07-053 (2) un34t ` City of Northampton REQUIRED INSPECTIONS
Ve
:� "r-rps I, Footings and Walls
¢ ; �. BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 395
Zoning Form No. 962192 Date 5/15/97 Fee$20.00_ Check# 1419
Page, 7 Parcel 53 ,Zone RR/WSP/WP Section 127 ❑ Yes €l No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Edward Strysko before Building Inspections
has permission to construct 1X X 19:_. shed Inspection on Site—Foundations
situated on 400 North Farms Road Inspection of Plurnbing—Rough _ •
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
confonu 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 thispermitExpiressix months from dateof issuance,if notstarted. 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 P CE ON F 'r ISES
-
Certificate of Occupancy
it Building Inspector
862190
M1
Is fp l J 1^. . RILE ttti_ _..,f,f.
MAY APPRICANT/CONTACT PERSON:C.-�4C%4e.a .%'4Y%Q-�/-r ',P: 5 ?3 9(J9
;
AP.DRESSSfPHONE:_- �..... _✓.`... ".
PROPERTY LOCATION: ' G0 we f� �C2.P�r�2�
MAP 7 PARCEL: 473 ZONE //6/0
j,4440
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CBECICUST
ENCLOSED REQUIRED DATE
ZCNTN(l FORM VITJ FD nMIT...
Fee Paid
Building Pe en .• • .......... te--V/
Fee Pairi ' ' r>/6 '— P/C 3//4 2
New flan at-motip. .4k? ! ...
Remndel'nghnterior /Qx f9
vvw Gam' ........
A.rreccnn Strnrtutg. )
Buitdin Irnc Tnrtnded•
Own lrrnpant...SStatementnr T hence sd
. . . I . I' . . ..._. _
TETE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: -' -
Approved as presented/hased on information presented
Denied as presented:
_Special Permit and/or Site Pian Required under:§
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ ay/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § wIZONTNG BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
, Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-lid of Health Well Water Potability-Bd Health
!Pe ..itfroa C n u wn `
Signature of Building "A:. for Date
NOTE:issuances of a zoning permit does not relieve an applicant's burden to oomply with ail
_ zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
L MAY 2 199 //))/�
-P1 File No. (ty,,2/9.;— 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
i-h S
1. Name of Applicant:� JC� 6/944N'rt^O —.3f+�-,�
Address: KO4 1'7 ! BR+rus PO Telephone: 'SE T`/
2. Owner of Property: C Owrn•> Y+era'y-Crc
Address: 1100 ti s„_5 /PO Telephone: 3-St
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):� /�
4. Job Location: 4103 ✓ (1 7nitt-s- i2 . ppb
Parcel Id: Zoning Map# Parcel# �j 3 District(s): Aeelb..)S haLi
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
/1 i
5. Existing Use of Structure/Property VCC3to[tcc �l' ,
6. Description of Proposed UseNVork/ProjecUOccupation: (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 SpecialiPermit/Variance/Finding ever been issued for/on the site?
NO X 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/or Document#
9. Does the site contain a brook,body of water or wetlands? NO 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 uolnot to bo filled in
by the Building Depot noon t
Required
Existing Proposed By Zoning
Lot size1 . Iet.R� /, O'j d OJ b o C
Frontage 06 ) "7 'b
Setbacks - frnnt Si 1-2V 4 0
-side L: -O0 R: -? L: S R: 5 9. C%
- rear /Sol 5
Building height `�
Bldg Square footage e7, 31 a -tstd is 41a. /5
%Open Space: �)
(Lotarea minus bldg X C9
&paved parking) UU
# of Parking Spaces
#- sof Loading Docks
Fill:
(volume-& location)
•
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my knledge.
DATE: "579---/47 APPLICANT'S SIGNATU• � ,_.
NOTE: las of a zoning permit does not relieve an applioants burden o 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 #
BAw� LSA �Ilu Df Norj� ampton �. * e
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DEPARTMENT OP BUILDING INSPECTIONS II
INSPECTOR 212 Main Street ' Municipal Building ,r ( 21�j -�
Northampton, Mass. 01080
DFP, J
1/f -7
�7 HOMEOWNER LICENSE EXEMPTION
DATE: V (. CZ (Please Print)
JOB LOCATION: / — SJ kiq,c)5 tyid t
(Ma. (Parcel) (Subdivision)
HOMEOWNER: 17---ii • 0 ' ,Ce '-COd Fi. Tilt11.S /CO.
