24A-029 (8) 84 RIDGEWOOD TERR BP-2000-0321
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-0321
Project# JS-2000-0520
Est.Cost: $4500.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Larry Paquette 100679
Lot Size(sq.ft.): 7492.32 Owner: JAMES JOANNA IRENE&
Zoning:URA Applicant: Larry Paquette
AT: 84 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
40 East Green Street (413) 527-6375 Workers Compensation
EASTHAMPTON 01027 ISSUED ON:09/21/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF
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 09/21/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
7173
Tr
i�
SEP 2/UUL !999I.21 File No ofOC3
DEPLjjEcflOoNING
PERMIT APPLICATION ( 10 . 2)
ON MA 01060
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: cfc1.4.,14._
Address: .0cil 1 -- -4s..+4..4? go-a- Telephone: 3 o2 .) — ,6 3 �S
2. Owner of Property:_�/O 'w'— , �o.•4i+1�v� .r�ti�4--
Address: �L1 ' AA/opa W 604 Telephone: .5-er'
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): ,r� �'
4. Job Location: O L � ' wvv0l — �v`l/ " '"'
Parcel Id: Zoning Map# L-72Y/9 Parcel# l District(s):'6a--L_
(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): •
57 Q - i. -. 2/0 y. J' 5/6
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
&pa.ved parking)
# _Of -Parking Spaces
1- of Loading Docks
Fill:
_(volume -& location)
T
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT'S SIGNATUREQ�N+
NOTE: Issuanoe of a zoning permit does not relieve an a lioants bu den to oom
PP ' Ply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public, Works and other applioable permit granting authorities.
FILE
•
oRK lnt�
SEP 2 11999 � �zt to oii tITenitptalt
s;�n•'� ' assacI1u ctta
s. Ov OF BUILDING INSPECTIONS
�NORTHAMPTON MA 01060 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, Mass. 01060 "`
WO121"CER'S COMPENSATION .INSURANC L AFFIDAVIT
�.. " y PA, t �.�
(licen dpermlttee)
\vith a principal olac,e of business/residence at:
114 LEA s 1.1 Sa ,-6 3 ' s
— — (sucf_ticity!statc1:3p)
u hereby certify, under the pains and l)enal'.ies of perjury, that:
( i�ni an employer c( -.nsation
e,luployecs ,;or•:ili ) ):
o A_A* O a l v 1 r 7 v o .10 d
(insure- (Policy i ( .,.radon
) I am a sole proprietor, general corat-Factor or homeowner (circle one) and have tired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (ExpiraLon Date)
(Name of Contractor) (Insurance Company/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Compally/Policy Number) (Expir on Date)
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(enacts.ddi'docal Meet if necms ry to ichsd infocmatioa pc...sizing to all crodssnn)
( ) I am a sole proprietor and have no one worldng for me.
( ) I am a home owner performing all the work myself.
NOTE:please be avrare that w'hilo be ncownm 176,3 employ pawns to do ma.n1.-„^K ooasnuitoo or repair work on►dwelling of
not morn then three unite in which the bomaowo r reside or oo the grounds appurtcasni thrdo arc pot generally coosidered to be
employers under the worker's •cp,n,++ion Art(GL152,s l(5)),application by a homeowner fora license or permit may evidence the
legal etahsa of an employer under the Worko a Compensation Act.
I understand that a copy of this rtatcolcat may bo forwwdod to the Dopartmmd of Industrial Accidents'Offsoo of Imsue.noe for the
coverage vrrificsiion and that failure to eccutt coverage under section 15A of MoL 152 can lad to tin imposition of criminal penalties
consisting of a fine of up to S1,500.00 and/or ixoprisolimecit of up to one yar and civil pannier in the form of a Stop Work Order and a
fine of 5100.00 a day against me.
• For dcPaO0b1 uao only
Permit Number •
• t l Man#______ Lot
Signature of Licc osceJP item Date
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cc Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5 P gig Alterations
%r. NORTHAMPTON, MASS. / a -� 19 9 Additions
k APPLICATION FOR PERMIT TO ALTER Repair
0* � ' 'D /� Garage
1. Location 1 `-^�'t Q- 'w (. 4l`ei'-1.— //Cr''k_ Lot No.
2. Owner's name jL --� '5-'0-- ►-M. ' Tc-..,,,,� S Address 7� _� 'LtJ OC C `'/ice
3. Builder's name el„. o— - --- g"}�► Address y4CC/�, p � e o/ -,- c"l a-44----..„
Mass.Construction Supervisor's License No. /D 0 — cP 7 ? Expiration Date 0 - 2crifrO
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 y U ! r L0^'h ���''1" 0' •
13. Siding house
14. Estimated cost-
'/!5-0 0 ' The undersigned certifies that the above statements are true to the best of his, her
knowledge
and belief.`
gk/ckilA
gnarure of responsible app.Irani
Remarks