24A-026 (4) r
95 RIDGEWOOD TERR BP-2000-051 8
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma.,• ,� : A-026 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-0518
Project# JS-2000-0898
Est.Cost: $3400.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Larry Paquette 100679
Lot Size(sq. ft.): 7492.32 Owner: BERMAN STEVEN A&VIVIEN E WEI
Zoning:URB Applicant: Larry Paquette
AT: 95 RIDGEWOOD TERR
Applicant Address: Phone: Insurance:
40 East Green Street (413) 527-6375 Workers Compensation
EASTHAMPTON 01027 ISSUED ON:11/17/99 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE FRONT ROOF & REROOF
FLAT ROOF SIDE & REAR
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 11/17/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
11)?
Li NOV 15 1999 °,ji
DEPT OF SUril'oN -17 -NSc. 1
File No.,5PC6si g _ n'; pri-lr.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION 1
6.)
1. Name of Applicant: L►
pp G ' �� Telephone: �- .-
Address: L' e f,,.✓,_ C f? 1� p f� ? E 3 > S
2. Owner of Property: S .. ' -1.- c�
Address: ,'5/4 4l r, 44 i • OA Telephone: S'�E� ee'ci
3. Status of Applicant: Owner V-Contract Purchaser Lessee
Otherr (explain):
4. Job Location:? �Q_P 4.<2�z: _{.2?J)
Parcel Id: Zoning Map## ,20 Parcel# & District(s): /-(i-
(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): •
;54: -/--cc-4,4----R0,- — .A-0--/-4-c-e.._ 4.-4,r)A *iidy, a.---L___Fw.4 o6
.A--Incy-s , .F7:4-1-sree f_,_e__f.,,,x, 4.47cee A_ Po ad z______ (09--'--'
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)
# pf Parking Spaces
fof Loading Docks
Fill:
-(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
V V {r D7ITE://-^/C)— P/ AppLICANT's SIGNATURE �at--v
f': NOTE: Issuenoe of a zoning permit does not relieve en appl" ants b den to comply with all
zoning requirements end obtain all required permits from the Boa of Health, Conservation
Commission, Department of Publio Works end other applicable permit granting authorities.
FILE
f 1
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=�45t T�° • Crx� of Nax"tE�aiitpnnIt 1 =**=v
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<p- / trV`� • -i_�C
�..-s". = • DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 am- w,`
WORKER'S COMPENSATION [NSTJRANCL ATFD)AVIT
I, --
censedpermi ttee)
with a principal place of b siness/residence at:
I 11
C ./_V_)a C:� in'n-^4'� (phonrri#)9.Z Sr—. Y/s
/ci / trJn(Su ..0 ty p) /
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 w,voing on this job:
a.J, . f .,L ,a,i' w d_m c, 3 la/8,d 6 8-d2 7 acid
Qnsuranc Company) (Policy Number) (Expiration D te)
( ) 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 polici•s:
(Name of Contractor) (Insurance Compa y/Polic Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiratio s Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional Meet if net- .ry to include infortnati on pc-mining to all c ra ors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOW:please be aware that while homeowners wire employ persons to do trm% <-+,vrz mwtructtan or repair work oD dwRlling of
not more than throe units in which the homeowner reside or oa the grounds appurtenant thccto arc Dot gay coosid:red to be
employers under the worker's oDmpessatioo Act(GLI52•ss l(5)),application by a homeowner for a license or permit may the
legal status of an employer under the Worko'a Compemaiioa Act
I understand that a copy of thu natemrast may be forwarded to the Department of Industrial Accidents'OtBoo of Inwranoo for th,
coverage ve ificstioo and that failure to seatre cov rago under section 25A of MWL 152 ma lad to the imposition of criminal pcoaltia
consisting of a fine of up to S 1,500.00 and/or implisoanocni of tip to one year and civil penalties in the form of a Stop Work Order and a
find of S 100.00 a day against toe. .
•
For 1 taao Doty
Permit Number
Ol] i ) Map# Lk:#
Signature Liccnscc/Pe •, • Late
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. "2-?-6 3 2 S Alterations
%gl NORTHAMPTON, MASS. li"-' /6 19 Q Additions
k ''A'' APPLICATION FOR PERMIT TO ALTER Repair
_/QJ - Garage
1. Location ��� i����ri2.. Woad �e 2A Lot No./
2. Owner's name //s7-0 -// ( yv Address 95 1 - 1 l- • -2uo de-. 7,�2 ___.
3. Builder's name h a. s __ Address y41 64-•-r --4/' •ems ( 3?a/?e tc*r;.
Mass.Construction Supervisor's License 4. /4) o - .4 9 P Expiration Date 6 '- tic) -9 e-"zs
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 �j} //
12. Type of roof 5( ! (R 0 a I-' b-v ,— A� ! ede.,-4� 4/C� 1/-e c� �avt�rm sl�
13. use ryyi I 0 6 0- ' A.--tea/ f----4-,--‘-e_/ 7� rid d e.s
14. Estimated cost:- 3, ye cA —
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
t-
Signatur jresponstble apptican!
Remarks