Loading...
29-456 (3) o r M = m Z m r- �y � E O > 01 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS.0 C'% %� 19 9' Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location "72 C✓nt Vit37,1 /M Lot No. 2. Owner's name K4re-01 KWO '1A Address 3. Builder's name PZ/ t�'f1.11ljef?T- Address Q/ AC41 -J�1- Mass.Construction Supervisor's License No. 0(0 NISO Expiration Date ?— -3U—Zpt%C'j 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 SAS /j�!L} v[h.�✓��5 13. Siding house -V-z 14. Estimated cosL- a The undersigned certifies that the above statements are we to the best of his, knowledge and be 4ef. Signature of responsible app,icant Remarks �0 4�1tiA1 f PLO g' 6X14 DrfIIZ $21tIfIIIT � A �rtsaacflusctts DEPARTMENT OF BUIZDMG INSPECTIONS ��t}Fj�VMpjQN " 21.2 Main Street ' Municipal Building Northampton, Mass.• 01060 WORKER'S COI2ENSATION INSURANCE A.FTIDA.VIT Ncenscc/permi��ee) with a principal place of business/residence at: ` s /(i' ���✓. r44- (st�t/ci ty/sta2rJri p) do hereby certify, under the pains and penalties of peg3ury, that: ( ) I am an employer providing the folloWL'Ug 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 vyho have the following worker's compensation policies: (Name of Contractor) Ra uranc-- Compary/Poucy Numbc;) (Expiration Date) (Name of Contrctor) OM=, -nom Company/Pouc"Number) (Expiration Date) (Name of Connactor) (Insura.n� Comparry/Poticf NumL-zr) (E�puadon Dale) (Name of Contractor) (Lmu=c-- Company/Policy Numb--r) (Expiration Date) W12-13 xMf o"zScct ifnoocaary to mcFu&is f =--:ion pertaizCLng to.0 oo2ra n) ( a]n a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOM p!ca=be awue thst v�hi]o bca=,%mcrs,Attu cup lay P..to do® + ma�rurioa or repair vroric on a d..clliag of not me cv than throe units is which the bomoowocr rmdn cc oo tbo groin sypurtea%a the cw arc oot gaoc,a ooaridued to be cmployers under the-wkce%oomPcau4en Act(GL152Ss 1(5))6 appliration by a bomcown r fora liana a permit may cvidcaea the legsl dxbu ofas employer undar die Work es Coa�a ltd_ I understand.du t a oopy of thin aatomant may b•foeward.d to the Dcp*Aimcc a of I.&L.&al A-;&-f Oyu of Inau+ow r«d- oovmge vaifieatioa and that failure to uom oova-&V undo soction 25A orU0L 15T ua Ind to tbd impoaitioa of criminal pmaltics *oasis of a-fine of up to 51,500.00 aad�or of nip to oae yew and civil prmriic;a the form of a Stop Wait Ordrr and a fine of5100.00 a Any-guns;me . - Fau'O°6IIt ^j PcimifNtttnbcr . :_. l ,��... ��-��� -•Maw": I,ot.#• . Ss�o3hae afl:iaascdPe�lttx . .. .. .. - • 10. Do any signs ebst 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 —.L=m to be fiZZed ;r' by the Building Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lotarea minus bldg &paved parking) # of -Parking spaces # of 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 knowledge. DATE: ICI -j/-�'e)r APPLICANT's SIGNATURE�� NOTE: leaunnoe of a zoning permit does not relieve an applioant's burden to oompiy Wpo-all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applloable permit granting authorities. FILE # ;t ,Jt�S Fi 1 e No. N�Hp,MF�tlfi ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:)Z 1 O,,raCZ7 Address: y /(�� Sf Telephone: 2. Owner of Property: 44Ak^1 JJyS� Address: 72 CreSA1,&2✓ DW Telephone: -5,9- 336 3a 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: � - Parcel Id: Zoning Map# 2 Parcel#�_ District(s): (TO FILLED IN BY THE BUILDING DEPARTMEN- 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Proj�jct/Occupation (Use ad itianal sheets if necessary): CvueW ©,1e,� t f� !r`o®�� G/���i �4s%�i h�.✓�(S ��.o`y y./y 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOV%1 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 KNOVV 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) 72 CRESTVIEW DR BP-2000-0372 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-456 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:ROOFING/SIDING BUILDING PERMIT Permit# BP-2000-0372 Project# JS-2000-0598 Est. Cost: $8000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Ed Corbett Jr 116069 Lot Size(sq. ft.): 15942.96 Owner: KAPUSTA KAREN Zoning.URA Applicant: Ed Corbett Jr AT. 72 CRESTVIEW DR Applicant Address: Phone: Insurance: 4 Reed Street (413) 586-5192 NORTHAMPTON 01060 ISSUED ON.'1010411999 0:00:00 TO PERFORM THE FOLLOWING WORK.-SHINGLE ROOF OVER EXISTING LAYER & INSTALL VINYL SIDING 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 Sitnature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/04/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo