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10B-074 (4) Ago .oy City of Northampton REQUIRED INSPECTIONS i *tf =11 1. Footings and Walls VP �~ - BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 84$ Office of the Building Inspector Zoning Form No. 962743 Date 9/9/97 Fee $40.00 Check# 4477 Page, 10B Parcel 74 ,Zone URB/WP Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Steven Mizula before Building Inspections has permission to porch repair Inspection on Site—Foundations situated on 32 Water St - Leeds - Donna Larson 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 .?-t -A -, Smoke Detectors(Fire Department) A Other THIS CARD MUST BE DISPLA /% 0 IN A CONSPICUOUS PLACE ON x ' P' ISES i/ �' -� 5„ , -� Certificate of Occupancy r � Building Inspector A?o 04_ City of Northampton REQUIRED INSPECTIONS a•��`" 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 848 Office of the Building Inspector Zoning Form No. 962743 Date 9/9/97 Fee $40.00 Check# 4477 Page, 10B Parcel 74 ,Zone URB/WP Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Steven Mizula before Building Inspections has permission to porch repair Inspection on Site—Foundations situated on 32 Water St - Leeds - Donna Larson 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 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON #5 P • ISES Certificate of Occupancy Aro Building Inspector FILE I C 3 SEP 5 199( LAPPLICANT/CONTACT PE ON: i - led 7 ri DE DRESS/PHONE: /6V2 � x Sr, D/373 PROPERTY LOCATION: , 1c.4Z" MAP /Q PARCEL: 71 ZONE PHIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIT.T.F.D OTTT ✓ Fee Paid Building Permit Filled nit Fee Paid77 4— Type of C'nnstrurtinn• New C'onctructinn 2 al1 'CO C_. Remndeling Tnterinr Addition to Existing Accessory Structure Building Plans Tncliided• Owner/Occupant Statement n T.icenc ,7O7di 3 Sets of Plans /Pint Plan _ TH eLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: HI 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 Conservation mmission 74 ".474.'"4C4" Signature of Building r ate NOTE:issuanoe of a zoning permit does not relieve en epplioent's burden to comply with all zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Public) Works and other applioeble permit granting authorities. I SEP 5199 i L File No. 90)6 DEPT Of BUILDING INSPECTIONS NORTHAMi-TO: ,i,L 0F°^ ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: /14 z Address: J77 _ �L�o ��.� �). .So eap�F (J Telephone: ->a27 2. Owner of Property: ix a_ Address: ;2 LAc./a`-e4 -S Le J1 D(4-5-3 Telephone: L5 -S9S`-S>3 c 3. Status of Applicant: (Owner Contract Purchaser Lessee Other(explain): Q 4. Job Location: w �� S L-P Q ,t`f Parcel Id: Zoning Map# /O73 Parcel# 7`y District(s): /141.7/G0 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • "(A C 11 C ;> o Po"A c 4 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? NO 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# j . 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. I Thiscolumn to be filled in C �1. /✓�( f N U C I(p r �✓ U S/ \C.) by thec 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) # of -Parking Spaces #` fof Loading Docks Fill: (vol-ume-& location) 13 . Certification: I hereby certify that the information contained herein c is true nd accurate to the best of my knowledg . DATE: ( 4 7 APPLICANT'S SIGNATURE_ S NOTE: Issuanoe of a zoning permit does not relieve an at dplioant's burden to oom ty with all zoning requirements end obtain all required permits from the Board of Health, nservttion Commission, Department of Public, Works end other applioable permit granting authorities. FILE # • ttAnPi- °4. Crff4 crf Norfliamp f an . • ,�.