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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a
NORTHAMPTON, MASS. 19Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location V�*—�\ Lot No.
2. Owner's name Address N; s
3. Builder's name Address�b cn .�irc.1�n
Mass.Construction Supervisor's License No. Expiration Date d -'� c7XI
4. Addition
5. Alteration
Rejo)a c,C of t�r/�>� 4�+,,tJS �- dd o rS
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature o responsible app,icani
Remarks
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DEPARTMENT OF DUILDiG RISP,E=IONS
41 ' 212 Main Street ' Municipal L'uildir.q
Northampton, '.Vass. 010"GO
WOREMTS CONYU3ENSATIJN INSTUTRANCF kFMA'`JI'''
(Iiccn�c/permittee)
with a principal place of business/residence at:
(stre;t/rity/ " ttcl�ip) - -
do hereby certify, under the pains and pc War tees .7f pe,lure, ti .t:
(v,<I am an employer provriCLI-ng the following worker's compeosatio.n coverage for my
employees worLntg on this)ob:
(Istsvrunce Companyl (Policy (Expir-ation Date.)
O I am. a sole proprietor, general contr-actor or homeowner (circle one) mnd have hired
the contractors listed below wt o have Lhe fo'lo% 'g worker's compensation poLcies:
(Name of Contractor) (Insurance Company/Policy Nutntx;r) (Expinrtioc Date)
(Name of Contractor) ('_.osurtnec Compm,t /Policy ir iiion Dare)
(Narue of Contractor) (tr,u ancc ComP�Ujy/Policy NwnNir) (E:.xpiratioo Date)
(Name of Contractor) _ ( 11s fame Company/Poticy Number) (E:cpiration Date)
(attach additi-W sheet if neo—vy to inc]u&in_`irnnatiou p ttua uirrg to ar!oordrouors)
( ) I am a sole proprietor and have no one working for me.
( ) I stn a home owner per.Eorn�;I g all the work ruysedf-.
NOTE.:please be aware that'Ab Io homeotnxm wlro cutploy prior to do rnaamtcnnnc,cx=tnutioa or mmir work on a dwelrng of
not more than three units in which tike!wmoownrr resines or on t}..c grourcis,:.plxtrtan int theta,rur ru+t gcner"Iy cowidercd lo,-4
employtrb under the woeiteta ontnpcxxsatim AA(GLM-'m b-y a homeowner for a lirrm;or!xxmii may evidcnoe tho
lcgxl itatva ofan employer under the Workcez C mverm6ou AAtL
I underitand that a copy of this ctatemmt ntay leo forwfuirod to tiro Dcpar rn t of lrvtu_ int Acci&xH CfBoo of rrrccuunhn for the
covernge verification And that failure to sccurc cvvO:tn$kt ulk;cr stl-tiat 23A of MOL!52 ran!cud to dw,,ullxya tion o;"ar u r !peria!dcs
coc.'tirling ora fine of up to SI XIO!YJ a brvor hIgpriux Wast of up to etre year anci civil,a+xltita in tse faxn of at estop WO"<f rd'a
fum of SItX1.g0 a day t&b d tt tan.
Signed this� _dray of 199 7 r«.
_7
cq�xPyiax7n:use only
Peztrt;t Nu�si's;c:r `
Si ature ofLic, s(W.Iem-,i.tt,,e
581
101 /— 34 141
BD30.03 BB27
42 421
114 114
40 381
32
B33 UB2424 325
W3330
91991
581
Poli
. west2 Scale : Design : 06/03/97 Dwg no.
All dimensions&size designations This is an original design and must 174Date 06/03/97
given are subject to verification on not be released or copied unless Smith College
job site and adjustment to fit job applicable fee has been paid or job —
Designer
conditions. order placed.
Scott W. Anderson
1671
424 391 851
OFWO
W09 W3018 W1 530R W3018
W2130 B15R 30L
221 R
B8L a O B1 5R
30R REFRIG
DISH.
