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18D-053 AH a-O p7. City of Northampton REQUIRED INSPECTIONS ` 1. Footings and Walls �- BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 756 Zoning Form No. 962646 Date 8/11/97 Fee $20.00 Check# 15637 Page, 18D Parcel 53-176,Zone GI/WP Section 127 ❑ Yes © No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT B & R Siding Spec Inc/Erwin Brady before Building Inspections has permission to install replacement windows & patio door Inspection on Site—Foundations situated on 80 Damon Road - #7203 - Sue Krzanowski 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) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON TIpPREMISES Certificate of Occupancy %r Building Inspector 3NMNilj. FILE t 9-6 2 6 4 6 96 sic ill AUG I I APPLICANT/CONTACT PERSON: --S///c 17 DEPT OF P!' ADDRESS/PHONE: 7e/ • PROPERTY LOCATION: go D 1� # 7a 63 MAP / 1) PARCEL: /7(v ZONE Z. [HIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7flNTNG FORM FTI,T.F.T) OTIT ✓ Fee Paid Ritilding Permit Filled nit Fee Paid /i f 3 /n .`32C) — Type of C'nnctrnctinn• • New Construction 442.ed GP/j'1 ‘‘JUJ7,00/13-6J-� Remodeling Interior v -1— Additinn to 'Existing Arreccnry Structure Building Plane Tnrluided• Owner/Occupant Statement n irence i1 (2:2/6�/7" Sete of Plane /Plot Plan THE HI LLOWING ACTION HAS BEEN TAKEN ON TIES 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 • ••it from>sgry C m • n 84A Signature of Building •:sector Date NOTE:Issuanoe of a zoning permit does not relieve en applicant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works end other applicable permit granting authorities. 41 AUG I ►1 :71 L� 10 __ DEPT OF BUILDING INSPECTIONS File No.� ,v7(��� , NORTHAMPTON MA^1060 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: e-eiE' 51t,, )6" ?.e__. -.due ' EA'w %+\J tR.,9 Address: P%) £Pi Ai / ,,to0 ,k -- Telephone: Z5"X 7 2. Owner of Property: -)c k 7.4 O :iCt) Address: R.g ii4«4rae I?`P- Telephone: 6-06 - 3. Status of Applicant: Owner Contract Purchaser 1,Lessee Other(explain): 4. Job Location: O 2 _17c Parcel Id: Zoning Map# � � Parcel# J District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property etr7terZe 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • JAG' / ztf' D l=-- 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 knowledge. DATE: /1tt APPLICANT'S SIGNATURE Jlu.`- 46_61. NOTE: Issuano'of a zoning permit does not relieve an epplioant's burde to comply witt1-all zoning requirements and obtain all required permits from the Board of ealth. Conservation Commission. Department of Publio Works end other applioable permit granting authoritjos. FILE if • • B' � Crzf4 of Nazfliamp f orl B tior I,J AuG ' I 1997 :srRchnsclla D ARTMENT OF BUILDING INSPECTIONS DEPT OF BUILDING INSPECTIONS 2 2 Main Street ' Municipal Building NORTHAMPTON.M,4 t1106Q _ Northampton, Mass. 01060 ur WORIcER'S COMPENSATION INSURANCE. Alt'ieu)Avrr 73 9,4)e 52.0>x/ (N asccJperavtuc) with a principal place of business/residence at: �rP744 7o#0 P'1 (phone#)Sgg— 7 (stir t/city/slirJnp) 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 working on this job: (Insurance Con., e ) (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) cLasu ance Company/Policy Number) (Expiration Date) (Name of Contractor) (Laurance Company/Policy Number) (Expiration D21e) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (etlacb 24ditioosd abect if ,.cy to include infotm.6o°perching to.11 ccrzenn) ( ) 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 vihiro homeowners a+bo employ persom to do an:ra+r n com ructiocror repair work on a dvo-Wag of cot more than thrco unit:in which the bomoowncr:rides or on the grounds appurtenant thereto Arc oot generally coosidcred to be employers under tbo worker's c co+ien Ad(GL152.3=1(5)),Application by a bomoowncr for a lieccric or perms may c.ih.ao&the legal rtahsa of an employe(uncles-the,Worker'.Cocopomalioa I understand that a copy of Oda a!®arrt may be forwarded to tbo Decorttaeoa ofIndur,-iel Aceicka a Ofloo of Irm raoco for tha coverage vcrifiestioo sad that failure to swum coverabo uodcs soction 25A of 14OL 152 can lead to tbs.imposition of criminal penalties oomisriag of a•finc of up to S 1,500.00 and/or impr000mcr t of up to ore year and civil penalties in the form of a Stop Work Order and a fino of 5100.00 a day against me. II 49 Signed this . day of , 199 7 For departroccealtr.00aly / PermNumber /� �/` 7 it Numb �c - Map# Lot# Signature of Liccnsce/Pconict c a LI z I. gs < g rri to i et ._•t zc1 3 © Z m ~ ,..1 O -1 li Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations r.�%r NORTHAMPTON, MASS. // Ceti19� Additions %� APPLICATION FOR PERMIT TO ALTER Repair �I ,/ Garage 1. Location �i4 is J am, o� '�' 1 n iv pi '/? a 3 Lot No. 2. Owner's name SUER le2f1 a 0w-3i4) Address ')Amo+) f4 /e/14> oA) A 4— 3. Builder's name `>` S .2 J r_ Address i Sox AlI r,1w v 7b,,J r`A' Mass.Construction Supervisor's icse No. O yj Expiration Date Qj,a7_ C brt 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 12. Type of roof j� 13. Siding house S'Li Oi fl) C- Aril)» D 0 2 — t(0 a---, o. 14. Estimated cost:- J 70 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. z J- Signature o responsible applicant Remarks