24A-027 (5) 92 RIDGEWOOD TERR BP-1 999-1109
GIS#: COMMONWEALTH OF MASSACHUSETTS
m104111111111111111.r.
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:windows replaced BUILDING PERMIT
Permit# BP-1 999-1109
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 116069
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::6/17/1999 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 gienature:
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
liLi JUN 1 71999 �f
File NogpQq`/ 5 I
DEPT OF BUILDING I/VP T
NORTHAMPTON ''A'',Qfd*0 G PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: le- , (2,ft'c ' rr—
Address: L/ l/t?e 5.7" Telephone: V—(r?S:71
2. Owner of Property: Lows MO 'i/Vf
Address: 9 /("1CJf( ( c5 ' it<X A Telephone: S 9 0 3"--
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):,
4. Job Location: 9,,,� 4t£c4e4✓efGc./ c72 xi
Parcel Id: Zoning Map# ;7 Parcel# District(s): .._,�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
-)1• b411 9 ✓/ 04/ �`, 2'0%fS`) Loa6//1-SS
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 Permit/Variance/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)
# of -Parking Spaces
# fof Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: /+" f 7-9 j APPLICANT's SIGNATURE e,
NOTE: Issuance of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commission, Department of Publio Works end other applioeble permit granting authorities.
FILE #
*;,.....4 a v. iullhjfl -
. 1) C�iz#�r fax#Ilttnt Purr • _*__
e sr '�!: ((� i3aaCll tiftlla s!! •Wiffill1
�T.`..., RT• H UILD' NS DEPARTMENT OF BUILDING INSPECTIONS =__!`=
AMPT BUILDING I W SPEI Ti!1 ( +
A O]G6C ,_r 212 Main Street ' Municipal Building
Northampton, Mass. 01060 a
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
L, se/ �',P -7 •
(iperraittee)
with a principal place of business/residence at: I
S7` /`tr2 7�.,i,- ✓4i.A c'�/p�;ci (phone) -V�s 7/
(bt1eet/eity/stall ip)
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 Data
(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 abort ifne t,.ry to include information pertaining to all contractors)
( 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 homcownen who employ pas=to do marntnn,nrr, coastniction or repair work on a dwelling of
not moco than tInco units in which the homeowner resides or on the grounds appurtenant thereto arc not gtncrally coosidcred to be
employers under tbo worker's mtapr,rt,nion Act(GL152,s31(5)),application by a homcowncr tar a license or permit may cvidnocc the
legal status of an employee under the Workers Conxemaiiou Ad
I understand that a copy of this ctatemcui may bo forwarded to the Department of Inchutrid Accident?OfSoo of Iasvrraaoo for the
coverage vcrificatioo and that failure to secure coverago under section 25A of MOL 152 an lead to the imposition of criminal peaaltiea
oocoisting of a fine of up to S 1,500.00 and/or inaprisomner d of up to one year and civil pmatt cs in the form of a Stop Work Order and a :'
firm of 5100.00 a day against me..
For departmental use only
Permit Number
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
:� NORTHAMPTON, MASS. 'iL1 / , /� 19 G1L Additions
" `%q APPLICATION FOR PERMIT TO ALTER Repair
�
Garage
1. Location 92 ff ve.i.o.,,,, , c 6f Lot No.
2. Owner's name 1--04ti S / d/3/i/a• Address 9.1 �i*-6147e, 7 .('
3. Builder's name�a/ �d�-e---T7_ Address Ae«4 s'r
Mass.Construction Supervisor's License No. CZ7 y Expiration Date "32--02.000
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 cq,
The undersigned certifies that the above statements are true to the best of his,
knowledge and belie
/ Signature of responsible' applicant
Remarks 1 J5 J,1 2 1/Siv, / I✓.f/4 4 /os,— 64-.cS