31A-035 (16) 1.
'�yAy� ./i.':1, City of Northampton
;ri
�!;ti= Building Departmeiit
R.iltdintx Department Office of the Building Inspector
Permit No: BP-1999-0127 Date issued 31-.Iu1-1998 Fee$40.00
Map 31A Block 035 Lot 001 ZoneURB Section 116 I I Wes (l No
BUILDING
PERMIT
This certifies that Michael Capers CSL07I965
has permission to INSTALL SI-IOWER&FRAM DOOR Inspection on site-Foundati.)ns • er D0 r-
at 5 FRANKLIN ST V
provided that the person accepting this permit shall in every respect Inspection of Plumbing-Rough 51r / -� t1'er i
'�`
conform to the terms of the application on tile in this office,and to the
provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing-Finish d1< F/- /9 / �t3 Over Li
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Gas Inspection Over D
of this permit, Expires six months from date of issuance,if not started.
Inspection of Wiring Servicf Over Ii
Inspection of Wiring- Rough ,,,,i/IF /j'j&t Ovcr El
Note: A certificate of occupancy will be issued by this office upon return
of this card by the Plumbing, Wiring and Building Inspectors. Inspection of Wiring- Finish. if / Ar.--1 Over U
Building Inspection - Rough Q K 3e' /‘-'? n Over Ll
*Plumbing and Electrical Inspection, required before
Building Inspections Insulation Inspection Over LI
Building Inspection- Finish /— -3/ -q- i., Over Ll
Smoke Detectors (Fire Department)
This card must he pos on site visible from public way
Certificate of Occupancy ;__, _ j
'
Building C 'issioncr
gifd-yi° ‘),"4,
-r/e74ff
z •
Department: Reference No: BP-1999-0127
Building,Electrical & Mechanical Permits
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000207
Paid By: Paid in Full On:
Michael Capers Wed Jul 29,1998
Received By: Check No:
Linda Lapointe 514
DEPARTMENTS COPY Amount: $40.00
DEPARTMENT FILE COPY 5 FRANKLIN ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL I42A)
Issued: Permit No: Inspector: Trackinallo.: Fee:
BP-1999-0127 $40.00
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
9447 31 A 035 001 5 FRANKLIN ST URB 14157
Contractor: License Type: Insurance:
Michael Capers CSL
Address: License No.: Insurance No.:
125 North St 071965
City: State: Zip Code: Phone:
NORTHAMPTON MA 0I060 (413) 585-109I
Project No: Category of Work: Const. Class: Cost Estimate:
IS-1999-0169 Non structural interior renovati $3,000.00
Description of Work:
INSTALL SHOWER&FRAM DOOR
GeoTMS®1997 Des Laurlers&Associates,Inc. Signature:
e
File#BP-1999-0127
APPLICANT/CONTACT PERSON Michael capers
ADDRESS/PHONE 12 North 't 4 3 85-1091
PROPERTY LOCATION 5 FRANKLIN ST
MAP 31A PARCEL 035 ZONE URB
THIS SECTION FOR OFFICIA, LASE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓✓SE
Fee Paid
Building Permit Filled out '[
Fee Paid 51 y i m---
Tyne of Construction:
/ yp 9� ,�,y
New Constmal int `t/� „�7� i(" ['7rrti c."'�,
on
Non Structural interior renovations V J�y,/"I��"
Addition to Existing ltMtR / 2.
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan .7
THE FO ;OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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
4ic ApnIrmg; r% a Water Potability Board of Health
.....Well
from Conservation Commission /{//j/�
^ / J y8
Signature o. �n OjLscizl �� Date
Note. ance of a Zoning permit does not,echifai�applicant's burden to comply with all zoning
requ is and obtain all requirettpernictectati7Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
JIiL 2 9 {998
our ...w File NoS t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ' 1 t ys lJ„()A.p,Q (
Address:V2-23 icr W' Y T. Ho.rrw[')Telephone: c)8 1—�:-.)� �
2. Owner of Property: .....(.'tEf.....2 /c ,9 `/
Ir
Address: c.Srf,QA.4etic.v J!4Telephone: ate— / $�6j
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: f FANI'C��y�✓ J/
Parcel Id: Zoning Map# ,21419 Parcel# �f District(s)4'2/
(TO BE FILLED IN BY��THE�BUILDING DEPARTMENT)
S. Existing Use of Structure/Property (2ked_ C.(o.Q,. C tt
ecaii
ect/O
6. Description of Propose(Use/Work/Projccu ation: (Use additional she is if necessary):
T wTe 4cc ? Vac-IA-eV1 n(Kim? In.
