24A-027 (4) 92 RIDGEWOOD TERR BP-1 999-1 109
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma :B CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:windows replaced BUILDING PERMIT
Permit# BP-1999-1109
Project# JS-1999-1839
Est.Cost: $2025.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Ed Corbett Jr 1 16069
Lot Size(sq.ft.): 5009.40 Owner: MORINI LOUIS J&SOPHIE
Zoning:URA Applicant: Ed Corbett Jr
AT: 92 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTON 01060 ISSUED ON:6/1 7/1 999 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/17/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
.4 li
; T.) 1_ 4) in—Frs ,
JUN i 7 1999
P File Nog pQq///., i
DEFT OF BUILDING INSPECT' '
NORTHAAtPTQN NIA r 0.r� _ G PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: C`/ 4,4_' 1e---1'!—
Address: Z/ i-e-. / 57 Telephone: 3---S—V-61S771
2. Owner of Property:
LIOviS irk), '
2 '/�,
Address: /t / e!!tLI'� iexe( Telephone: S /— OS//..$ram
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):,
4. Job Location: 9,2 4t''4Ci;/o./ 7 z
Parcel Id: Zoning Map# ;67// Parcel# ( ..District(s): ii- a
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/VVork/Project/Occupation: (Use additional sheets if necessary):
11J.%j 3-!l 9 ✓/r/ / iiiti IO 4/--) Loadr- �s -S"�
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 - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
# rof 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: " /2' 5 APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioanrs 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 applioable permit granting authorities.
FILE
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,�.-� ' ;�70f BUILD ll0 DEPARTMENT OF BUILDING INSPECTIONS
• 'ORTHAMPTO •
NH PErr,�ros
'�-- =-._Q?0�t? 212 Main Street Municipal Building
Northampton, Mass. 01060
•
WORKER'S COMPENSATION INSURA.NCI~. AFFIDAVIT
Ce-/
(licensedpermittec)
with a principal place of business/residence at:
•
4r/ f4 c /i (phone#) wy/ 7/
(street/city/sta thip)
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)
( ) 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) (Insurance Company/Policy Number) (Expiration Date
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dat
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale
(Name of Contractor) (Insurance Company/Policy Number) (Expiration D )
(attach additional rfv.t ifnerr-c+•ry to include information pertaining to all contractors)
(tiKana a sole proprietor and have no one wordng for me.
( ) I am a home owner performing all the work myself
NOTE:please be aware that v t i]o homernvncra who employ persons to do maint' roc conrsuc ion or repair work on a dwelling of
not moeo than throo units in which the homoovencr miles or on the grounds appurtenant thereto arc not generally coasidcred to be
ernployers under the worker's occapcsasation Act(GL152,ss 1(5)),application by a homeowner far a Licrax or permit may evidence the
1cgal status of an employer under the Wockca c Compensation Act
I understand that a copy of thie statement may be forwarded to the Dopartnuat of Industrial Acadmtsf Oflioo of Iaxusnoo for the
oovane vcruficatioa and that failure to secure coverage under section 25A of MOL 152 can kad to the imposition of criminal peg/Lilies
ooesisting of a fine of up to S 1,500.00 tmdke imprisonment of up to occ year and civil pcnattics in the form of a Stop Work Order and a
find 0(5100.00 a day against me
For dcpartrocond cane only
( � • ,�� Permit Number
t' �— ( �J 7 / Mapli Lot#
Sig nature of Liccnsce/Pcrnuttcc Late
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. �� Tel.No. Alterations
ikr•%� NORTHAMPTON, MASS. '��/v``im. �� 19 %%' Additions
Repair
' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 4�/ �k/14€h✓eet� 7 e #-‘-/aep-c.."Lot No.
2. Owner's name LOUW.5 J') M)' ,vi Address 9? /�, 73. Builder's name c4/ C2'rte..-Tr Address q dir „VT--
Mass.Construction Supervisor's License No. CC,Sim Expiration Date y'. c2.000
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
13. Siding house
14. Estimated c ?c
The undersigned certifies that the above statements are true to the best of his.
knowledge and belie
�I Signature of responsible appiieapl
Q �
Remarks LDS 1/ • / (,/ily,// t/,14,- /j — 6 -S