32A-155 (10) , 4,0City of Northampton REQUIRED INSPECTIONS
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4. :.1;
!ti:M ,` 1. Footings and WBUILDING DEPARTMENT 2. Structural Components in Place*
�'" �' 3. Complete Building*
No. 546 Office of the Building Inspector
Zoning Form No. 962407 Date 6/18/97 Fee $40.00 Check#1455
Page, 32A Parcel 155 ,Zone CB Section 127 U Yes 0 No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kenneth Cote before Building Inspections
has permission to remodel interior for restaurant per plans Inspection on Site—Foundations �y�
situated on 4 Main St - Tom Masters Inspection of Plumbing—Rough ^C ,....?....?7,
7
provided that the person accepting this permit shall in every respect
Inspection of Plumbing—Finish _ 4
conform to the terms of the application on file in this office, and to the Gas Inspection (d).21 �O 7
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 .�/4 '
r Inspection of Wiring—Finish r�
' 7t/ /997
of this permit.Expires six months from date of issuance,if not started. j, Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return ?. 1 -q ? Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
14-t, puilding Inspection—Finish 7--f (7 t J
+_, / / S oi'e` effectors(Fire Department) 27 -'7 4 `/
Other
THIS CARD MUST D SPA,, P/0,-A CONSPICUOUS PLACE ON PREMISES
Certificate of Occupancy 4....ek.7,21!Pr.'.
Building Inspector
+diatiA
allii i• Cityof Northampton REQUIRED INSPECTIONS
A
ti14' 1. Footings and Walls
=~' . BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 546 Office of the Building Inspector
Zoning Form No. 962407 Date 6/18/97 Fee $40.00 Check#1455
Page, 32A Parcel 155 ,Zone CB Section 127 U Yes El No
BUILDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kenneth Cote before Building Inspections
has permission to remodel interior for restaurant per plans Inspection on Site—Foundations
situated on 4 Main St - Tom Masters 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 PREMISES
Certificate of Occupancy
Building Inspector
\,,_
D � ,P lJ FILE # 9 6?4 0 514(.0
. 7C-6 4/Y
1111
V APPLICANT/CONTACT PERSON: ( 746%533g
0EPT ';'DRESS/PHONE: 4/0/ lz) .0f_
tip_
PROPERTY LOCATION: 1 7,1&(/2t!
MAP `3 PARCEL: /----j ZONE C73
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNG FORM FT'J.-FT) MIT ti...--' _
Fee Paid
Building Permit Fillers nut f/
Fep Pairl /4'53 L-
Type of C'onctrurtinn•
N
Remnrieling Tnterinr
A i is ing
Arreccnry Strnrture
Building Plane Tnrinrled•
-, Owner/Orrupant Statement n T.irence# a �/lQ
�_'�'Setc of Plane /Plnt Plan
T 6LLLOWING 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: § 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 fro Consery t' Co m' sion
/8173
Signature of Building Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioable permit granting authorities.
ti
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6 1997 !6 j
I 1 File No. 9o271
DEPT OF BUILDING INSPECTIONS
NORTHAMPTON.MA C GSO
• ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: rizotiJecsch Ca-t-A-a4E1i
Address: /.9 isiA-„.) Sr '43 • •S e A cAS #41A.o,as9Telephone: 739 s793
2. Owner of Property: Ta. NA Asrccs
Address: 1 VAt ik--,� S . (•e.oa..;X huh 4 o i ouo Telephone: r7 L - 1 9
3. Status of Applicant: Owner Contract Purchaser k Lessee
Other(explain):
4. Job Location: 4 1km.) s- ,Jo4-7th40¢P -o,J
Parcel Id: Zoning Map# .32* Parcel# /SC- District(s): CA
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property lack.)
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
g e-S?tl-v 0-IE,0 i // s4"j a
7. Attached Plans: k 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 PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW A 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 k 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 K �.
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: rJ c„J S i i Pp..z Po&a-,- sc a 4.4( t
11 . ALL INFORMATION MUST BE 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 9
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking Spaces
tfof Loading Docks
Fill:
vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: - G 't 9.") APPLICANT'S SIGNATURE .4 Q
NOTE: Issuanoe of a zoning permit does not relieve an appil ent's burden to comply with-all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authoritUee.
FILE if
•
• t ( rtrff Narili&ntp en
Fiv•�:1c assachusrtts
N- ,�,s
ao3 DEPARTMENT OF BUILDING INSPECTIONS di
o (O 212 Main Street • Municipal Building
rut,- — Northampton, Mass. 01060 ' ~ r'���
@ED
WORKER'S COMPENSATION INSURANCE A ci{mAVTT
l
rf, (licensedpermittee)
with a principal place of businesslresidence at:
5/n7 (1./oo 4-11 W1t/ ST Pie 414. (Phone#) 21S 9
(sty(xEcity/staithip)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for thy
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) 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 Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml she t ifne r.ry to include information pertaining to all co:exactors)
(Pr 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 anploy persons to do r,vintrnar.*, construction or repair work on a dwelling of
not more than three units in which the bomoowncr resides or on the grounds appurtenant thereto arc not generally considered to be
employers under the worker's cation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the
legal rat era of an employer under the Woricor'a Compoaation Act.
I understand that a copy of this eta tr N*.t may be forwarded to the Dq,ermmt of Industrial Aazdmss Office of Iasrrrwoo for the •
eovestgc verification and that failure to secure coverage under section 25A of MOL 152 can kid to the imposition of criminal penaltica
oonsi s ing of a fine of up to S 1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of S 100.00 a day against me.
Signed this % day of 199 7 For departmental Liao only
® QQ / <� Permit Number/�/ Mapi{ Lot#
Signature of Li..., 1 s •ermit3ee
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
•:r NORTHAMPTON, MASS. r1 19 `�� Additions
k-} :%4' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4 /N A•i,J `SI— Lot No.
2. Owner's name FKA-,JCticA- C►4t--A-Batt (1,744m) Address /6 4 ofA-,,J Si- k3 0..Se 144A—oio8g
I
3. Builder's name KEa.)a11i- Co-re- Address 4 74 C7LA-1)d y 4. CI-rc, rsiA- o i o -o
Mass.Construction Supervisor's License No. CS 03S-3/¢ Expiration Date /a - r F• 97
4. Addition
5. Alteration , See tt.R,S
6. New Porch
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:- 3�oo'c
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
i
Signature of responsible applcant
Remarks t k 1 .) L Pie.r a-RaoJS S cC ��14ce1Ea P,-1,,,1
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