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24A-011 (6) City of Northampton REQUIRED ti i , 1. Footings and Walls ' BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1197 Office of the Building Inspector Zoning Form No. 963133 Date 12/31/97 Fee$40.00 Check#8555 Page, 24A Parcel 11 ,Zone URB Section 127 ❑ Yes El No BUILDING PERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Valley Home Improvement Inc before Building Inspections has permission to Add 2nd floor bath Inspection on Site—Foundations situated on 122 Prospect Ave - Seth Goldsmith 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 -, - ISES -4117.-11.14 • Certificate of Occupancy y r Building Inspector II VI p D A L.'.__11Iii] !a.I FILE # l 3 1 /l� DEC 7 300 1997 �/ APPLICANT/CONTACT PERSON: r �.z,��5��i ,j�'T- IS,2� -' r, ���All"DRESS/PHONE: �� EPT OF�. �(�,���-�— PROPERTY LOCATION: /do? AlVidiZ74 4./-e ie`' C A- MAP , ,21# PARCEL: f ZONE ,/,,/ytj-- 1'HLS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CH 11;CKLIST ENCLOSED REQUIRED DATE ZONING FORM FTT.T.FT) MIT t/ Fee Pahl Flnilding Permit Filled not i/V. Fee Paid gc5C .h5f./¢' ' t....--" Type of C'nnclriicti• iht G7� -/, New (-'nnctn�rtinn �1/ emndeling Inter' Addition n g Arceccnry Structure Building Plane Tnclnded• x `/— nWner/Orel ant Statement nr hence � a�3� 3 Sets n In /Pint Plan ✓ THEE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: l/ 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 Per from Conse ti ,/% / Z S/ Signature of Building -/tor Date NOTE:Issuenoe of a zoning permit does not relieve en epplioant's burden to oomply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publics Works and other appiioable permit granting authorltles. / ---t-,_11 [1,7,. /E 171 EC 3 0 Igg; ,� File No. 96 3135 • KEPT OF SU1C�,�{f IN INCrCr''. '' , ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1/t//t/G /km? 14,1. h.Gtii c, 1'—)Aic Mk/Scil Phiro ` ,4 c•,'. Address• i L D' pX A tt)/'s/ Telephone: 6 75aa 2. Owner of Property: Nk:b'li 6:7ki„pp,/ 4 - Address: /c ? Pec2-r pe,-/ al.:- Telephone: 3. Status of Applicant: Owner � Contract Purchaser Lessee Other(explain): L 0 n.)is(et-Ad( 4. Job Location: /d a Oran pe.- fw� Parcel Id: Zoning Map# dim— Parcel# // District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5_ Existing Use of Structure/Property NC/k 61 L f1;47)1 All 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add tkd F/odr 6/9b1 - 4) 0 c I cr ,v►.,, pd07'19-z,„t71- /up C)14AoE /N vs 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 '� DONT KNOW YES IF YES: enter Book _ Page and/or Document# 9, Does the site contain a brook, body of water or wetlands? NO cv 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 [i 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 cols= to be fil ed in by the Building Department Required . Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt u - side L: ^R• _t7 L: R: - rear V ).\ v � Building height Af Bldg Square footage %Open Space: •(Lot area minus bldg &paved parking) pf marking Spaces _I fof Loading Docks Fill: --(volume--& location) -13 . Certification: I hereby. certify that the information contained herein 41. is true and accurate to the best of my knowledge. DATE: 10) --, d '9) APPLICANT's SIGNATURE 71111 _ f 7)M .Or NOTE: is.suanoe of a zoning permit does not relieve an applroanY urden to oomply with all zoning requirements and obtain all required permits from the Bo rd of Health, Conservation ._ Commission, Department of Public, Works and other applloabie permit granting authorities. u!t FILE # . ,.1 L..