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23D-170 •�° � City of Northampton REQUIRED INSPECTIONS , >rifr , '• 1. Footings and Walls =' _�r . BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 380 Zoning Fonn No. 962214 Date 5/14/97 Fee $40.00 Check# 2871 Page, 23D Parcel 170 ,Zone URB Section 127 ❑ Yes © No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Herbert L Bates Jr before Building Inspections permission Astory porchg & vin�l En 12' Inspection on Site—Foundations has to replace 2 w/sin le sam sisidize situated on 24 Riverside Drive 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 C O ISES Certificate of Occupancy Building Inspector s1 .... . FILE # 9U2G14 ¢� MAY 81997 APPLICANT/CONTACT PERSON: 1-1:_pibett- c/ or- ° #4 r ADDRESS/PHONE: PROPERTY LOCATION: d y & &id4OL(Z — MAP 023 1) PARCEL: /'7 0 ZONE /r— MIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CH I CKLIST ENCLOSED REQUIRED DATE ZONTNG FORM FIT.T.F.T) OTTT Fee Paid Ruilding Permit Fillel nit l.. Fee Paid I 0� 7 I th40 — Type of Cnnctrnetinn• New Cnnctrurtinn C/ RemodelingTnterinr ��'' L. .a-1 �r-t' --2 Additinn to Exicting Aeeeccnry Structure R»ildin Planc Inrinded• Owne*/Occupant Statement nr Licence fl _ tc of Planc /Pint Plan ��----��-�� THE,,)LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: t 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 Conse n ommiss• n Signature of Building Inspector Date NOTE:Issuanoe of a zoning permit does not relieve an appiioant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities. •ya• Fn p'„ 4:fi,4K`n`=abk l � yr h.. -� ;_ •Z � r X• i} � T. r , S § a:,......::.' . .,....;y:7. ',,, .i.:.4:,.._::_',47;:,,:..t;10 iC*''''''' r .x s , . I Lig � Hilkiii'ilik' ' ''.:1 ' V4 �- :€ ri .. ,:' ._ _ :,,,,i'11- ..- . .. t . . iii- Y. ..,. ,, w • . _„. , ... , . , . ,. 0 i - _- .-4 7' 4Ite,:'.•- . t44;'kt-- • '4,''.'". ' . ' .--""7—1 ' ' .4 ..', ,,,* .. ' ' . '.*-- „ v.- - -. ;yr_ . ::„ ,..„,-.. .--„......70._ 4, c -. ii . iyy„r�. ors 4 t. 'NIL . �_� 't- s "-X' ate .. \ ` '' � i Jy MAY 81997 File No. 0902). DEPT OF BUILDING INSPECTIONS NORTHAItiPTGN Mar PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: HPe 6(4 L A f(961-/' Address&L f �Jt'��5 I cLe Telephone�c'7 V 2. Owner of Property: .ca lr) )Pi Address: `--5:31 k't Telephone: 3. Status of Applicant: 1/ Owner Contract Purchaser Lessee Other(explain): �f 4. Job Location: SO/k) &4 jel-V`/i--taC -14 I l > ^ll Parcel Id: Zoning Map# (213 I) Parcel# / 70 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property cl,w /j d ✓) G, d 6. Description of Proposed Use/Work/Project/Occupatio?: (Use additional sheets if necessary): ) • r'Prn o d i tk l Lp 1l l S`�7�t a tc1 ref-C-4 G h r CY e )a c t h Cif -P cr S yj g�e'7 d%•y r►1 d o p,,,, 4 Q r mkjea n CY e c d i rl 19)) V/fi j J S 24-& 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 P mitNariance/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 ocument# . 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 1 1 lJ 74' 1 Frontage ,not Setbacks - front f p - side L:.2(,' R>,3i L: R: - rear , Building height Bldg Square footage ff %Open Space: (Lot area minus bldg &paved parking) # pf -Parking Spaces # of Loading Docks Fill: (vol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: , "' 61 g' J9y APPLICANT's SIGNATURE NOTE: Issue oa/of a zoning permit does not relieve an applioanYs burden to oo ly wit all zoning requ rements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publics Works end other applioable permit granting authorities. FILE # ii:01A04 pi, 4" '' 41 _ (!t t of Northampton =**=Y 0. it i el 4 r,- _.:?