�; .SEP 5199'r fil.:,snchnsill, DEPT OF BUILDING.INSPEC1PW ENT OP BUILDING. INSPECJ'IONS NORTHA PTO;N MA 106 ain Street • Municipal Building Northampton, Mass. 01060 ' • • 'WORKER'S COMTENSATION INSURAIICh. AFFEDAVTT ), (J i2/1J /7f 2 u I4 perminee) with a principal place of business/residenceat: L/t 3 /;7 PLAf� Id'( so_ D9e/./ 7f(o/ #11.42, (phone:0 L, - 70,2> (strmUci ty/st aidzi p) do hereby certify, under the pains and peoa.lties of perjury, tbai: • (I4/I a_m an employer providing the following worker's compensation cove:aoe for my employees working on this job: � C /"'` T f oOg P°6 6z5eitg(ac - 7/.3/�� (InsuranceC ) (Policy Number) (Expiration Date) ( ) I am a sole propriet general contractor r homeowner (circle one) and have hired the contractors listed below who have e following worker's compensation policies: • � ,'�n (Expiration Date) (Name of Contractor) n� �—`�Comparr}•/Policf Number) (Name of Contractor) (Insuuranc CompanyiPoticy Number) (Expiration Dale) (Name of Contractor) (Insuranc Company/Policy N tucks) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) thditioml ttwd iron.--'.ry to ccUdc inforu ioa perrix:w6 to.11 bear--on) ( ) I am a sole proprietor and have no one worisng for me. ( ) I am a•home owner performing all the work myself. NOTE_please be aw-are thud.who becxer vocn wbo employ petsoca to do i oa•or mpe.r work oo L dwelling of not mat tb-n tbroo units in which the Samoan-per rwdcs or co the crettoas:ppwtcnact thereto ut not gc oemtly considered to be cmploysrs under tbo worker's oe cp-re trim Act(GL152,13 i(5)).sLpptii=itioo by•boencowoar for tic.cc permit may cviecoce the loged rt.ma or an a ploy.<under tbo WOdeon':Compeco-lion Ad.' I undcrst.nd that a Dopy of tbia rne.,.v.,t m.y bo forwvd.d to tbo Dop.rtmemt oflod.ut ier Aoddmrf OfSoo of l ..o o. for its. mvcis so vecifieaiioo and that allure to cceurt covcnso under souiou 23A of MOL 132 ean.tc.4 to tbs.imposition of cric insl pcnalfles consisting of a(fine of tsp to S 1.300.00 mrior improocrocat of up to oaeyc-r uxd avd pcadriic3 in the foam an.Stop Work Ocdcr and d lino ofSI00.00 ad.4 s$7,iced.tnc.. • Signed this y day of J9 1997 Fcedcpatmcacatu+ooa}Y Pewit Number Maps Lot# Si b.xrc of T iocascclPci .fo . ' -e > 1 < ,7 rn 3 -- .. a a 1 Lc) -1 C R zm i cf) F Z rD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5& Alterations NORTHAMPTON, MASS. S kr�, 4 19 97 Additions (iikt APPLICATION FOR PERMIT TO ALTER Repair ;g Garage 1. Location 3.2- LA-Mrtoe -ST• & 2Qrd}' Lot No. 2. Owner's name frI s . b ri n A 1.ANso - Address 3a 1-(-14±0^SY il eels i 7A• o f6.5-3 f 3. Builder's name Sieve ri 141/Zc-1 I/� Address /27 /P'L,s i!v Rdt./ S•'bpP�fi er!� '-'3. Mass.Construction Supervisor's License No. o a U `70 Expiration Date //, 5/Q� 4. Addition i�/ /`) 5. Alteration /(//'�} 6. New Porch / \ `e f .a t 0 S To £Y iS n,) ov`c l --12-1-4••.:;; f 4Dt L1 7-±5 7. Is existing building to be demolished? ,4,4 8. Repair after the fire 9. Garage /V/4. No.of cars Size 10. Method of heating /Z19 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- g 9 O O_ The undersigned certifies that the above statements are true to the best of his, her knowledge and beef. TE4 Stgna:ure of r .ponsibl. appicant Remarks n S.7// Lc j .--1 P T , �/!7 t w 1,47ufP