36-267 (3) 9 � �laesachu:ctts __
of Worthampton
e (Office of the )nzvtrtor of Illuilbings
212 Main Street•Municipal Building
Northampton, Mass. 01060 tt
#714
CERTIFICATE OF OCCUPANCY
APRIL 27, 1988
Page No. 36 Plot 89&90-2
Building (Name) NEW SIGNLIE FAMILY DWELLING Address LOT#22 MAPLE RIDGE RD.
Owner DAVID ESCOTT Address P.O. BOX 625, EASTHAMPTON
Applicant WESTFIELD CONSTRUCTION Address 126 MILLER ST. , WESTFIELD
Use: 1st RESIDENTIAL Occupancy
2nd Occupancy _
3rd Occupancy
ji
4th Occupancy
Zone District SR
Required Inspections:
New Building X Existing Building
Elevator Electrical
Plumbing Fire
S.D.
BuildingGAS: Other -
&tart p ,
inspector of Buildings
t
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L4 Z
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LUrni
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
aNORTHAMPTON, MASS. I9� Additions
APPLICATION FOR PERMIT TO ALTER Repair
_ / Garage
1. Location 35 11�G A' 1,06f— 010 6 0 Lot No.
2. Owner's name k &, Address ZW n 1PL-P g 1,0C k 9,0 01d6ca
3. Builder's name A 66F/k4 ��« Address I71 /ol i-1- 5 % 7 Pbw /W
Mass.Construction Supervisor's License No. t`6 ti.3 Q (b Expiration Date �' r
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 Ft 011z C",S5 c.'T
13. Siding house
14. Estimated cosL-
it The undersigned certifies that the above statements are we to the best of his, her
2 ' knowledge and belief.
Signature of esponsible appicant
Remarks _
0 o t OVFT ' �L
s ILL 2 1 1998 .
L
B - �xssxcFrnsctta
� r
m TF'' J`bEPARMENT OF BUILDrXG INSPECTIONS
DI:� MV 416.�' •�l'4�. d ;.
a12 Main Street ' Municipal Building
Northampton, Mass. 01060 ,
WOM-CER'S COMPENSA'T'ION INSURANCE A ' AV r
OfiAl S&f/�WIZ,0
5 CU r/ti
(licenserJpermittee)
with a principal place of business/residence at:
(phone#) / 3-2�—Ga�' �U
-� (strttit/city/statrhip)f
do hereby certify, under the palms and penalties of perry, that:
( ) I am an employer providing the following workers compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Dale)
O 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) (Lnsu=c: Company/Policy Number) (Expuration Date)
(Name of Contractor) (Lnsuiane�: Compau),/Pohcy Number) (Expiration Date)
(Name of Contractor) (I.n-Umce Company/Poticy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(nriach addrtioai!-hoc(ifnoccx to inC111dc infocmitioo pertaining to a ooat nd r5)
(,Kam a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please Ix aware that whit,homernvncn wbo cmplaY perr<y=to do^*„'•rc"s^n cow' tioa:or repair work on a dwelling of
not mono than thtoa units in which the botpoowncr mild,oc oo tbo gounds apptutcnaat ihaeto ate DO(gcocmlly coandacd to be
cmPloyua undo tba workcr x oompc=4m Act(GL152,ss 1(5))�application by a homeowner for a li—cc Pad—Y cvidc the
legal ctutua of an omployoc undertho Woci ,Compomaiioa Amt
I undcratxnd d d.copy of thin catcmcut may bo forward od to tba Dcpartmca2 of In iL"i d Ac ids()Moo of Iasurznoe For the
eovuxge verification and that fulum to scatre covcmp tnxicr soction 25A of MOL 152 cart]end to tba'kV-t'm of criminal Pmaltia
ooaiutatg of rt•f nc of uP to S 1 00.00 andVoe im prboamccd of tip to.00e ymr and civil pcnaltia in the form of n Slop Work Ordcr.aad a ,
fine of 5100.00 x diy-VinA tnc
For u'°aaty
Permit Number
Lot#s
Y.:
SigWh=ofLi`:` crmitt0
10. Do any signs exist on the property? YES NO
IF YES,describe size,type and location: r'
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 —1— to be fillad in
by the Building Dcpartaant
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved Parkingi
# of -Parking Spaces
# of Loading Docks
Fill:
-(volume-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: Ins o of a zoning permit does not relieve an a plicanYs rden o oomply with all
zoning require ante and obtain all required permits from the Boa of Health, Conservation
Commisslon. Department of Publio Worker and other applicable permit granting authorities.
FILE #
File No 1
FQF77 6
ZONING PERMIT APPLICA TION (§10 . 2)
` PLEASE TYPE OR PRINT ALL INFORMATXON�x
_
1. Name of Appl l icant:
Address: ' (/ 166 S S/ f
&1 /,7mPrTelephone:_ i57a'7— 0/ ?61
IA-
2. Owner of Property: �'�'U�1 h,�&V m A
Address: 3 S 1 PLV V2I06 //Telephone: O �3
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): OO E f A--a r0A, 9,102)4
4. Job Location: P41jeGe ��
Parcel Id: Zoning Map#_ i+ Parcel#� / District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5 Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
�1 (�UF tvG Y — ` 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 Permit/Variance/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 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)
Department: Reference No: BP-1999-0097
...................................
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
Roofing 2EC-1999-000163
.........................................................................................
......................................
Paid By: Paid in Full On:
DE Sheppard Roofing TueJul 21,1998
............... .........................................................................
......................................
Received By: Check No:
Linda Lapointe 1285
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: $20.00
...........................
R1?111ARTMENTFILE COPY 235 MAPLE RIDGE RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
21 Jul, 1998 BP-1999-0097 $20.00
GIS 4: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
7345 36 267 001 235 MAPLE RIDGE RD SR 108900
Contractor: License Type: Insurance:
DE Sheppard Roofing CSL
Address: License No.: Insurance No.:
17 1/2 Briggs 066306
Liy-i State: Zip Code: Phone:
EASTHAMPTON MA (413) 529-0170
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0138 roofing $3,502.00
Description of Work:
SHINGLE ROOF OVER 1 LAYER
GeoTMS@)1997 Des Lauriers&Associates,Inc. Signature: