25C-211 (2) c ..?�.
�' r ,C: b
C, A
to
C
qp to
c 3 z° m
.°�' (n O
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ��^1'�y�9 Alterations
NORTHAMPTON, MASS. �p�• l 19ly Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location 1 VJ_F Lot No.
7-04 S (. 359/
2. Owners name SZ f i 16R Address 7 irvP,'IV S?-
3. Builder's name .PAV/?) 6 Addrtiss ghf?n�a,
Mass.Construction Supervisor's License No. OS 9 Expiration Date 3-/0 -.2 oa U
4. Addition
S. Alteration 7 r M d *p C'L 1✓76 ?3.9?"A n d 4 k-4 Wig?I�i/b�--��t� r4 aD T?_
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:-
3Ja0v_do
The undersigned certifies that the above statements are we to the best of hi>
knowledge and belief.
S W nature of responsible appicanr
Remarks
.. .. .... ...
b >. �C 998
k
3°
3
f
(r Iaf art4anlpfuit
e � P� 1 A]
>D Q at{I # DEC 1 1,V�n9ru�8 �"`iS1 xcht-d'o
DEPAR ENT OF BUILDING INSPECTIONS
®F 1 I
1 Kain Street Municipal Building
�- •Northampton, Mass.• 01060
WOR CER's CONITE lsATION' >TrsURALxCE A t t Avrr
(li�rucc/permi ttcc)
with a principal place of business/residence at:
�a -j�,37.q �� �Li�n•�, �i4 oio�4 (Phoned) Sa?'S%!o9
(&U-C_-V6
do hereby certify, under the pains and penalties of pegury, that:
O I am as employer providing the following worker's compensation coverage for my
employees worEng on this)ob:
(LwcI ancz; Company) (Policy Numb-zr) (Expiration Dztc)
( ) saam ole proprietor cneral contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation pohcies:
y.srv,� bu,'in6rf& T& 9'R.gvB�GtY e5 P�opulL7� Ci9Svq�T'/
�t✓�GE'f �C6r2���1�G ..Z d���a�9����--S-coF y� b�'� 3 � 99
of Contractor) (Ins•,:r`ncc Cornoaa}•/Polic Number) (Ex.,im6oa Date)
/� C0II1D 1i1%/POl]Cr NtuaG r) (Exptration Da(e)
(Name of Contractor) 0PSi_,Cfnc
(Name of Contractor) (Insurmc-- Compauy/Pobcy Numbu) (Ea1p.itation Dale)
(Name of(:ontractor) (ILa uran� Comowy/Policy Number) (Expi=ration Datc)
(attach.`_d-1lt ceA rbcct i r C necc 1f w iodo infc I1 tcQ pCrL Ruii &to 111 OJd]'?C07�
(t�I am a sole proprietor and have no one worbDo for me.
( ) I am a home owner performing all the work myself.
NOTE'.plc-sc be awxm that%,;tn o homcoHUm wt""w1c f percaw w do ma dcxian coosrvaioo-or rlt r work oo a d clliny of
not most th.n tbrco traits in Vviuch the bomoouvcr rwdl=or oe tho vvunrt�xpputca.nt tbcao arc oot GcOcrally oomidor d to be
employrrr under tbo wockcr`s ocmposaiico Act(GL152,=1(5)),,nppliozboa by a bomcovmi f(or a box a permit t—y ev:devoe the
IcpI rtahu or an employer under dw Workce,Componi.lioa Act
10odestnad this a oopy of}hia mlcmd m.y be for% ded to the Degeromoot of Lodustrial AooAo�Otboo of lnwcanoa for 0"
eovcragc verification and tha=t U rc to scum covclaso under socxi0a 25A of),(GL 152/7a tcrd to the imposition of aitninal pmillin
coasist m o(a•fine of up to s 1,SO0A0.hoc� of tip to om yer and civ�P.-itia io the form Of IL Stop W ortc Ocdcr and a
fine 0(5100.00 a dry-tPiasi ma_
Foe dq><rif oaobl trio ody
• Pcimit`Ntlmbc?'
Liate
- �� ••Map#�_,�'L;ot#'., t
Signz utm oY L;i ciniiUoe
_. .....- . . ...-."..^.`:TC:t`"•.J_ '...' .. YtY ' .....''r.'t�,'. 'I....�.�._-. .. ..�::iv�-.•`.t'..S. :i.:-•-t. ..
