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23D-040 (5) ,ems t L !fli .4 14'9 1. Footings and Walls �:��' BUILDING DEPARTMENT2. Structural Components in Place* �c+? '4 3. Complete Building* Office of the Building Inspector No. 499 Zoning Form No. 962389 Date 6/13/97 Fee $40.00 (heck# 1292 Page, 23D Parcel 40 ,Zone URB Section 127 ❑ Yes 0 No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Jeff Haskell before Building Inspections has permission to remodel interior,sheetrock,insulate,replacement twindowsors'Inspection on Site—Foundations rep . do situated on 67 Milton St — Stacy Page 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 P' ISES ,/ Certificate of Occupancy 5,4'` ` 'r Olr.%'" Building Inspector • I ! 11 l5 D UN 7 FILE .# v n 2 3 V 9 / OPLIC*PVC TAC/T PERS N: �/ _ - IDEPT 0 i ;N CP// /L ��'1PROPERTY LOCATION: (p MAP 9J PARCEL: 6 ZO THIS SECTION FOR.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLgSED REQUIRED DATE ZONING FORM FRI,FT) OTTT ,/ FPP Paid Building Permit Fi94not FPP Paid /*� glie, — r� Type of C onctnrrtinn• New Conctriirtinn I ( emndeling Tnt !!: AileiZ� �ILQ/ ('1 �-- Addition to Ktictsng � ✓ 11 Accessory Strnetnre j212/K&A.LS1 62, fit. 0 Building Plans Tneluded• Owner/flrrnpant Statement n irenc dCAa (., 3 Sets of Plans /Plot Plan THE LOWING 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-Bd Health !Permit from Conservation C mission /-1 9 Signature of i o ate NOTE:Issuanoe of zoning permit does not relieve an applioants burden to oompiy with all _ zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. il .U111EIF DEFT OF BUILDING IP�R O Cu6pN_.___--. File No. 96, d 3 g 9 i NDRTHA '�T�' ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE I OR PRINT ALL INFORMATION 1. Name of Applicant: J e_ T C un S K < ., Address: b i t Its S\A-c. C M �L'D, Telephone: SgA `Cj0 7 2. Owner of Property: S 1c{.C� Address: 6 L fl L'TT .S. Telephone: \-5-7 J 3. Status of Applicant: Owner V Contract Purchaser Lessee Other(explain): ll 4. Job Location: 6 7 /I/ L d-J S f . ✓l1 hA✓' Iv-J Parcel Id: Zoning Map# `-2 6D Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Re S . 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • QeMouee -a1-1 l r #1A - L1�w Co�,r + ,� Soar-1 , 1ct.kFt4ic,, —/-0 S i J.Co N� kin.1l hoct,r(a ►' ) roc 7 r M , Y- Rr Q���,rt�, k),,,cw5, . trig bAnC� 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 PermitNariance/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 X 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 X IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cols 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) # pf Parking Spaces #- fof Loading Docks Fill: -{vol-ume-& location) 13 . Certification: I hereby certify that the informatio co tained herein ( is true and accurate to the best of my knowledg . DATE: C-/� ' 97 APPLICANT s SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an a p S nt's burd n to comply with all zoning requirements and obtain all required permits from h Board of Health, Conservation Commission, Department of Publio Works and other applioa le permit granting authorities. FILE if -1' ?- ?Z t 5T, i��ttnl�i p�, O s/ ' is_ Crz7 74DZEI�I111�1fD11 1 *=v_ :•A4 6 g.,,Rchnsctta DEPARTMENT OP BUILDWG INSPECTIONS = -` . 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 r'� WORKER'S COMPENSATION rNSURA.NCE Ai+'F1DAVTT I, �LcC l in.S _,t (iicensec/permiuec) with a principal place of business/residence at: I' it O'u-tr St c--c_ (Y' Yt t-r- 1i->`, wa MA />%b uy (pbone#) S-kg-6)7J ( city/5aicJzip) do hereby certify, under the pains and penalties of perjury, that. (k) I am an employer providing the following worker's compensation coverage for my employees working on this job: L e C i nir�.� )v kti,-iC 11)Lk C7-- 1 3._ % M j�Lnsurance 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 Corupany/Policy Number) (Expiration Date) (Name of Contractor) (Insuranc Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (ExTiration Date) (enact additional tiled if nr - ry to includr infortnatioa pertaining to all coat-actors) ( ) 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 aware that while homeowner,who employ pa-sons to do ar*;n+r.,.nrr cocSructioo or repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant tbccto arc not generally eomidercd to be employes(macs the workers cot-rapt-at'lion Act(GL152.a l(5)),application by a homeowrtcr far a licence or permit may evidence the legal ctahu of an employer under the Worker's.Compemation Act I undesssnd that a copy of this I.�ae..,,- r may ba focwurdod to the Depnrtnme of lam,trial,a ocdmti OfSoo of Insurance for the coverage verificative and that failure to rave coverage tinder motion 25A of MOL 152 can laid to tbo imposition of criminal penalties oomistiag of a fine of up to S 1,500.00 and/or i prisovmcai of up to one year and civil pcoaltia in the form of a Stop Work Order and a 5no 0(5100.00 a day against mc. Sign • , )a. TY0997 / / Map# Lot# of Li.. 4.511rmittf c [ iiJ 37 rn LT } C l Z m 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. J 8G'60 77 Alterations 11, ikr:r NORTHAMPTON, MASS. J�^jt— ( 19 7 Additions rA' APPLICATION FOR PERMIT TO ALTER Repair � � Garage 1. Location b ) /h, 1..-1:,-3 i S IV, kAi+P l0-J- Lot No. 2. Owner's name s i Cc. , 3 I c p . 4.— Address 7 Th.L 1 o.3 �.n 1. � 3. Builder's name c r Cc K'zl V. Address 6 , 1 R,,,,f&r Oil /01hildk Id—) Mass.Construction Supervisor's License No. no .6/ 1 Expiration Date /a• a ) - C/ 7 4. Addition 5. Alteration Up Cy-sik-le.... ^ (Ai r,•-t) S C1+:ric,,lL iaSo\4.1,aJ - i.c.00ci tvesk 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 /o t cl 0 p o 0 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. • 1.../tka Signature of responsible app.icant Remarks Ot.. I O UZ.I PLASVcr 4`c,. i-0 3 o lc.T t_ g X 1. Lekal S t t eo S le,.A K3'G6..) Wood warK 1 4 a l . L( - 144 L4.cc- Me-,l i w,-,i cloy) 1 4 a Ex Ooo r-S .