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31A-118 (6) City of Northampton REQUIRED INSPECTIONS ^ ! BUILDING DEPARTMENTtl Footingsucturand Walls ink z�� 2. Structural Components N Place' 3. Complete Building* No. 948 Office of the Building Inspector 962851 Dale 10/2/97 Fee$40.00 O7teck# 568 Zoning Form No. Page, 31A Parcel 118 ,Zone URH Section 127 LI Yes © No BUILDING PERMIT "Plumbing and Elecaical Inspections required THIS CER IIt IES THAT David Gardner before Building Inspections has permission to remodel bathroom Inspection on Site—Foundations situated on 26 Vernon St - James Hubbard Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the teens of the application on file in this office,and to the Gas Inspection pmvisionsoftheStatutesandtheOrdinancesrelating tothe Consuvetion, 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 O � REMISES • Certificate of Occupancy 'w'�- r� Building Inspector jUflfl � . ! � �� 11it A7 � '' APPLICANT/CONTACT PERSO / %/ �a7 ���� OEVTtIIrtdO116 . d' ' /f.�.f ifia ...���.; .. NORTHAMNON kA;" ttaf ;� s PROPERTY/LOO''ATION: ,26' E/ - ..h -.. i` ' ..a . le MAP--�`: --- PARCEL:_..... /,e ZONE �0/I-f THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIT INTI OFT FP. Paid Euili3iu .u- . c/ Fee Paid r Se— .... If _N wr-wnetenetinrT\ s tt�u' - R _ ��ii,,. � �c> � ....... pinnd Pli_E ri Tntrnri "" — _. _A(]ditinn hi FxictinQ _.. _. A creccnry Structure _. _.. Building Pfane Inrludrd• Oner/n ..... j416.... w . . . i . . . I ' fj' �,.• TLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: 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:§ wIZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Ed of Health Well Water Potability-lid Health _Permit from Conservatio. ommtssio Signature of Buil.' gins..• •r Date / NOTE:issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Hoard of Health. Conservation Commission. Department of Public. Works and other applloabie permit granting authorities. E C i v 5 7 I JL OCT 1997 • L ' Fite No. 9ec,' 37 sin Of BUILDING INSPECT r3 NOBtNeMprpx.MA otc ;u Q ING PERMIT APPLICATION (510 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �/F?1(/77 Cl��P/ Address: lI G>f_ Telephone: .. 37r- 2. Owner of Property: ' tltLC5 f 41 1f "o Address: �j v 7/ -�'��F� aTelePhone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): CO4 % 1 " 4. Job Location: .7-1; t(b ,A74 /1/4f7�7,aPyer� Parcel Id: Zoning Map# S! if Parcel# 1/7 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property "IAfi,e; rG ifi 6. Description off roposed ffO se/Work/Pro' ccc tin: (Use additional sheets if necessary): • A/a 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 Permintariance/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 DONT 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 est 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 cola 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 prof Loading Docks Fill: -{volume-& location) 13 . Certification: I hereby certify that the info ation contained herein 4 is true .nd accurate to the best of my knowl- 'ye DATE: � APPLICANT'S SIGNATURE arc _e// ///' NOTE: issue os - a zoning permit does not relieve an ''a-lio-nt'- •u 7an to oompy With„all zoning req re ante and obtain all required permits front the • -rd of Health. Conservation Commission. Department of Public Works and other applicable •ermlt granting authorities. FILE I _jOCT 1 1997 J I ,� I / DEPFBUILIG'N6NORTHAMPTON A Ol( 41 IyIs y 51 / - mss nillinml f// embI ij II I I1NN f `' k �T 7.2.° I m'i ®o ----7----11- _ / • , i— ' . r f - ‘-I-I e f t'a ,i OCT 11997 i if r of nrthttntpfnu � * a 4 'J ems jassscrpnsetts = '.+s ' $EJ.OF$Utt9NiG INSFECSiO::S., ENT OP BUILDING INSPECTIONS �. : LtlNRSCglikm A 11 hMPiON MA 01 eI 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKERS COMPENSATION INSURANCE AF'F'IDAVIT L _ //ire .._eik _ .. C.iccacdpermitteea with a principal place of business/residence at: /3 ni/ � (phone#).... .5-2-9 677171/ (strecUotytstatelzip) do hereby certif.?, trader the pains and penalties of perptry, that. O I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance l;;omR'ml') (Policy Dutcher) (Expiration Date) O I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following workers compensation policies: (Thome of Contractor) (Insurance Courpaay/Policy Number) (Expirnoon Date) (Name of Contractor) (insurance Conmesumi ticy Number) (Espiratioa Dime) a. (Name of Contractor) (Insurance Company Policy Number) (Expindon Date) (Name of Contractor) (Insurance Comoa y/Policy Number) (Expiration Date) (attach iiiiscira area if nenn to racbuk rformaam perwmco to all ccNnCon) am a sole proprietor and have ne one working for me. O I am a home owner performing all the work myself. NOTE➢lose be nwarc the ethnic bcwanwun Woo employ pt .11 to da ure„n.a.m c«rww+m e,rep ir work oat ewllvg of cot ....,SI thrm .nits in ouch the Stanowva ratite,or en the gwt,apparteoamtbmo coact gay 000,d d to be caTIOYabucdcr the arta asgcruica M(61452,1(5)),apoirraf tic N it bmcowrcr far a acme at pctSt say eciataxe the legal data ofm myloyur=Gar tap Wa4M0 Comparalon ct I uwkmaad Oral a coy of this combatant vary be fu..naded to We DtpdaraAnt ofrntsan6 Pao. . .Office of barnae for the coverage vcificvioc tta4 that failure Co sedan coverageender ecgioa ISA of MCL 132 can fad is the imtpsidm dent:dl paddies ausssissg of a Eine of up to SLiCCOO elder atpsaacn-ii of tap to CM)tt sod chi!pmltic is de fora of a SW0 Welk Ot ZMn Entre(31.00.0C a day tatted d me Signed .' / day of 62C7: _, 1997 rprdwmcl nae only r Permit Number � /, / 1r. !,.r"Y'._ - MMap)/ hot t Sip . inh is rr../.:' _ r, /` y . y S �_ p uo T n >.Wa z5 0 IT M 3 m zo J _ 02 ; z m ,�.� t— ms -3 O 'S7 'i f i=..sJ p ate. T 7, E - cn Z . z > > i 9 cn O y m z Zoning Miscellaneous Additions,Repairs,Alterations.etc. Tel.No. _ Alterations NORTHAMPTON, MASS. 19_ Additions art APPLICATION FOR PERMIT TO ALTER Repair / Garage I. Location �r(' 1,/Qe�tMW 2TFt4 /✓o�ilMfl`�W Lot No. 2. Owners name -146,/ BBen) Address • •vl E ,�� / 3. Builder's name IP,4V 0 64-2-Pin.,....- ��,,/ Address / fl$/N ��z4eG-7— %%V J`/ Mass.Construction Supervisor's License No. pKyF Expiration Date d. Addition 5. Alteration G:G118P`r> ,, 057)./6— D.f / APP 8,41-47243 6. New Porch , 7. Is existing building to be demolished? tY h 8. Repair after the fire 9. Garage No.of cars Size 16. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house.. 14. Estimated cost:- nf7 (,-Ci- --. The undersigned certifies that the above statements are true to the best of his, her knowledge .r, belie" a �✓//�� /%, ..� inature of responsible appuranr Remarks