24" 58
0
113164 SB3 1131
0
BD18.04 411
m
r 261 W624 8624
30 131
_ cc
422 411 831
1671
—_
Design�174west Seale : maximum 06/03/97 Dwg no.
:All dimensions&size designations This is an original design and mustDate 06/03/97
given are subject to verification on not be released or copied unless Smith College job site and adjustment to fit job applicable fee has been paid or job Designer
conditions. order placed.
Scott W. Anderson
9 0. Do any signs exist on the property? YES NO
IF YES, describe size,type and location:
j
F
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 col- to be E!21-d in
by the Bui.Idiag TSepartment
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 parking)
# pf `Parking spaces
'i.of Loading Docks
Fill:
=(vol-t,ime--& location)
13 . Certification: I hereby certify that the information contained herein
1;, . is true and accurate to the best of my knowledge.
D7£I'E:_ \A" I APPLICANT's SIGNATURE
NOTE: luso noe of a zoning permit does not relieve an app{ ant's burden to tomply with all
zoning re+g irements and obtain all required permits from thU Board of Haank.. Conservation
Commission. Department of Publio works and other applioabie permit granting authorities.
`:''', FILE #
jib. JUN 9199--l"
DEPT Of WiL!'jiW INSPECTIOhu- File No.
M)RTtIA 4 ?r,
—�-
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE, OR PRINT ALL INFORMATION
1. Name of Applicant: p\tr`c�
Address:�� c T n \A 'c1 Telephone: c c-k
2. Owner of Property:
Address:�J;'�C�n� Telephone: �`�
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: \1y VN�'Z�K C�:1- 1'4�
Parcel Id: Zoning Map# t_m Parcel# 6 / District(s) �
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property \
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if neces$ary):
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/Vadance/Finding ever been issued for/on the site?
NO DONT 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)
FILE if
F � y
3 JUN 9 MI
APPLICANT/CONTACT PERSON:
DEPT DF BUi D N t, SS/PHONE: f �`
PROPERTY LOCATION: / St S �i✓ ��
MAP PARCEL: / ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
70NING FORM MIND OUT
lRytilding Permit Filled nitt
FEE P2id
Type of Constniction-
rrv-•�
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
(/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 Conservatio ommissio
Signature of Building or Dat
NOTE: Issuance of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
? City of Northampton REQUIRED INSPECTIONS
and Walls
BUILDING DEPARTMFNT 2. St ucttugral Components in Place*
• 3. Complete Building*
No. 500
Office of the Building Inspector
Zoning Form No. 962364 Date 6/16/97 Fee $40.00 Check# 2145
Page, 38 Parcel 61 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kevin Netto Construction before Building Inspections
has permission to renovate kitchen,replacement windows & doors Inspection on Site—Foundations
situated on 174 West St - Trustees of Smith College 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 ISES
Certificate of Occupancy
Building Inspector
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City of Northampton
BUILDING INSPECTION LABEL
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APP OVEn
Inspector
Date
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City Of iN ortham 'ton REQUERED INSPECTIONS
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 500 Office of the Building Inspector
Zoning Fonn No. 962364 Date 6/16/97 Fee 40.00 Check# 2145
Page, 38 Parcel 61 ,Zone URB Section 127 El Yes 0 No
BUI]LDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT_ Kevin Netto Construction before Building Inspections
has permission to renovate kitchen,replacement windows & doors Inspection on Site—Foundations
situated on 174 West St - Trustees of Smith College Inspection of Plumbing—Rough/- e- fir►,(
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 - 9A
provisions of the Statutes and the Ordinances relating to the Constriction, Inspection of Wiring Rough G `
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 J.4?
of this pen-nit.Expires six months from date of issuance,Knot 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 d{ ' 9'-3-!7",�'
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA IN A CONSPICUOUS PLACE Old SES
Certificate of Occupancy
Building Inspector