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23d-148
43e • g Cityof Northampton REQUIRED INSPECTIONS ,,`_, , ► Al�' . ! 1. Footings and Walls = o.;: -• BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 854 Office of the Building Inspector Zoning Form No. 962756 Date 9/9/97 Fee $20.00 Check# 1645 Page, 23D Parcel 148 ,Zone URB Section 127 ❑ Yes 0 No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT George Thibodo before Building Inspections has permission to shingle roof over 1 layer Inspection on Site—Foundations situated on 111 Hinckley St — Lonnie Patenaude 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 ** Install per Manufacturer's information: windows, vinyl siding,roofs and woodstoves Smoke Detectors(Fire Department) y" Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS P E Pr .1-f4-''ISES Certificate of Occupancy Building Inspector 11 l5 FILE # 962756 1997 SEAPPLBICANT/CONTACT PERSON: ,9 7—off� ,3 ADDRESS/PHONE: /7 7 Q ? ( PROPERTY LOCATION: /I/ — z MAP PARCEL: �J ZONE r� IBIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7(1N1NG FORM VET,LED OUT Fee Paid Building Permit Filled nut Fee Paid0.0- Type of C'nnctntrtinn• New C'nnctrurtinn � e7 mil Remndeling Interinr /[ Addition to Evicting Arreccnry Structure Rnilding Planc Tnrltided• Owner/Orrnpant Statement nr ►rence /07 .3 3 Setc of Planc /Pint Plan THEOWING 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 Signature of Bull ec ate NOTE: Issuenoe of a zoning permit does not relieve an applloant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public) Works and other applioable permit granting authorities. III SEP 8 199( DEPT GF B�JILDING INSPECTIONS File No. 96'd 75-Ze 1 NORTHAMPTON MA 01060 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: y e.ofi t A Address: /77 Rho!� / 7/E �760 Telephone: 54 !- A yg 2. Owner of Property: 4()()RIVE Pet 041/l t Address: M f7//)G' Aty j , %. Telephone: 3. Status of Applicant: Owner Contract Purchaser i7 Lessee Other(explain): 4. Job Location: /1/ /1/l�gt,,/ S/` T Parcel Id: Zoning Map# , 3 Parcel# / �0p District(s): ''' (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property L 4-a_e_k____ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • Ford' (/3 1,Ay bk *Y- a- 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? / 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 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 • # fof Loading Docks Fill: volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowle•ge. / 12-D�iTE: S�E/� 94 APPLICANT'S SIGNATURE >r2 NOTE: Issuano$ of a zoning permit does not relieve an epplio irs urden to comply with .all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works end other applioable permit granting authorities. FILE # J LS Q _U r) o4. Crii- of kiarilia11 ptan •Lit SEP 81997 I L______.. -,J Sit:»ncllnsillf •M DEFT OF BUILINNG INSPECTION�Ep TMENT OP BUILDNG INSPECTIONS • • „cc, NORTHAMPTON MA 01060 212 Main Street ' Municipal Building Northampton, Mass. 01060 • WORTCER'S COMPENSATION INSURANCE, AITMAVIT I, G-erl. . Th1L (1i nsr../perwittrc) with a principal place of business/residence at: j PPi I Sf. iS I rdvy moo (Pbooeff) . -a (srrc.t/ca ty/sutdzi p) do hereby certify, under the pains and penalties of perjury, thai. ( ) I am an employer providing the following worker's compensation coverage for my employees woriing on this job: ansurancc Company) (Policy Number) (Expiration Date) ( lI 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: C%C0r9Q /4/Leila_ 66/40Q1P810L AMY) 4 gDatc) (Nrui c of Contractor) QLaniranct Company/Policf Number) (Expiration (Name of Contractor) (insu an .CompanyiPolicy Number) (Expiration Date) (Name of Contractor) (Lasuranct C.otupan/Polici Numlxr) (E piratioo Date) (Name of Contractor) (Insu is Company/Policy Number) (Expiration Date) (fn,r./,additioml chod ifnorc.•ry to cc.\>dc infor1na60o per^;r;ng to all ocar--evn) ( ) I am a sole proprietor and have no one working for me. ( ) I am a-home owner performing all the work myself. NOT plea./c be aware thst wlrijo 6e©co.wcn,+bo oznploy persona to do rr,--•t•,,,• oo-or repair work on&dwelling of not nacre th_n tbroo units in which the homeowner macs cc co the ground./zppurtcoict thereto arc oo(gc crI ly mcick od to be cmploytn trader tbo worker':oeuspen aim Act(G L152f./1(5)),appliation by&bomcoorocs for,Goa=or permit may cvidracr the lcgat rt+n..of.n cnploy.c uodar tho Woci r'a Compooaa too Act.' I understand tbd,,Dopy of thi.rne..,,...,t n ey be forw=rd.d to the De i oeot of lock.cria Ax'deaes"Oioe of laeucaooa for the oovcis-Cc vcrific iioo mod tb L Ct ilurc to comae covcraso twin sociioa 25A of MOL 132 can Leal to tbo'imposition.of cctmintl pcc drics 000sizting of,:gene bntp to Si 5OO,Oo.ac'lor improoemcct ofup to Doer ycr and dvii penhicl in the born or.Stop Wort order and, find of5100.0O./hay aviast.tac . ' Signed this day of • 1997 For dryatmtt aJ ts,000ly a • Prrmil Nmbar • .... Maplf Lot# \ . Signature of Li cFnaittc - • X 'C MI el; '-'31[-- trf \ '...' — rn 3 o z m o _' C p 'V ElS [las F---Gi w X7 n ety Z o - = 3 cn O cn 7) Z m "' I , �/ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No./ �7,7 V, Alterations %r NORTHAMPTON, MASS. �/ �� 19 Additions I :�" APPLICATION FOR PERMIT TO ALTER Repair -. '' Garage 1. Location /// `/i 4qdp .0 Lot No. 2. Owners name Gj0))/)/e. PI /i /Ude Address /// 49/I4 y ,''/ 3. Builder's name C e0P e, 4j/ C/O Address /�/ Pi9k AlS/, t 1 `, Mass.Construction Supervisor's License No. /O y iPS Expiration Date 0/05- 4. Addition 5. Alteration 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 /' 1 12. Type of roof �i. /pt)d MO, Ot it, / )J A J)/QJ' 13. Siding house // / 14. Estimated cost:- i D 0.'� J The undersigned certifies that the above statements are true to the best of his, her knowledge and beli . Signature of responsible app'icant Remarks