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31B-284 (8) Cit of Northam toll REQUIRED INSPECTIONS City p i1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1381 Office of the Building Inspector Zoning Form No. 963320 Date 3/24/98 Fec 40.00 Cbeck# 1292 Page, 31B Parcel 284,Zone CB Section 127 13 Yes No BUI]Lvl[NG PERMIT s * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas xorytoski before Building Inspections has permission to renovate bathroom,sheetrock & new door Inspection on Site—Foundations situated on 23 Center St #5 - Hampshire Property Management Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 3 31�9d� 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 P ON THE ISE w Certificate of Occupancy Building Inspector • a i w FILE # 9G 3 0 r --T APPLICANTICONTACT!PERSON: � 9�6) ADDRESS/PHONE: PROPERTY LOCATION: ' h � MAP 2,13 PARCEL: ZONE C f3 THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 70NIFNC�FORM FIT LED OUT 111nilding Permit Filled nut Fee Paid 3S etsu r T LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION- Approved P 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 leer from Conservation mission l Signature of Building forDate NOTE:Issuanoa of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commisslon, Department of Public Works and other applioable permit granting authoritles. 14 MAR 2 41998 File No. ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: A6 a km �nn Address: 2. Owner of Property: C� Address:4l7 ��C; cyv� C -'1 IAA-Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee L,16ther(explain): G 4. Job Location: 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/Proje t/Occupation: se additional sheets if nec ssa ry © GSC 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. S. Has a Special Permit/Variance/Finding ever been iss or/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��= t# 9. Does the site contain a brook bodyof water r or wetlands. NO 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: �S) U_�X�) 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 colu= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size YV Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paned parking) # pf -Parking Spaces htof Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information c ntained herein G is true ai7d accurate to the best of my knowledg . DATE: APPLICANT's SIGNATURE NOTE: Isli suanoe of a zoning permit does not relieve an oanrs u den to oomply witlr_$11 zoning requirements and obtain all required permits from the 13 of Health. Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # i 9'-6'1 3'-0" towel 21 -011 bar B B New Vent/) (I above -' rQ � _ I� - - - - N I— I I \ m TiledI r- shower with curb Existing door swings V-6, I into bathroom. Rehang Curtain rod, hung -- door to swing as drawn. from ceiling, w/ returns 1 2x1 2 �R Tile floor 21 Center 5trcet Cover existing window Northampton, MA with GWB and tape flush Thomas Douglas Architccts _ N with existing plaster Northampton, MA on both sides of wall 413-555-0641 L Bathroom Plan 5calc 1/2"=1'-0" Oct.21,1997 4t 1t�f P�. =O O,y of 'Nart4 tillpf o 1 V m L � ♦ f'�ilE iCa tiS[tl4 co DEPARTMENT OF BUILDrNG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFMA.VTT (ilcenseelpenui ) with a principal place of business/residence at: ,2� '' 44"�r 1 /� (phone#)��l`�j (str�city/sta zip) do hereby certify, under the pauis and penalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees worming on this job. cc Company) (Polim cy Nuber) (Expiration Date) 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) (insurance Company/Policy Numbcr) (Expiration Date) (Name of Contractor) (Insuranc; Company/Pohcy Number) (Expiration Date) (Name of Contractor) (Insurance Compaay/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) 7am theaif noacai y to mchlde infixmati oa pertainingtoearooakado ) sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware tort v hila homcownaa who employ pertom to do n ixdt,*,,cc corcuvc600 or rcpa r worst on a dwelling of not mco than three units is which the hogvoowner reside=or oa the grounds appucten&tA tb=w an cot generally oo=Wcrcd to be ctnploycta under the wocicc oompeau4ca Ad(GL152,m((5)),application by a homeowner for a license cc permit may evidence the legs!aiahro of an employer under tha Wockeez compomaiiou Act I understand that a copy of thin mtcmeat may be forwarded to tba Depnrtmcat of Ijduutrial Auld=&Offioo of Imtunmo for the covtrs g verification and that failure to scutre coverage under scction 25A of MOL 152 can..kad to the imposition of criminal penalties oogSistiug of a fine OfUP to S1,500.00 and/or imprisoumcni of tip to one year and Civil pcnjd6cs in the form of a Stop Work Ordtr and a find 0(5100.00 a day against ma Fcc dcpsrt=taI—-IY ' Pcrmit Number �}d.z �`� 5 z'j ! MAO--Lot# Signature of L crmitice Wte f Zr yam, o � as �a M 3 Z m w .. Z > r m IE q Zoning Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. 1 C Alterations NORTHAMPTON, MASS. 9 ��LAdditions APPLICATION FOR PERMIT TO ALTER Repair Garage G 1. Location Lot No. 2. Owner's name 1 c-- Address 0-YA 4D I LC ke 3. Builder's name " j' Address e? r� Mass.Construction Supervisor's License No. '{ f r� Expiration Date 4. Addition 5. Alteration 6. New Porch 7. is existing building to be demolished? 6 8. Repair after the fire_ V� 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 ertifies that t ve statemcnts are we to the best of his, her knowledge an lief Sig a �t of respo ib/e ap��'fGG��l'C Remarks r