(Name & Address )
3g sr:,?/ aega- > -211/
(Home Phone) (Work Phone )
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) families and to allow such
homeowner to engage an individual for hire who does not possess a
license, provided that the owner acts as supervisor. CMR780 Section 109.1 .1
DEFINITION OF HOMEOWNER: Person( s) who own a parcel of land on
which he/she resides or intends to reside, on which there is, or is
intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A person who
constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building
Official, on a form acceptable to the Building Official, that he/she
shall be responsible for all such work performed under the building
permit.
As acting Construction Supervisor your presence on the job site
will be required from time to time, during and upon completion of the
work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers '
Compensation) and Chapter 153 (Liability of Employers to Employees for
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be liable for person(s ) you hire to perform work for
you under this permit.
The undersigned "homeowner" certifies and assumes responsibility
for compliance with the State Building Code, City of Northampton
Ordinances, State and Local Zoning Laws, and State of Massachusetts
General Laws Annotated. �
HOMEOWNER SIGNATURE �-./�-�
' -AA—C �.
BUILDING PERMIT #
b Oill Ufifg of �darfl�ttmpfatt ► _
eb4;71.44.011
, t!atchosdra _
� li 2 (997
DEPARTMENT OP BUILDING IN(PECTIONS1'1•
'�_
212 Main Street ' Municipartuilding �/
Northampton, Maas. 01060 '..
WORKER'S COMPENSATION INSURANCE APYr'L)AVIT
I, 6-zhvW'0-4o 75l
...,, permittee)
with a principalplla
(a3 H ace ofbusiness/,. ides +at:
i- 1 3 jZ 1` firrretar.ircr{ (phone#) TV 5- 6 8 `1
(streeduity/stat np)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Dare)
( ) 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:
(None of Contractor) (Insurance Company/Policy Number) (Expuntioa Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contactor) (Insurance Company/Palicy Nurn vr) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(.Hach adddael.bat ifneeawy to mcuda mea manor paaidag to all vootedaa)
I am a sole proprietor and have no one working for me.
) I am a home owner performing all the work myself.
NOTE:pkat be aware that.Mire 6omznvoern wha tempIoy pcnarn to do ram*n.+w.toots:wake or mak work on a dwelling of
=tram thus Otte talks' in*Oda the boasxoteuarttsides a m the gonads vpurtatiotthereto tarot gooedty cosiderzd so be
employes t,nda la awtktes occopeisation Act(GLLSI,a t(5)),application by a bomeowar for*limos cc porma may e'+ta the
legal Macao ofd amploya totter the Wako s Co¢Ww.iion Act
I=Amami that a Dopy of this gateman may be fawad.d to We Dcpum,ut oflot mia1 Acoakette Office of town=for the
oveag*aificetied and that failure to amus awayv oda section 2SAor1401.152 Loa Iasi t,the*maim of criminal pcmtia
g of a fax*rap to$1,500.00 vodka impr so®em ofup to ere poor cad civil penult=in dr foam ora Sap Wolk Ott aM*
fiat of 3100.00 a day naiad twee
Signed this - da of , 19957 FordaetOtta.i we only .......
Permit Number
— kr ,_ Map# Lot#
Sigoabuu of Licensee/Permittee
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
rNORTHAMPTON, MASS. I9_ Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 17100 H. t#&nt5 P-n Lot No.
2. Owner's name E-O .) ._ 112-7Sid Address Lf 00 H. Re/tar-3 I-0.
n
3. Builder's name E7.we-R.I/ � TR-y$FO Address 1-(811im
� M. le /'�O .
Mass.Construction Supervisor's License No. Expiration Date
4. Addition -Sri-e) fl1(/1_____.
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fue
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof St*,H 6 L Cr.
13. Siding house
14. Estimated cost- 73-00_JO
The undersigned certifies that the above statements arc true to the best of his, her
knowl dge and belief.
/Cr.-r&
S,gmw,e of responvble app•iaani
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