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32C-067 (10) City of Northampton REQUIRED INSPECTIONS A 'R`�- a 1. Footings and Walls .., . BUILDING DEPARTMENT � ,.,;.: 2. Structural Components in Place* =-`4° 3. Complete Building* Office of the Building Inspector No. 1100 Zoning Form No. 963024 Date 11/20/97 Fee $40.00 Check# 1222 Page, 32C Parcel 67 ,Zone NB Section 127 ❑ Yes No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT William Conz before Building Inspections has permission to enlarge existing examining rooms Inspection on Site—Foundations situated on 2 Conz St - 60 Maplewood Shops - Dr Elson's 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 �• • MISES Certificate of Occupancy Building Inspector • FILE I 9C ? 024 HIV 71997jri )D0 APPLICANT/CONTACT PERSON: j., £t6' 3BY ADDRESS/PHONE: ,54 7eit PROPERTY LOCATION: of LPL Sf/�/ aiav etie— rd 3k o r MAP 31 C_— PARCEL: ZOr�/1,8 THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7flNTNG FORM FTT,T.FTD OTTT Fee Pahl Building Permit Fillers not Fee Paid /74,,P Type of Cnnctnirtinn• New f nnstrncfinn (-�?<I✓"�-`�C RPmn(1Piing Tnterin'r , Addition to Existing Accessory Structure Building Plane Include& Owner/Occupant Statement nr T sense # 0/37e 3 Sete of Plans / Pint Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: i 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 Permit from Conservatio o mission ///ZIY Signature o Building Inspector Date NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorltles. slit' NOV 17I997 0. 3e),;'-'/ DEPTOF BUILDIN IIISPECTiONS File No. NORTHAt�PTON. 01060 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION •1. Name of Applicant,: 2 f!� i aj� p r' r,r, c `- eG V3� L Telephone:hone: � 2. Owner of Property: ( c-a(11ift4�k-1 I,`..)t)J Address: (/ al)le t c,o0\ Shoe-3 Telephone: S� / `) 7cm' I 3. Status of Applicant: V Owner V Contract Purchaser Lessee Other(explain): 4. Job Location: L•J mq Ie c� 7c�c�n� �h 5 36. Q / may Parcel Id: Zoning Map# C Parcel# ' '1 District(s): A' 1f (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property e-DG? , a i C e 6. Description of PjApos9d Use/Work/Project/Occupation: (Use additional sheets if necessary) • : ‘ 't - X n n 7. Attached Plans: Sketch Plan t.1 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 j( 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 A NO IF YES, describe size,type and location: \/t'Y's 1 ) ) \ ) 1 I ) Are there any proposed changes to or additions of signs intended for the property?YES NO_ __ IF YES,describe size,type and location: I1. 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 it fof Loading Docks Fill: (vol-ume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowled e. DATE: \ I - q 7 APPLICANT s SIGNATURE , 111 NOTE: Issuanoe of a zoning permit does not relieve an epplioe s bur n t mpiy witty zoning requirements and obtain all required permits from the Board of ealth, Conservation Commission, Department of Publio Works end other applioebie permit granting authorities. FILE if 9 r 12;I7Z*1A va.)61 5 `=-- t x rt ampfan 1 r4�i� 't: e \gg-I assarlin5Ctta Mrvl=..-- 4- 1' DEPARTMENT OF BUILDING INSPECTIONS , __`•�- GF allii(}!ti�4 ei, 212 Main Street •• Municipal Building __ pEP� Northampton, Mass. 01060 ow WORKER'S COMPENSA' '10 INSURANCE AFFIDAVIT `+t. � �-Cl L ` J _ C (lipermittee) with a principal place of business/residence at: J X4 fi-- 5- , ( .et :(__, (phone#) 9 —DS -�jr (sti txt/city/stat.eynp) do hereby certify, under the pains and penalties of penury, that: (-7) I am an employer providing the following worker's compensation coverage for my employees working on this job: TGZc ,1) Q,tr(.5 OSCoYo187O 11-- r3 - 1F (Insurance Company) (Policy Number) (Expiration Date) ( ) I ant a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: G tQe <� 1� —I iccuelery c2 o5�v3. 