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23D-141 (6) .� City of Northampton REQUIRED INSPECTIONS .. 1. Footings and Walls '='�„~ . BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 803 Office of the Building Inspector Zoning Form No. 962693 Date 8/27/97 Fee $40.00 Check# Money Order Page, 23D parcel 141 ,Zone URB Section 127 Li Yes Ei No BUILDING PERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Elizabeth Huanca before Building Inspections has permission to install slider door & vinyl siding Inspection on Site—Foundations situated on 106 Hinckley St 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 ON7 PRE ISES . Certificate of Occupancy Building Inspector FILE # 96 ?G93 pi APPLICANT/CONTACT PERSON: cr!A-ethei ADDRESS/PHONE: /(5 ir�'�� �C c �o�— / 5 PROPERTY LOCATION: MAP ,- 3 /) PARCEL: %y/ ZONE et 2 MIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DA� ZONING FORM FTT J.FT) (MIT __ENCLOSED a/ ��% Fee Paid Building Permit Filled nut I ' Fee Paid 4�� !,90/ T 'IU Type of C'nnctrurtinn• New Cnnctriirtinn • Remndeling Tnterinr tic z% T-`il 2. Addition to Existing Arrescnry Structure Btiildi c Included C)�vner/C)rrupn 'Statement nr Licence # Sete of Plans /Plot Plan TLOLLOWING 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: :r Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health • Permit m Conservation m• si 9/9 9 7 Signature of Building Insp Dat NOTE: Issuanoe of a zoning permit does not relieve en applloant's burden to oomph( with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: / S /A. / 7) 44- Address: /0 / / ^' N�`f _ Telephone: 3 S y- (// �-- 2. Owner of Property: �-/i-i't•4�� Address: Telephone: 3. Status of Applicant: V Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# ' Parcel# % Li / District(s): U R-& (TO BE FILLED IN BY THE BUILDING DEPARTME_NT) 5. Existing Use of Structure/Property f / 74 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • .,v 492- 6 eti V; tilyL /I N 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? xgft— 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. 1 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 a %Open Space: (Lot area minus bldg &paved parking) # :pf Parking Spaces 1 of Loading Docks Fill: _(volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowl dge. DATE: / g �- APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an applioanYs bur n to comply with all Czoning requirements and obtain all required permits from the Board o `Health, Conservation ommission, Department of Public Works and other applicable permit granting authorities. FILE # • • qc-t ti.AR pl. �o �_% *,)1 oy �Z 1f NI,x-f i,..,,,,,... 1 •�,��� ,.� i :e•nchnstlt• ya'a'm" DEPARTMENT OF BUILDING INSPECTIONS l 212 Main Street ' Municipal Building Northampton, Mass. 01060 or • WORICF,IZ'S COMPENSATION INSITRANC , A i' e.WAVTI' • [_ V 6—E: Ai / 0 /i C/!— N censer/permi ttcc) with a principal place of business/Once at: / O (o /J 7 rJ Cam=Z-6 .j-- (p b o n e,/) y13 Shy-spy cr - o PTo AA) Al 4 0 / a C 1/ (sv-t~t/city/cwcJp) 4-1 o hereby certify, under the pains and penalties of perjury, Mani. ( ) I am an employer providing the following worker's compensation coverage for my employees worlang on this job: • (Insurance Company) (PoLicy Number) (Expiration Date) ( ) I am a sole proprietor, general contractor oezacLiaeor (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) Iasurance Company/Policy Number) (E p rntion Date) (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 Date) (r n u41 additi coal ria. t if n -,try to cclvdc infocma;on perciuint to.11 r-won) 4/1 am a sole proprietor and have no one worl;j.ng for me. (tg I am a home owner performing all the work myself. NOTE:please be aware that v bito hooxow-acr,wbo employ parson:to do n-airn.•‘.,r,- cocatrvctiocvor ropa.ir work w.dwelling of not more th.n throe units is which the bomoowocr raidas or co the gzouod3 apportcntm tbcreco ere cot generally considard to be employer,under the wocita's oemp nsizticn Act(G L152ts 1(5)).applkatioo try.botneowee fora liaaec or perma may evidence the legal statue of an employer under the Workers Coonisomation Act: I underztaad that a copy of thu caL®rnt cony be focwurd<d to the Dopartmcot efloduzrirl Aoodors&Office of Invra000 for the covara sc vrrific siioo and that failutrr to tcauc coverage ge trader section 2SA of MOL 152 no lad to tho'impositiota of climmit pcaaltic coos ll:log of a E=bf up to 51,300.60 aadlor imprboommi of up to ooc you-and civil p®ltics in the foc n of a Stop W ottt Orin sand a fins of S 100.00 a day against roc . Signed this t9 f day of Y'fril`JJ', 199 For depssitnneced use only Permit Number (---4.1--Q--4_-4—r MaP4 Lot ii Signature of Liecnscc/Pcrmit cc �0�(ttMf ploy .,G , ;�,R 4:.,j ti Crizi xrf Nrir# unit} ten 1 T er,;,l,• �+(�° y�iA SHACI�11H ltIH dailams = DEPARTMENT OF BUILDING INSPECTIONS ' INSPECTOR 212 Main Street ' Municipal Building e t k ,.i 1 Northampton, Mass. 01060 HOMEOWNER LICENSE EXEMPTION DATE: /,i _/ 5 } ( Please Print ) JOB LOCATION: /d G it? c Le-t-i ‘,1' Ai 0 ,4/3 Ai Ai /F- Ciul d-rvision) HOMEOWNER: ( (/3S— ky cif r:- 0?3� f � / (Name & Address ) W Vu _ 66f, 76 // u /M �� ( Pace. , ( s�1,, iv s (p#91ome Phone) (Work Phone ) 1 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 BUILDING PERMIT # • • 4 1 y SUM M�ON1 M 'o �rir�10 46no� of `1 , , • a a: 17 n T to v b -• -v rri0 = = m 3 o r. 0Om vo .s in Z 7, 2 _ � � -i .. C o a M 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations (ir NORTHAMPTON, MASS. 19 Additions r* _15-- APPLICATION FOR PERMIT TO ALTER Repair - ' O I Garage `©6 /A NG PLC. . Location N"Crie"--L—e-r— Lot No. /2. Owner's name .6 L12 0756171' /76 41-1 c�� Address .6474 E 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 0 Alteration 5 L L o 01-- V / If yL £ 4) /Ak,' 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 1}!Estimated cost b C o The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible applicant Remarks