22B-032 (9) •/° �tim
AED INSPECTIONS
-1' IR
`c'11`' 'a 1. Footings and Walls
Vsit"."2.4
� BUILDING DEPARTMENT 2. Structural Com nents in Place*
3. Complete Building*
No. 1132 Office of the Building Inspector
Zoning Form No. 963057 Date 12/2/97 Fee$40.00 Check# 6033
Page, 22B Parcel 32 ,Zone URB Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Young Roofing Co Inc before Building Inspections
has permission to install new carlisle membrane roof Inspection on Site—Foundations
situated on 159 Pine St - River Valley - Anita Thompson 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 ON7 P ISES
Certificate of Occupancy
Building Inspector
15 V L5 U vi iS
` i
FILE # 963057 ii3.9N
`j� NOV 2 51997 'mot
PP:WA.NT/.CONTACT PERSON: s A - 36
PROPERTY LOCATION: AJ� �,/, -�I� ��� ��{' heris aaefrt
MAP c.23 PARCEL: 3a 4
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCL9SED REQUIRED DATE
7.ONTNG FORM FTT,T.F.T) OUT ,/
Fee Pnid
Building Permit Filled nut ✓
,�,�j,�
Fee Paid 33 Ott/- L/
Type of Cnnctnietinn•
New C'nnctrnrtinn
Remodeling interior �t1?N"Gel/YL'e
Addition to FTicting f-f}-�
Arreccnry Structure U
Building Plane Tnc•luded•
Owner/Occupant Statement nr Licence # aP,(?
3 Setc of Planc /Plot Plan
TH,,KOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
et 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 from Conservati ommissio
./2"- -/37
Signature of Building or Dat
NOTE: Issuanoe of a zoning permit does not relieve en epplioant's burden to oomply with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
`A NOV25199f
iJ� ' File No 3(�5 7
-
Iao Hn�+PtarGi tMR� K 9/,NG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: t}Vl 6 , T _ V l c� Tic_ .
Address: le..) (4.3 &P. A./ -Toy), Pic, . Telephone: q' / 7
2. Owner of Property: fin/ 7 'y 0)/
Address: 0f iiiainShiry. MA Telephone: bt-i—3Wc0
3. Status of Applicant: Owner Q',�,�C�yontract Purchaser Lessee
j/Other(explain): /54 racer
4. Job Location: / y /9 J( i'`1 2e
Parcel Id: Zoning Map# , 93 Parcel#(3C) District(s): ,/ '—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ges f" 4pie •
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
yV/5i t i l /l nett) eadig- ree.4 i!/01C_ /cat
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 PermiWariance/Finding ever been issued for/on the site?
NO DON'T KNOW v� YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW t, ------ 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)
i
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or addition of signs intended for the property?YES NO '-
IF YES,describe size, type and location:
11 . ALL INFORMATION MUST BE COMPfPTED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to bo ,filled in
by tba Building Dcpartmcat
Required
Existing Proposed By Zoning
•
Lot size
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
i`' 'bf Loading Docks
Fill:
:(vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
(v. is true and accurate to the best of my knowledge.
DATE: I )e25I 17 APPLICANT'S SIGNATURE %
NOTE: lasuenoe of a xoning permit does not relieve an applicants burd o 0o Ty with all
zoning re-quirementa end obtain all required permits from the Board o! eolth. onaervation
Commission. Deportment of Public) Works and ether appiioabie permit granting authorities.
FILE #
o0.1 utAn piO
tm ` 6!. i . Crzt of Naxtli�tmp f on .
s} eP j"'rtd ,t •
+ �aiaechrtsrlli
3— ,:_g.' iu Nov �
"�+y;7� fJ DEP TMENT OP BUILDING INSPECTIONS e •
DEPT OF BUILDING i' 212 Main Street ' Municipal Building
NORTI�Fr`ls'fOi1 '',' ' Northampton, Mass. 01060
to,.
• WORTcER'S COMPENSATrON LNSURANCh, A1f1eLDAVIT
I, Young Roofing Co. , Inc.
(li cnscJpermi ttcc)
vritb a principal place of busioessiresidence at:
144 Texas Rd. Northampton, Ma. 01060 (phone#) 584-1367
(su-c:Uci ty/state/i3 p)
do hereby certify, under the pains and penalties of perjury, thai.
(X) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
CNA Insurance Co. WC5826601 1/1/98
(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) clnsuant~ Company/Policy Number) (Expiration Date)
(Name of Contractor) (In_Surtnr CompalnylPoticy Number) (Expiration Date)
(Name of Contactor) (lnsuranc Compa y/Policf Nimbi) (Expiration Date)
(Name of Contractor) (Insuranca Company/Policy Number) (Expiration Date)
(txteh idditioml th.xt ifncc wry to bC &inferm. 00 -:timng to al occr_e_on)
( ) 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 avru•e thrt c hiJo bomeowo,m. ‘sbo cart,loy pertotn to d,m•intcrurrc,cocn;nuctieo ce repair work on t dwriling of
not cache t110 throe twits in which t e boc4owocr rciidcs cr co the Ercuoht:p<uttcntnt thacto crc not gczrsally coaridcred to Ix
ctnploym utruirr tb,wod csk.ocaapcn:rticn Act(GLU 52 i 1(5)),Acylicition by..botncowor_r far a IicYvx cc permit may evidence the
legal ash,.of an enployK under tho Woriccr.Compooaalioo Art..'
t uodcrrtrnd 1h..L a copy of this cwomeot m.y be forvrerd.d to the 1?cpertmmt ofln<S rid Aocidrote OfSoe of tanu.00e for the
covtrase vcrifi=1ioa trod that Uwe to secure eovcmgo to 'x.cr section 25A of MOL 152 can l:A to tbd impostiao of crimiail penalties
consisting of a Inc of up to S 1,500.60 tiger imprisocrocct of up to occ year tad duty pcmhia in the form of a Stop Wor-it Order cod a
fin,of 5100.00 a day again t.tne. .
Signed this S d.$y of �(Wfr7i' 1997 Fords ltt,00t;Jy
J
Pcrm.it Number
( Maps . . Lot 0
Signaturn p 'ipcpsoclPermi
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. yy Tel.No. . y-13o7 Alterations
ak;:%� NORTHAMPTON, MASS.
k2;k:-k:' v. 61ALTER9?7 Additions
Repair
; � )J APPLICATION FOR PERMIT TO
Garage
1. Location /, / 1 ,7 - R()relI/c�^,`e Lot No.
2. Owner's name I ✓ et,4 !�{Jri 6 Address nn��,,, �/� / ' / /
3. Builder's name ) 1✓� U ihL • Address fh7iM- /rtnyZ 7 Girl//IC// )/)) , Mkt .
Mass.Construction Supervisor's)/L)L '7
License ISO. 0 I )87CY Expiration Date %l�/q y (/
4. Addition
5. Alteration
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 11540.A i e 17 cU Co r l ks lc, pi t rrt G1?t v/e_ -Keel13. Siding house
14. Estimated cost:-
/L ,^,//\\
/ �` L�CJ The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. x
G
((Al(
Signature of r ons e applicant
Remarks
..