__-'......`:....�,..r2.1 i, lit� �1R55ACI�lI5ett! _ '= 'mm�'.- MAY 8 ow D" RTMENT OF BUILDING INSPECTIONS ='_ _ :mot INSPECTOR _12 Main Street ' Municipal Building = Northampton, Mass. 01060 DEPT OF BUILDING INSPECTIONS P NORTHAMPTON,MA 01060 HOMEOWNER LICENSE EXEMPTION (Please Print) DATE: nj q ) 7 .7 ^ ,, ^ JOB LOCATION: 0C� D —/ 70 [.k'— (Map / (Parcel) (S bdiv sion()) HOMEOWNER: ' 1 e r b e r+ L a s i , y i ✓ors-i 01 P v� /" 6 01,,,,p h (Name & Address ) c '-77G (Home Phone) (Work Phone) 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 �it% . -- �i BUILDING PERMIT # �, tv � (city t f Northampton e yt�.. t MAY91 iassarlinsetts II _ �'I '�= DEPARTMENT OF BUILDING INSPECTIONS `' DEPi OF SUILDIfJ" PE 212 Main Street ' Municipal Building NORTHAP'rPTGh ti woe '��. Northampton, Mass. 01060 um'J WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, He( b eif L $a-l-rj Sr (licensee/permittee) with a principal place of business/residence at: 2 pi v ( ',Si(1 20j, A`,v-k1iaAy) -46 )14 0 bled (Phone#) ' -.7`Y- 7n) (street/city/state/rip) 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) (v) I am a sole proprietor, general contractor o i oheowner 1 ' cle one) and have hired the contractors listed below who have the following wor e 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 Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet if nex ary to include information pertaining to all contractors) ( ) I am a sole proprietor and have no one working for me. (4`1 am a home owner performing all the work myself. NOTE:please be aware that while homeowners who employ persons to do maintrnrruY coastrvction or repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant thereto are not laity considered to be employers under the worker's compensation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Worker's Compensation Act. 1 understand that a copy of this statement may be forwarded to the Devertn cnt of Industrial Accidents'Office of Insurance for the coverage verification and that failure to secure coverage under section 25A of MCOL 152 can lead to the imposition of criminal penalties oryKisting of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of s 100.00 a day against tne. Signed this ci day of Ai U , 199,E For departmental use only _ Permit Number _ _4e7 �j Mao Lot#� Signature of LicenseefPermittee ,�! • a _.— z v •�cQO T XI 7 in CO 1p r r -i c R "c -.. E _� . sr:R. INn '7 v Z 5 :n O o —i r v O M 1 -I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.Nos' /�,rC-- 77C) Alterations iikry NORTHAMPTON, MASS. /����� l 9 q'2 Additions_ Repair _r °; `:A' APPLICATION FOR PERMIT TO ALTER -- Garage_ 1. Location y PCtVPES I Ci& Do Ue Lot No. 2. Owner's name NPrth.r4 L r I,ycr -e-til 19 jeel-e-S Address 'y R ✓e6s 1 01 e 10r, 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration_Jrm d‘,'ij ei1s'hh j °L d/y on:* d nd C la C�� 4/r1 ri Sihi/ei ry ptrL' C )1 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 I I_ 13. Siding house r eL i d e 1'i d e4 S ( 'i` v 1 0�J c� ) 6 L a L 4 zi 14. Estimated cost-\31`6 D 1, D b The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. �� .� . ' Signature responsible app'icant Remarks