (Expiration Dau.)
( ) 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) (Insu ance Company/Po6ey Nnrnh-) (Expiration Date)
(Name ofContr'actor> (insurance Comnawl'olicy Number) (Ex)riranaa Due)
(Name of Contractor) (Insurance Company/Policy Nanbu) (Expuadon Dale)
(Name of Contractor) ansuranct Company/1tohcy Number) (Expiration Date)
touch addiecml cited ifco.>m,.y to Pap&ict«muoo paw»a.to.11 uoeaeon)
1 am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE;Flare be aware the whiht Mur maw pip employpaaom Co d>m.m+m•cc. wrccvetion.r eWtir.«cck w ad nllicg of
not mph tiva&coo waits a which the b_nowocr solo cc ottitmeeetigg NW<t<oaat gene ort im mg..ally ooadcd to G-
c»p,loycn under the workchcr_r dim Act(GI-152,P I(5)),cpplimoo by khan/tow-pc fur n Lanz cc prmi cony rhL.t tin
Pg'Jstatus of ma ploy c coder Pc Wakcla Conation Act
I oahntaad thea copy oftbi.macaws may be rcc*.da to tbe Despcmcchl ofIcaa,aid Am. .Office at Icsun:ca Coe the
°opt-4;c v¢ifiazioc tctd that feibic toacwrc covrav unecr Ptioa 2SAofMOL[52 an lad to hs impxrtic*et'mvcai p n'.tica --
Pooh emgofafax ofLep icSl300.O0 eaxiter int,omc L of tap te acycm sed ci.vpmltice io the f of Sten WohOrdcw4*
6m o(5t00.00 a my again
•
' Signed this day of 1997 rtreie„c„egal me my
Permit Number
__i ....._ Mang_, Leta
Signature of Li •' • it ttct
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9
Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. S i- r7( 3 Alterations
NORTHAMPTON, MASS. I s) /illy 199.7 Additions
ell
APPLICATION FOR PERMIT TO ALTER Repair / -,.4 , .,J Atrety
/ Garage
I. Location f • D a 34�L Cl' Lot No.
2. Owner's name Y� /r f y co,LI fir! Address 4 1 rein,js, e at
3. Builder's name Vise a_r"r fy rd2rl,y —a Address 542 ' -C 'L i. e, PA/44W
Mass.Construction Supervisor's License Ne. e .S OE 62 e9 Expiration Date o/-2 ?— 25
44. Addition m ac....>aza tz,G,. _ .rte a ,. . 2 , N-t", / IV - 0- U - "1:4267s77
5. Alteration -11 - - _ vv D goo- All/
�.r-
6. New Porch G r../ ,OG enV4 ata-,(..., r✓yTazrz � r---g •
7. Is existing building to be demolished?
8. 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- 2 .n
(S'�C" The undersigned certifies that the above state cots are true to the best of his, her
knowledge and belief.
e X._
44� q.{/� n/ Signature of a rannbie •ppucant
Y`/9-- els J ; r< It n 4R/
Remarks �- �-�'�Y Lt// I Cc_(, fa-Lit- Qs6�1J�-
,5.�.1/ cr,re0,4-priie1.1.- /-- .111o,.er� .SS is R