32A-138 (77) .} City of Northampton REQUIRED INSPECTIONS
A
Lt •` a 1. Footings and Walls
r - BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 481 Office of the Building Inspector
Zoning Form No. 962327 I Date 6/6/97 Fee$40.00 Check# 3468
page, 32A Parcel 138 •Zone CB Section 127 ❑ Yes ❑ No
BUILDING PERIVIIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Pioneer Ccxitcactors before Building Inspections ~_
has permission to install new ceiling & firestoppinc Inspection on Site—Foundations
situated on 31 Main St - LaVeracruzana 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 1fa1 i%i
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. itl
Building Inspection--Finish ��-'-•►-"'
Smoke Detectors(Fire Department)
Other
THIS CARD MUST t-410_ w'r.'• CONSPICUOUS PLACE ON Iv PREMISES
Certificate of Occupancy
-_- --- uilding Inspector
4 p] L!J �; nn � ° 2 fr�
FILE 7 J • - .� c.
jll� JUN 31997 ,' //JJ �
I . APPLICANT/ ONTACT PERSON: 9�(I)LC/Q/L(a' ' • _. g., -y /9
DEFT G;." AJSDRESS/PH NE:p Q ?o-- - // O/O(o /
PROPERTY LOCATION: - - _ _ ♦ —a . /e/.,y. . ,di_
MAP •_.3 II- PARCEL: /57 ZONE '%i
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM MIND OHT _
Fee Paid
BB ilding Permit F P�p�it' r n
Fee Paid (cyj ear- 00— ---
Type
Type of Cnnctnietinn•
New Conctnretinni_/7tG.LU" -
Remodeling Interior ('moi t .0 1
Addition to Fritting Oigog.["(�J'_la//ri•t+
Arreccory Structure ff U
I
s Owner/Or
rris pant Statement n ir ell) 0/ 7291 1------
1
1 Setc of Plans /Plot Plan
THELHI
OWING ACTION HAS BEEN TAKEN ON TS APPLICATION: s
✓✓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
ees
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 i ommission
/ i moi/ ri
Signature of Hui ding a Sr late
NOTE:Issuance of a zoning permit does not relieve an applloants burden to comply with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publlo Works and other appiloable permit granting authorities.
31997 L
!SPEC'OttS File No.
4b r,2
ZONING PERMIT APPLICATION (§10. 2)
PLEASE TYPE tOR PRINT� � ALL INFORMATION
1. Name of Applicant:rY 1 TA ens"C,v.�'�iria2Ls
Address: Q• Q • YQX 1146 k p {�}} Telephone: % " I
�(
2. Owner of Property: . ek \&,t &1
Address: Telephone:
3. Status of Applicant: Owner _/' ContractPurchaserLessee
V Other(explain):
( tivt'�1Oe,�ThrL t, I / �/�
4. Job Location: _ 1 N`(a/s�n. — �/ ^r^` -WG- lvy -�z�^ YfF.��G- e
Sr-
Parcel Id: Zoning Map#:Jp7/7 Parcel# /•3/ District(s): et5
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property gCo�§ixtnc
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 Permwariance!Finding ever ben issued for/on the site?
NO DON'T 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 ocument#
9. Does the site contain a brook,body of water or wetlands? NO vi 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 DUE TO
LACK OF INFORMATION.
This column 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
## of Loading Docks
Fill:
{volume-& location)
13 . Certification: I hereby certify that the information cont- 'ned herein
4 is true and accurate to the best of my knowl e.()//J /
DATE: 4/L/1” APPLICANT's SIGNATURE //✓ggq,',/5( j 40,11r—
NOTE.
Ise of a zoning permit does not relieve an pplloants burden • comply with all
toning requirements and obtain all required permits from the Board of Hem th. Conservation
Commission. Department of Public Works and other applicable permit granting authorities.
FILE #
3/ 57C
Opx14A:.P' I' t 7 R u U E .�iLe..\ ....
$ b�My {ip V PessaAnsetta _ t --
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vDE tI ST•G INSPECTIONS D PARTMENT OF BUILDING INSPECTIONS S. —
fh(,(i'
12 Main Street ' Municipal Building
Northampton, Mass. 01060 NM
WORKERS COMPENSATION INSURANCE AFFIDAVIT
I, i .& o / Q,nQ (0 AV
Sicenste/permiaee)
with a principal place of business/residence at:
l
P• n . l los l � , AP4 (phone#) c&-S''tc \
(Arnett, /stairtrip)
do hereby certify, under the pains and penalties of pe;7uy, that.
VI am an employer providing the following worker's compensation coverage for my
employees working on this job:
UE''''(p MuAl-sQ- J st w es� (AL l-III--1(Grgvt-D&J�) 6\301 —,
(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/Policy Number) (E:pantion Date)
(Name of Contractor) (Insurance CompanyrPot y Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anal additimai that ifno army to afro&lafam.pon Pamhmg to oil cmmnwan)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be await that while hoocosn era who a¢pby Pnoas to do a,aio±_,anwvuion a=pair oak oa a dwuliag of
not mac tree three units is which the hoawowoe raid=a m tlr Samb appaxtemmt ee o We as gmeratly avtidaoi to be
attpIortr2 Asada*a w,Ma'acampeo52515.t AA(GL152,sst(5)).appiiafioa ty a hammaar for n limos*a tenmd may c+idmrc dict
legal.;arca of an amployac wtdet a Weave.eomprmrtion Act.
•
Itad:wand that a copy of Otis d.teamt=ay ba fawned...!to WaDeye,mm{of Industrial Aoidea/Offloa ofimwwaam for-
comag=vaificatica sadthat fulme to segue cvemge order ration25Aa(MOL t52 ran lad to tba imposition<tainwal pmNti= .. .
oaorciog era fiaaofup to S1400.00 nr&IXav}xmarar:stofupbo¢yw aad Ova pm.ltia is tlseiam era Stop Wo&Gderand a
for ofsioatc stay aping inc.
•
• Signed ii' of JWw -Q_ 1 1997 Fordrwmatlal We ody
' it.u,it Number
r ti 1 , Lot a
S":.,. ., ofLicasee/Fermi.
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417 m
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ' '
t"i Alterations
NORTHAMPTON, MASS. 2-Jl4AZ. I94 Additions' / /' (�
Repair V ( Q�G„
APPLICATION FOR PERMIT TO ALTER Garage 1
I. Location 31 M G,ti-_cS" I brYrAPIAkv— Lot No.
2. Owner's name I `O[7 sbb^1 Address t
3. Builder's name S t Q �M (. n
" vk 6'01Kb Address l'0 '�Y.- 114.1 1M` , _+, ,"'In k °)1191
�I
Mass.Construction Supervisor's License No. Ok S'CI 9 Expiration Date _M11 j-CI r
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
II. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-
2, fes' .
—
The undersigned certifies that the above tcmcn(s are true to the best of his. her
knowledge an lief.
a . 'F,
� ((yy,� 11 ll Ssgnamre of woo .46le app..¢ani
Remarks L-414 tk94L !.AZ& I 2- F ) f — Z ' n,,.1L(.o Star' cYl-) iocle