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 Permitfariance/Finding ever been issued for/on the site?
NO DONT 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/or Document#
9. Does the site contain a brook,body of water or wetlands? NO V DONT 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)
i
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 col® to be filled In
by the Building Department
Required
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
&paved parking)
•
f of Parking Spaces
# of Loading Docks
Fill:
(volt:me-A location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled�fge..' � //,�,pp// �� ���
DATE: APPLICANT'S SIGNATURE ''7. 1/e Leek ) _
NOTE: 1 of a zoning permit does' not relieve an appiloanrs burden 1166 comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission. Department of Public, Works and other applicable permit granting authorities.
FILE f
;o4S Toh
"n. eigh 2 9 1998 (rifg of Nartlixnl}lfml
4 w•,'�4h I} atasaachusellc
=11L:'�y- DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE ANIWWAVIT
rinn .20
Qlcenseeipcmvttee)
with a principal place of business/residence at:
125 IYlg l_�j� ray.P oOh'o (phoneI ) 5.85_ ICFJ�
(slit/city/stArhip)
do hereby certify, under the pains and penalties of perjury, that.
O I am am employer providing the following worker's compensation coverage for my
employees wor'tdng on this job:
(Insurance Company) (Policy Number) (E_cpin¢on Date)
O I am a sole proprietor, general contactor or homeowner(circle one) and have hired
the contractors listed below who have the following workers compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Excirabon Date)
(Name of Contractor) (Insurance Company(Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anah additional sheet Trate-teary to meh&information pertaining an all extreme)
(YJ I am a sole proprietor and have no one working for me.
O I am a home owner performing all the work myself.
NOTE:please be aware that while bcmawvas rho mgloy person to,=tetra see c uc1ioo Or(Warr work w a dw-11 g of
not more then tbrc vitt in lith the bemmwuc endo cc on the grom+di app'rteoam lbcao a2 not generally mmidat to be
employers t et the vete osepe-pa'mApt(GLI52.n 1(5)),applialion by a homeowner for a 6oate or permit may rider,.he
]cel vers of an®Soyer=der the Worke%Camp®woaAct
I uedastard the a copy of this aetmm may beforwarded to the Department ofinantrid madam,Office of Imn.anm for the
mvaage vaifiatieo end that tedium to wire covcnge undo:satin 25A&MOL 152 conked to this imposition ofcrimmat pmeiva
cwatwgg ors five of up to S1300.00 mNa imprisoommit of up to coo ynr acid civil prmllia a lbs form of a Stop Work Omits and a
fine 0(SI00.00 qday agaimt me ..
For dcraat lane only
Pcunit Numbs
,•.i• Map Lot#
ShinaGrze ofl,.icenseHPe a'
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Zoning 0R3
Miscellaneous Additions,Repairs,Alterations,etc. / o
Tel.No. cp Alterations /�
T`� NORTHAMPTON, MASS. e'l✓/�` ,./ / I9y[� Additions
HAPPLICATION FOR PERMIT TO ALTER..:2.4Repair
/' Garage
1. Location /.eoivitZn' /.. Lot No,
2. Owner's name c/.4inr_".1 A/CC.A/W.' Address -,j`,P.en') O✓ ..1%-,
3. Builder's name m�Chpei P— �I��G J Address 1.2_ \OOK.\\ S'T.
Mass.Construction Supervisor's License No.CS 01196,5 Expiration Date 09/0\ /ZOO
4. Addition
5. Alteration -/-alt/A Stet1/4:k_ 7 F 2anti0 IO bnoe
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
I I. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cos
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
eC
gnamre of responsible aOPicanr
Remarks