�,y DEC 3 01997 ' �"" :�I is y_a G-it-I! of Northampton _ Y _ • •'"1' ''= 'FPT OF SUILD!NG IpNSPECTIONS } fiiasaarllnsrlb i tr-In.f NORTHAt P TON,M 1 01C \11111. --.= Sruw� if _� DEPARTMENT OF BUILDING INSPECTIONS• _ • 212 Main Street ' Municipal Building Northampton, Mass. 01060 ite. WORKER'S COMPENSATION INSURANCE ATF1DAVIT I, Nelson A. Shifflett / Valley Home Improvement, Inc. (licenseepermittce) with a principal place of business/residence at: 320 Riverside Drive< Northampton, MA 01060 (Phone/0 (413) 5814-7522 (strect/city/statrlup) do hereby certify, under the pains and penalties of perjury, that: (0 I am an employer providing the following worker's compensation coverage for my employees working on this job: Eastern Casualty Ins. Co. wC9660047 2/1/98 (Insurance Company) (Policy Number) (Expiration D ) • ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have ed 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 D e) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (anach additional shad if neomary to iaelurie infocaution pertaining to all ocertrecton) ( ) 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 while homeowners who employ persons to do m-�*_ __a oomt uctioo or repair work oe a dvreling of not more than throe units in which the homeowner resides or co the ground,appurtenant thereto ars not generally 000sidered to be employers undo the weaker's compensation Act(GL152,ss I(5)),apptication by a homeowner fora license or permit may cvidraix the legal itano of an employer under the Woeirer's Compensation Act I understand that a copy of this etatcmmi may be forwarded to the Dcgartumoe of Industrial Accidents'Office of Iasuraooe f the coverage vaifiaiioo and that failure to enswe coverage under section 25A of MaL 152 can lad to tbo**tidal of criminal et consisting of a fine of up to S 1,300.00 and/or imprisoanicai of up to ooe year and civil penalties in the form of a Stop Work and a fine of 5100.00 a day against roc. Signed this day of , 199 Far departmental use only . Permit Number -ngu lir'texi r�iv..., Map# Lot# (JtN� r Ali&Ovc) atto��rD <- pirdeh - !'J -jTEit LI L /G kw / 7/1 C -� 3&-•uto L S7AU /1 rf•J r so PP Olaf! lllvsI 51161u`'l �G1<aa 6t.�sS o.,U p7 { t' r Ort rA _r Ninovr 1/6/fr ra I - - - .:. i k Iv, n 77ir `Wit \ _, f ut t ro,ttr/ Cowin_ ` \\,ti.ivio. 1 r 6G Po/C C .poof S a ,?.- r . 13 xl..ail" >///oa 1 (IS C �/Js, ,.'� US°UAss she/F dtla✓ . 6-9~ I 6otasnr>N /JA7N • /dP Pfospee7 Aat NOf�h"tn►ro/ , 1 5 t4 vobY -. -�, 3o.s• �G�- 7S8i w. 1._— 7 7G? /3�g N. o rn - © co' O ®` l W �'"' C a z tr >y v, C tvJ0• d o s it n I. et a �ti c Cr c 70 -1 , Zoning 75a Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations _,;r 'C ` i, 9.2 Additions Repair NORTHAMPTON,Wi MASS. 19 �i'r+.r " APPLICATION FOR PERMIT TO ALTER Garage /ate pro, 1. Location e� � Lot No. 2. Owner's name _5.. 6° 3 n1.} A , 'I Address "�`� Pro J p Aft-e_ , 3. Builder's name AilA '1 6�U�'/j l' V� / �. Address 3 O �(e LD Mass.Construction Supervisor's License No. Oct 0 3�'O Expiration Date 91a a J 9 g 4. Addition fit2S 5. Alteration l&ft6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating J 11. Distance to lot lines A v0 ())00it- 0 kf--3) 1rl'12. Type of roof 13. Siding house 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. j74140 /2,,,, , 1 Sign sure of responsible appiicans Remarks Ain (1?al rt - se-Q. /601 6-d ./4