6`70 11- 13- q 2 (Namb 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) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shod if moonily to include information pertaining to all contractors) ( ) 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 whilo homeowners veiio employ persons to do maintta'^-,,construction or repair work on a dwelling of not Moto than three units in which the homeowner resides or on the grounds appurtenant thereto arc not generally considered to be employers under the worker's romp-ins/ion Act(GL152,ss l(5)),application by a homeowner for a license or permit may evidence the legal statue of an employer under the Workora Compensation Act. I understand that a copy of this statement may be forwarded to the Department of Industrial Aoeideat Of oo of Insurance for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,500.00 strife(imprison of up to one year and civil pcmlties in the form of a Stop Work Order and a fine of 3100.00 a day against me. Signed this day of // , 1991 For d 1 use only Permit Number -•- ►." Map/ Lot# ignahtre of Li of ___________ (\ 1--- _ ___., Li - 1 jQo) t4:wade satozip t t4 ti40 <CimPb— I \J -----..„----- i rt,$ 1"''''''' '''''n..,-.....v!ec / L4 O s(3 'J G ,e 404 el( ....96, clio S )c'ooi%i o1bw 09 �a )4v \'‘Cs 51*9 k.J .0)-‘c7 \ ,t,\ L661LI10 ' --1\1--------- L.,Lki . . . . .. . . . 1 ,.. 11( _ . . I I ; . i I .1 _._ tl,•\)**14.4 i - - --I - ., 34-P,J14 • i - I 1 --,---, ---- 1- . Ai 1 i qy 1 16. 'NI I IsP I I J 1 I 1 , , I ' 1 • 0! 0 di) 111 1 I 6 1 !,7 0 a leo I I, ,17 1 . . . . . . _ I 1 i ,.. ,..s. ,.) _+ 6 . _ 0 I I 1‘ , , I I tv ce V , , (..0 , ,- / NI. I c; -Li : 1_,_ _ f\ I i :1 I-16•1 LI I 11\ON , 0 . •Ii, D. 1 1 1 1 1 : I ' • I 1 f— 4.. I }- 1 : 1 , I . F•_,; •J i 1 i i 1 I It 1 ii• K'j \SI I I 1 i .'`.; I i i I 1 1 1 1 I if) i i 1 4 i ! 1 1 t-' ,,/ , 1 1 ,71 1 I i • ; 1 //; )Niv I , 1 I i I I I I I I . - ) • , , • , i i I 1 I I I )* I I U I I I I II • I - ft- ' r' I I I I ! 1 , (--1 1 I i I 1 ! • i ! ; - - . --- L iii Barry D. Elson,M.D. u1 2 1 (997 52 Maplewood Shops •- Old South Street Northampton,MA 01060 ?EPT OF BUI D+" ;S TEL:(413)584-7787 FAx:584-7778 ►� n L4 ... November 20, 1997 Dear Building inspector: I am responding to the concerns that you raised regarding the proposed doorway at out medical office at 52 Maplewood Shops. Here is additional information that was not available to you previously. First,the east and west wings of our office are not separate office suites. They have always been joined by a doorway on our basement level. Secondly, the sole reason for joining the east and west wings of our office is to provide improved wheelchair access. The west wing has our only wheelchair accessible bathroom(built last year), as well as our wheelchair accessible treatment room. The east wing will have our only wheelchair accessible exam rooms. The new opening will enable wheelchair patients to cross back and torth between the wings. Currently, wheelchair patients must cross by exiting through one front door, traveling down an outdoor walkway, and entering another front door. This is inconvenient,time consuming, awkward, and uncomfortable in fine weather, and sometimes seriously challenging in snow and ice. I am sure that you share our goal:to provide improved accessibility for our disabled patients. Thank you for reconsidering this matter expeditiously. Respectfully, Cada La 1111Le.-"1,1 Carla Brannan Office Administrator a .o T v -� • 1 '� C 3 o zn X „� m .. v tyl c -I '/ Zoning Miscellaneous Additions,Repairs,Alterations,etc. ,ell..No 5 6- y?'-`1 Alterations \" %� NORTHAMPTON, MASS. /� ��`��J 19 Additions t, 47 Repair mr APPLICATION FOR PERMIT TO ALTER Garage 1. Location .(n O 1"(lap �6 �00 S11 }7Y)C, 5 ( 6143 �� Lot No. 2. Owner's name cl:S 0.4kK, -.X'5t Y> Address•(:o r.J iv �(? o&.: , S�-,o3. Builder's name .� ' 'Z Address `3• � 0-7.- t "-1 r Mass.Construction Supervisor's License No. 0 1'3 7 g3 Expiration Date 5-a I - cW 4. Addition I o 5. Alteration :...Do...X1 `i 11£, `DOORS e e.2.1 a.N. w a k 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 •rr G P c\ 6i a 0L 11. Distance to lot lines 12. Type of roof 13. Siding house C\Ap l oo.(t `` 14. Estimated cost:- QQO©.9:)-- The undersigned certifies that the above statcme are vue to the best of his, her knowledge and belief�l`y� Signature of re onsible applicant Remarks R. ... O' G.) �' a n _'