24A-010 (6) City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 916 Office of the Building Inspector
Zoning Fonn No. 962825 Date 10/7/97 Fee $64.00 Check# 1014
Page, 24A Parcel 10 ,Zone URB Section 127 ❑ Yes No
BUI]LDING PERmi ,-r
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Henry Clement before Building Inspections
has permission to construct 2 car detached garage Inspection on Site—Foundations
situated on 130 Propsect Ave - Gary/Michelle Kaskey Inspection of Plumbing—Rough
provided that the person accepting this pen-nit shall in every respect Inspection of Plumbing—Finish
conform to the terns 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 pernit.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 i
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON TTOPRU, ISES
Certificate of Occupancy
Building Inspector
FILE if 62825 )fp
1997
APPLICANT/CONTACT PERSON: Ar / c7-
ADDRESS/PHONE:
PROPERTY LOCATION: X56
MAP PARCEL: 176N* �—
THIS SECTION FOR-�OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EHLED OUT
— Fee Paid
]Ruildin2 Permit Filled mit
Additinn to Existing
� -
THE LLOWING ACTION HAS BEEN TAKEN 0!N 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 ommission
r Wool
OF
�0
Signature of Building r Date
NOTE:Issuance of it 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
Commission, Department of Publio Works and other applioabie permit granting authorities.
i
v File Nd 9c'JrV
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ FlEvy'r_� L Lr'm c--JT
Address: 5 4 Po sem'F n ; C112Ral �/ Telephone: 413-467-3162,
2. Owner of Property: (-Rrz!I r r»i6HC-U(z KASKE)l
Address: 13c) 1�2o}t'EcT A+ JE. Telephone: 5,9b , 6/26'
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): 3bjLbG,2-
4. Job Location: ��0 ---
Parcel Id: Zoning Map#__ 7'17 Parcel# �Q _ District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
5. Existing Use of Structure/Prope
f
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
WE ?QC.PC'> 3QrLah)f A Dc7,7c�11ED 1GJ6 C'�4 Z G42-4C%-- Cnnl THE
W.#•j3 Sl,)aC br iNE CX(S-r/tiX Moj5c (<,16�'
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 DON'T KNOlN 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/orrDDocument#
9. Does the site contain a brook, body of water or wetlands? NO 1/ 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 ebst on the property? YES NO 1-.,/
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO__Ie_1_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coli to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size o 4/j �i 4/ / ?J
Frontage
Setbacks frnnt CA
- side L: 40 R:4_ L: '10' R: A6'-6-1
- rear
Soo' 3 2-2 ,
Building height
23 ' �g
Bldg Square footage �G
24c: v G o (a6 ')
%Open Space: �3;oto, �.f�,�,c
(Lot area minus bldg 2-4GO ��
' &paned parkingI
# of "Parking Spaces
c7�,1� 7�cv
of Loading Docks
Fill:
Avo3-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
_1
DME: 9 2¢ 9 APPLICANT's SIGNATURE <
NOTE: Issuanoa of a zoning permit does not relieve an appli nt's burden to comply w!W.'a11-
zoning requirements and obtain all required permits from t Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE # t
04�tf p�0
g �ZQZ �II1t�1IItt
a �:ssxcEins{tts
DEPARTMENT OF BUILDNG INSPECTIONS
212 Main Street • Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATTON INSURANCE AFF.IDAVTr
Oicenser/permittee)
with a principal place of business/residence at:
$4 (phone#) +C7 3a6 a
street/city/statelt p)
do hereby certify, under the pains and penalties of penury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) 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) (Insurance Company/Pglicy Numbcr) (Expiration Date)
(Name of Contractor) (Insurance Company/Pglicy Number) (Expiration Date)
(Name of Contractor) (Insurances Company/Policy Niunber) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additiomd sliest ifnecessary to iachsde information pertaining to all ocqtrz dors)
�0+a1�+E/ZCI'l1, 1tJ�tl'n.'q Ci`" MJLTt -�t�f` �OLJC(J
(>Iaam a sole proprietor and have no one working for me.
( ) I am a homeowner performing all the work myself.
NOTE:please be aware that while homeowners who employ perzom to doe ma ado an, consM tion or repair work on a dwelling of
not more than three units is which the homeowner resides or on the grouads zpputtenn therdo are rot generally coasidacd to be
employers trader the twriter's oornpcns4c t Act(GL152,s3 1(5)�application l y a homeowner for a liccmc or permit may evidence the
legal lobes of an employs under the Woriteet Compemation Ace
I understand that a copy of this statement may be forwarded to tho Departprn32 of Industrial Ancidmts offioo of Insruancv for the
coverage vaifimfioo aad that failure to&==coverage under scczioa 25A of MGG,152 can lead to the itvpOsitioa of crimean penalties
coasisfiag of a fine of up to S1,500.00 and/or imprisonment of up to one year pnd civil pcn&Wa in the foam of a Stop Work Order and a
fins of 5100.00 a day againA me
Signed this )-¢7 K day of S E Pl— 1991 Fee dep-ftnmul nae only
Permit Number
Map# Lot#
Signature icensee/Permitiee
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TO: NORWEST MORTGAGE, INC. &
LAWYERS TITLE INSURANCE CORPORATION
TO THE BEST OF MY INFORMATION, KNOWLEDGE :AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL !FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
—NOTE—
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
SURVEYOR:
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
_ MORTQ6QE LOAN INSPECTION
PLAT—of J*s�,
NORTHAMPTON, MASSACHUSETTS
RANaNLL PREPARED FOR
E.
GARY B. & MICHELLE S. KASKEY
135032 SCALE: 1 "=50 ' AUGUST 18, 1997
suHAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET -- HADLEY — MASSACHUSETTS
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERM.IT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name � r--Cnfecc r(asrfr'•/ Address /30 P126s,-c,+ Au
3. Builder's name /-lcw n� C temew T i Address `r 6VZArJ J p/ m A. u r ca 3
Mass.Construction Supervisor's License No. 0.?2 6 G I Expiration Date 15-.2 4 `j 7
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? C
8. Repair after the fire o
9. Garage bf:74C KC 3 Tw c C h.z G:naAg,. No.of cars Size
10. Method of heating dani if
i
11. Distance to lot lines (2-„t T C9 + LEFT
12. Type of roof wCf
13. Siding house i"i'i y t- C.t-FFP 13Cn--el)S
14. Estimated cost:- �`a G, 0 C o D
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app,icanl
Remarks