38B-009 (18) Cityof Northam p
ton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No, 1619 Office of the Building Inspector
Zoning Forni No,
963563 Date 5/27/98 Fee $40.00 Check# 861
Page, 38B Parcel 9 ,Zone SI Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Eric Payne before Building Inspections
has permission to partition room 13' x 19' Inspection on Site—Foundations
situated on 136 west St - #2 - Northampton Properties Inspection of Plumbing—Rough
provided that the person accepting this perniit 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
** Install per Manufacturer's information: windows,vinyl siding,roofs
and woodstoves Smoke Detectors(Fire Department)
Other
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THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON WE P MISES
Certificate of Occupancy
Building Inspector
! FILE # 1i
RP� ANTkONTACT PF..RSON: f�7�
ADDRESS/PHONE: '
ATI
ON:
MAP PARCEL: ZONE
THIS SECTION FORj_OFFICIAL USE ONLY:
PERMIT APPLICATION_CHECKLIST
ENCLOSED REQUIRED DATE
ZOMNG FORM OUT
Fee pnid
c✓
Fee PAid
Y_ c'
Addition to Existing
ArressorVStmirtime
THE,WfLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
Approved as presentedfbased on information presented
Denied as presented:
Special Permit and/or Site Plan Required undjer: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Peeds Proof Enclosed
r
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of peeds Proof Enclosed
Variance Required under: § w�ZONING BOARD OF APPEALS
Received&Recorded at Registry of peeds Proof Enclosed
f
Other Permits Required:
Curb Cut from DPW Water Av4ilability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservat' n ommi ion
i
Signature of uilding Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain.all requiredermits from the Board of Health, Conservation
Commission, Department of Publio Works enc other applioabie permit granting authoritles.
I
� . I
1
I
MAY ! iS FilI
e Nd.
;Fp Of `' ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: l �" 7IF`n
Address-. ( (A VJA L pJ-VT Telephone:__
2. Owner of Property: ?ALL
Address:_ Telephone: �15,b ��
3. Status of Applicant: Owner Contract PurchaserLessee
Other(explain):
4. Job Location: r '; ( W 1-S S
Parcel Id: Zoning Map# �-31B Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5 Existing Use of Structure/Property
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6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Itached Plans: Sketch Plan + Site Plan Engineered/Surveyed Plans
Answers t( the following 2 questions may be obtained by checking lvith the Building Dept or Planning Department Files.
i
8. as 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 0 f 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 wetlonds? 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)
10. Do any signs exist on the property? YES NO
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 DQE TO
LACK OF INFORMATION.
Thio column to be filled in
by the Building Department
I (Required I
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
&p_a,ved parking)
# of -Parking Spaces
# fof Loading Docks
Fill:
4 vol-ume-& location)
13 . Certification: I hereby certify that the informationontained herein
is true and accurate to the best of my knowledtFe.
DATE: ( 1 O APPLICANT's SIGNATURE �-
NOTE: hanuanoe of a zoning permit does not relieve an applioant's burden to oomply witty'all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
1998
MAY 2 1
s OF ,
Scale: ,
1 inch=10 feet
20 et
9 feet
w �
oo_
0
4t11/J f PCO
� �. �a<saxr4ttsrtta
MAY 2 ' 1 DEPARTMENT qF BUILINNG INSPECTIONS
212 Main Str4et ' Municipal Building
1y
�pj of Era!'. Northampton, Mass. 01060 '
WORICER'S COMPENSATION INSURANCE + < AVIT
N cens4r�pelmi flee}
with a principal place of business/residenceil, at:
t o
(sti-e...t/�ity/stairJnP)
do hereby certify, under the pains and p,en4ties of pe-gu y, that:
O I am an employer providing the following worker's compensation coverage for my
emplovees working on this job:
(insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contra#or or homeowner (circle one) and have hired
the contractors listed below who have thefollowing worker's compensation policies:
lame of Contractor) (Insurance ompany/Poief Number) (F-x mtion Date)
(Name of Contractor) (Insurance Qompauy/Policy Number) (Expiration Date)
(Name of Coatractor) Rasurancti �ompairy/Policy Number) (Expiration Date)
(Name of Contractor) (Insluance Company/Policy Number) (Expiration Date)
(attach addltlOQll 1}]CCL fnGOmlry to[]Ch LafOCIIlln Oa PCrt*M ns to ell art ors)
I ani a sole proprietor and have no one working for me.
( ) I am a home owner performing all tl)e work myself.
NOTE:please lx aware th,d whilo homcov.who cmp►cty pcmom to do m•,tca=*r,ooastr c on.or ripaff work on a dwelling of
not mcco than tbroo units in which tlx botpoowner r=d,=or co tbo grounds appurtcaad therdo art Dot gencrsky 000�idered to lx
employ=tinder tbo woricct's cOmpeasaiion Aa(GL152,n l(S))�application by a homcowncr far a license or Pcrmii may widens the
legal etatua of an amp loyor undertho Work,,e,co�,iioo{et
I understand that a oopy of this s t temmi Mi y bo focwnrde d b tbo Doq t.x,A of Inti el Acodmnf OfSoo of Iawr•000 forth*
covaxgc vaifieatioo and ttut f dwc to coatre covcrngu tmdct swim 23A of MGL 152 cut kad to tbd imposition of criminal ptmaltia
000iisiing oI a 5me of uP to 51,500.00 and/or 1.
mmprisoamcnt o¢tip to.00c year and civil pcnaltia in the form of a Stop W-eK Or�dcr.and a
5cm of 5100.00 i.diy&unit tuc.
a. 9$'
For&P=tnatd tsio oatY
PermitNumber
_ 77-
Y; s S1 lZIC OfI;iCC[15CtJPermiuGc
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. jel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERM T TO ALTER Repair
Garage
1. Location (� .S�
Lot No.
2. Owner's name �" �- ��/�' 1 Address
�--� r-1
3. Builder's name �r �- w �^-�- Address (� Avv L �� �' �1q
Mass.Construction Supervisor's License No. ` � Expiration Date 'L2 ' Z
4. Addition 3 t X r Lam-
F
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
13. Siding house
14. Estimated cost- ( ( 60
The unsigned certifies that the above statements are true to the best of his, her
knowledg¢ and belief. 1 —�
Signature of resp nsible appicani
Remarks
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