L
Ol✓(4eQ a4w"
° PUBLIC SAFETY
SUPERVISOR LICENSE J
Expires: Birthdate: -
�tl3,u/2BIB 13j1i/1952
16
TE
• EaST#W-4N, MA 11121
K:
qa 02148:,
1.62864 `
Restricted To:
10 - 35,111 cf enclosed space
(NGL C.112 S.6/L)
} lA - Masonry only
1G - 1 5 2 Family Homes
: Failure to possess a current edition of the
Nassachusetts State Building Code
is cause for revocation of this license.
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:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Tbia coin= to be filled in
by the Building D'.parfm nt
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
&paged parking)
#_ of Parking spaces
# of Loading Docks
Fill:
(vol-ume--& 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: Issuenoe of a zoning permit doom not relieve an appiioanre en to oomply witFa�pli
zoning requirements and obtain all required permits from the Boa of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
DEC I '998
Fi1e No. `7
e'< v
{ � 6NING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: y I,Z> s7: oa-1."'71i
Address: /o? "���`�� -PR S4 e" Telephone: a l' Sy6a�
2. Owner of Property: iI-tA- .S'z Pl'zogl .
Address: 7 4il'v.Tgpl S7= Telephone:
3. Status of Applicant: Owner I�Contract Purchaser Lessee
Other(explain):
4. Job Location: 7 4 i rV7 9,j1V /Va-rA 4
Parcel Id: Zoning Map# 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):
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)
File#BP-1999-0548
APPLICANT/CONTACT PERSON David Ouimette
ADDRESS/PHONE P O Box 1038(413)527-5469
PROPERTY LOCATION 7 LINDEN ST
MAP 25C PARCEL 211 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓
Fee Paid
Building Permit illed out
Fee Paid
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing_
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE LOWING 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
, �plc Approval Board of Health Well Water Potability Board of Health
Permit from Conservation ommission
Signature of BuildineOfficial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission, Department
of public works and other applicable permit granting authorities.
Department: Reference No- BP-1999-0548
Building, Electrical & Mechanical Permits .............................
.........................................................................................
Fee Type: Receipt No:
Non structural interior renovations
......................................................................................... REC-1,999-()()1501
PaidBy- ........ .............................
David Ouirnette Paid in Full On:
.................................................................................. ...... 'I I hu Dec 03,1998
Received By: ...•..••.••......•...•...•..
....••..
Linda Lapointe Check No.-
......................................................................................... 6251
......................................
DEPARTMENT'S COPY Amount- $40.00
- - --------------------------
DEPART MIEN' C01-1V 7 LINDEN ST
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:
BP-1999-0548 $40.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
4587 001 7 LINDEN ST URC 11238.48
Contractor: License Type: Insurance:
David Ouimette CSL
Address: License No.: Insurance No.:
P 0 Box 1038 059132
Li!E State: Zip Code: Phone:
EASTHAMPTON MA 01027 (413) 527-5469
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-1038 Non structural interior renovati $3,000.00
Description of Work:
REMODEL BATHROOM
GeoTMS@ 1997 Des Lauriers&Associates, Inc. Signature:
OF
City of Northampton
Departme nt
uildin
>3u;tdsn , Office of the Building Inspector°
Permit No: BP-1999-0548 Date issued 4-Dec-1998 Mee $40.00
Map 25C Block 211 Lot 001 Zone URC Section 116 f_; Yes ❑ No
BUILDING PERMIT
This certifies that David Ouimette CSL059132
has permission to REMODEL BATH:i:_OOM Inspection on site-Foundations Over❑
at 7 LINDEN ST
provided that the person accepting this permit shall in every respect Inspection of Plumbing- Rough , Over❑
conform to the terms of the applicatici7 on file in this office, and to the
provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing- Fnish/ Over 11
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms abo, �-noted is an immediate revocation Gas Inspection Over❑
of this permit, Expires six months fr;;m date of issuance,if not started.
- Inspection of Wiring Service Over❑
Inspection of Wiring-Rough X ��/ `// Over❑
Note: A certificate of occupancy wil' oe issued by this office upon return
of this card by the Plumbing, Wiring!..-id Building Inspectors. Inspection of Wiring- Finish � ��� IS Over❑
Building Inspection-Rouzih Over❑
*Plumbing and Electrical Inspections required before
Building Inspections Insulation Inspection Z /� Over❑
Building Inspection - Finish
Smoke Detectors (Fire Department)
Tip card must be sted on site visible from ublic way
Certificate of Occupancy
Building C mmissioner