23D-127 (4) 6 �"° City of Northampton REQUIRED INSPECTIONS
A �'
a�'f+ :•I, � 1. Footings and Walls
'• ..TT'- BUILDING DEPARTMENT2. Structural Components in Place*
'1+ �'' 3. Complete Building*
Office of the Building Inspector
No. 605
Zoning Form No. 962483 Date 7/3/97 Fee$40.00 Check# 8806
Page, 23D Parcel 127 ,Zone uRB Section 127 U Yes ® No
BuiLDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Rich Denno before Building Inspections .„
has permission to replace existing deck Inspection on Site—Foundations '•'" N-'. "11g1.
situated on 14 Winslow Ave - Linda Gaffney 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 • -/-5'7 v
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLyD I • CONSPICUOUS PLACE ON PREMISES
Certificate of Occupancy
wilding Inspector
FA
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�� - r•�i��M FILE # 9, fl tr1r,
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11 2 1997
' APPLICANT/CONTACT ERSON: 5g -6002 9
ADDRESS/PHONE: —,... ..2-7 ,
PROPERTY LOCATION: /1&) A � y,
MAP �`� 1) PARCEL: ZONE .,/ /LOCI'
THIS SECTION FOR_OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNG FORM FIT.T,FT) OUT
Fee Paid
Building Permit Filled mit 1
Fee Paid ___ - ��
Type of Onnctr•nrtinn•
New C'nnctrnctinn — `, �f� "
Remodeling Interior
,
Addition to FYicting _
Aeeeccory Structure
Rnilding Plane Included• / �
Owner/Occupant Statement i 9064' /a�j L-
3 Sete of Plane /Plot Plan
T OLLOWING 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 Healt Well Water Potability-Bd Health
it fr Co on mission
..........dzin & Z f,2
Signature of Building Inspec or Da
NOTE:Issuenoe of a zoning permit does not relieve en applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
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File No96d il'JUG2 199
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ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of App " 1pt: A?cA L1l) ,7 r) d
Ssr' 7V01�-Pin - ,/
Address: ' Telephone: ;.3,'(� �3T 7 .5-7 O Y _
2. Owner of Property: 4 I/1 ci n . Cr:,4f r,.j
Address: )l/ J /fA I h cv A V �- I C�ar.�Telephone: 5 ?i OO. 7
3. Status of Applicant: *Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: I LI 1AJ L t s, L c A U e ,
Parcel Id: Zoning Map# c723D Parcel# /99 7 District(s): _,VA.,-6—
(TO(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 7G"l/1 t.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
elagdeet° 4A1- 41,-L/1 .k_ (
pee7-66.2.4 ce7aeki
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 DON'T KNOW / YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry` of Deeds?v
NO DON'T KNOW YES
IF YES: enter Book Page and/o 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 V
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 - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# pf -Parking Spaces
•
of Loading Docks
Fill:
=(vol-ume -& location)
13 . Certification: I hereby certify that the information conta,i ed herein
is true and accurate to the best of my kno iJ4ei� „./
•
DATE: c ;�)) /9,- 7 APPLICANT's SIGNATURE �-eE r, i '
NOTE: X uan a of a zoning permit does not relieve an applioanes burden mpty‘ tl all
zoning requirements and obtain all required permits from the Board of Ha It Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
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- DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street Municipal Building
Northampton, Mass. 01060 r'
woRE-R's COMPENSATION ENSURANCE, AYULDAVIT
(limnserlpermittce)
with a principal place of business/residence at:
A 3tt, 'Xi i.'Se4 ey .#'1 CW4'2 (phone-4) 382- Z
Jc y;statcJzip)
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 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) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(.rta<41 addition=I sheet ifnrm,.ry to include infocnuiioa pertaining to all c actors)
( 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 whi]o bocucowocn vbo employ persons to do mains-s,.o,e diction or repair work on a dwelling of
not more than tluoo[nits in which the homeowner resides or on the Bounds appurtenant lhatto art not generally coosidcrcd to be
employers under tbo worker's t rrlrn<rtion Act(GL152s1 1(5)),application by it bomcowr r fora license cc permit may evidence the
legal etahu of an employor under tho Works c'a Compomaiion Ad..
I understand that a copy of the rnteroeot m.y bo forwarded to the Decorimoot ofInd:ustaid Accidents'Ofeoo of Ii,uranoo for the
coverage verification and that failure to accuse covexngo under section 25A of MOL 152 can lead to the imposition of criminal penalties
combing of a fine of up to S1,500.00 and/or icapri3otmacm of up to one year and civil penalties in the form of a Stop Work Order and a
fins of S 100.00 a day against me-
Signed this /1 day of f/3 , 1997 For departmerradu.00nly
Permit Number
Map# Lot#
Si tore of Liccnsce/Perm.iuer
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(� Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5 S' 6' 0 0cZ 9..��71 Alterations
�%r, NORTHAMPTON, MASS. .-0--LA '� 2 19�1 Additions
k"-}` A' APPLICATION FOR PERMIT TO ALTER Repair
-r-�:� ,�f Garage
1. Location 114 kid 1 t)5 i LT) LeAli e . I c r k r4 0� ,0-6)-P\ MA Lot No.
2. Owners name i,1 rl etk l Cjra-c-•-(r\P c. Address 114 LIN i 115 \C',i°J i k.e �`�, r.�.�IAA p' ►,
3. Builder's name R k C\1 to �1\c Address c�
Mass.Construction Supervisor's License No. 0 (p 6 1 3 V Expiration Date l e/aO//
4. Addition
5. Alteration RQ p l a C' t1'i J e Xt 5 -Hr. ok 0Q, c ICE
6. New Porch J
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- `V6-0-0
The undersigned certifies th the abov sta are true to the best of his, her
knowledge and beli .,,- , (
Signature r onsibie picant
Remarks