06-042 (2) City of Northampton REQUIRED INSPECTIONS
LiA, >
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 953 Office of the Building Inspector
Zoning Form No. 962853 Datel0/6/97 Fee$20.00 Check# 15734
Page, 6 Parcel 42 ,Zone SR Section 127 ❑ Yes 0 No
BUILDING PERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT 6 & R Siding Spec Inc before Building Inspections
has permission to install vinyl siding & replacement windows Inspection on Site-Foundations
situated on 279 Haydenville Rd - Patrick Wagner 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
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors(Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T REM ES
Certificate of Occupancy
uilding Inspector
' [ d iiiii
1 FE �3EI 6 3 J
PLIC•Ct T/Qb14TACT PERSON: 6(' 4 t4etg r4jcte ‘c6,47/6- u _ILiLay
P .,� 781 si4c'P 32‘-'-elk)?
NORIRAMPTON,MA OIC::__ �,�/ �}-�"
PROPERTY LOCATION: 0299 t o y / (k1-a/ieaJ� LIJ� i�__
MAP CP PARCEL: • ZONE gi)
THIS SECTION FOROFFICIAL USE ONLY:
PERMIT APPLICATION CHECHIdST
ENCLOSED REQUIRED DATE
7fNTNC FORM FTT T,FD OUT 1........"-
Fee
Fee Paid
Building Permit Filled nut (...-----
Fee Paid /5-734 Or
Type of f nnctnirtinn• / /]" ��" " "
New f nnetrnrtinn \/_24 C /,4e,(a urU
Remodeling Interior /7""" ��/��,��-i I u
Addition to Fxicti v /vC- ,tl L.471 O 4:).6}C6le lel
Arrescnry Structure
Rnilding Plain Tnrhsded- /' / y)''//
Owner/Orrnpant Statement nr(q1 1' ence#) et;6, c+ Y
I Setc of Planc I Pint Plan
THE}OLLOWING 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
Septic Approval-Bd of Health Well Water Potability-EddHHealth
fromPermit om Conservationommivion `/,-�—//'�
Y
Signature o .0:tt:,tor 0 Date
,1 .
NOTE:lasuanon 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 applioabie permit granting authorities.
I jrLl OCT 3 597
DEPT Of BUILDING INSPECTIONS File No. 9692-6.3
NORTHAMPTON.MA OSGfiO
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &'Y £ s/ohe6 5,9-c -7; c & W. rU L OJ 5c/1 0/
-y7R.
Address: '7bi �E2i r4'o,iO /Lg7�Ahpi 1 Telephone: c? 9/ G ?
2. Owner of Property: 8 OA1+z•cu. £VVApG 11/ C.
ress: 1 ^"' c mi J Ic /'f Lt'ros Telephone/: A 1Y— 2)
a Status of Applicant: Owner Contract Purchaser //Lessee
Oth (explain):
4. Job Location: aln0
Parcel Id: Zoning Map# Parcel# 479%_ District(s): .3
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 8112' Gt'.L.-cL C4Z.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
L// IV-IL 51i 4.14 tire 1) :et-
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?
NODONT KNOW v 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? NODON'T KNOW t✓ YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtainedObtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
•
10, Do any signs exist on the property? YES NO `t"
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.
This coli to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
;k rof Loading Docks
Fill:
(volume-S location)
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my knowledge. yr�
DATE: 2-0r-'71 % i,
7 APPLICANT'S SIGNATURE J7.. d-�))
NOTE: I of a zoning permit does not relieve an appnoants burden toq4mply 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.
FILE I
o-t �
010)? t
t l OCT 31997 CHIT of Northampton gtom�t
t el 'NI �uuahudts
9,106. m'wq,-` OF BWS/1{G 1NSPE63,914S ='-'�jilt—
' As URTHPMP10N.MA 01650 _ DEPARTMENT OP BUILDING INSPECTIONS 1`
212 Main Street ' Municipal Building jf
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFPWAVIT
I, r351 7E: 5/67/70/11 7:5i cc.: .1 a C- ..
Oiccnsec/permittee)
with a principal place of business/residence e a
?S/ rn_„fie I7 ✓✓Or�. tiA1) 76 ii //,k(phone;t) 6Y4—if/ 4
ee
(strxtldPy/ to _
do hereby certify, under the pains and penalties of perjury, that.
( m an employer providing the following workers compensation coverage for my
ay
employees working on this lob:
tQnv-4'7) CS ela Gfy .Z*Cs Cr- /COuO :IFa O� •'to PC
(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) (lusurancc Cam
pany/PoGcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contactor) (lase once Company/Policy Number) (Summon Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(=tram a,,...I thea if eemu(y to IU c pauiaine to W a myxon)
() I am a sole proprietor and have no one working for me.
() I am a home owner performing all the work myself
NOTE:plu=be awuc thst while Mcocownna Vibe eu,ioy permua to do mummanc rwuaaton a merit mark an a dwelling of
not maeetan tree=s in which the boo»amer resides Of on Vire c*o'tz' tp ewwism wae+o.n not gcoaaty«mideci m be
doyen wt the rvak is cccoq.—vti<n na(OL152cal(5)),a4,ticatioa by a hommwarfo<a Beans cr iamit may milvne Ike
legal eine dm my1thee mdsribe Wotho'a Co npeimrgn Ay
Su leaand that a Copy ofOA.natcmmt may Cel dab to the 6eyummt of t *dtid Amdomf°Mao ofl:mrsom for tb.
coverage vvifwion e:A out ftUwe to waste othange under section 25A(Path- on Into the iv, Siat ofmmmil pmedun
eiamg of a tax au?to$1,500.00 ncV«im{uiocnvn ofup to o.x y s and civil panther in the roan oftatop Wark Otda<etda
the of YtOttO a day tgamal ttc
Signed this 771, day of O (712 7/ 1997 For de:arm sIaoamtr
/ Permit Number _
_�^^— o-` , -- _ Magi! Lot#
Siunature of Licenser/Pa rnurtee/
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�/ /6 7 Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 6:1-r el/ / Alterations
NORTHAMPTON, MASS, d O Z 19 77 Additions
lIi APPLICATION FOR PERMIT TO ALTER Repair
v„n Garage
I. Location .1 J9 A/41716uri iib t LEsc:, pi A- Lot No.
p r/
2. Owner's name /4.7-R3( k W146 i/f.e'_ Address :'7 9A,/rf rr
ry ,J ✓ 1 1/E h, L EEO 3 PA:-
3.
/3. Builder's name Tai-C 5;41,4E7 re,.2-''7r-, Address,g/ 4P ti,.. A'? /✓'o/✓L mr yu '.. Y' '—
Mass.Construction Supervisor's License No. 6_i L R YGx Expiration Date D/' % ' ' `7 fif
4. Addition
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- -j es n —
The undersigned cenlfies that the above statements are true to the best of his, her
knowledge and belief.
Signawre of respdnsible app.icani
u
Remarks ti f `/1 5/e rN6 - /r+ 6Jt+, O ov