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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 � Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location
31 Lot No.
2. Owner's name Address
3. Builder's name ex 76
Address P,-vx 1 )q�—,
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
S. 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. Estimatedcosu-
The undersigned certifies that the above statements are we to the best of hi
knowledge, belief
Signaiure of responsible appicam
-374:, 3%?
goo �I� D� �IIZ�Ij&111�.7�Dn
3 2000
� �asaxchnsrtta
NNSfl-RTT,= EP TMENT OF BUILDING INSPECTIONS
–'21- Main Street e Municipal Building
Northampton, Mass. 01060 w,y
WORKER'S COMPENSATION INSURANCE r + AM
I, PI CnnTnr/PianP.P.r Cnnt.rartnrs
(li censcr�'permi t t.ce}
with a principal place of business/residence at.
P.O. Box 1145 Northampton, MA. 01061 (phoneii) 5A6-5491
(street/ci ty/sta2eJa p)
do hereby certify, under the pains and penalties of pegury, that.
( � I am an employer providing the following worker's compensation coverage for my
employees wor :ing on this job:
Liberty Mutual WCI-31S-499822-038 6/30/2000
(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 workers compensation policies:
(Name of Contractor) (Insurance Catnpany/Policy Number) (Expiration Date)
(Name of Contractor) (Laurance Compa. ,,Toney Nurnir r) (Expiration Date)
(Name of Contractor) (Insurance Compan),/Policy Number) (Expiration Date)
(Name of Contractor) (Laurance Company/PoUy Numbes) (Expiration Date)
(-Hach additional sheet ifnoocaary to include infami:ion pertaiauig w all coarndors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:pteaae be aware that wtulo homeowners Abo employ perroas to do tnairacaulce,conxru -or rrpair work on a dwelling of
not more than throe units is which tbo homeowner reside,or oo the Qou4,i b appurtetLUri theccto arc nee gaxralt-y oocaickmd to be
employers under tho worker's oompensatioa Ant(GL152,as 1(5)} appli:a:ioo by a homeowner for a beers=a permit may cv 3cace the
Itgal asters of an employer wader the woricoes Compemat ion Act.
I undetssa dut a copy of this eutemmt may bo forwarded to tho Dcpumxaa of ladusuial Aoadccz&OfSoe of Iffnuwoe for the
coverage vaifieatioo and that failure to secure covcntgo under stc=oa 25A of MOL 152 can lamd to the impoiiiioa of"-LM M3.1 penalties
oomistiug of a fine of up to 51,300.00 uAloc=pmomnera of up to otx year And civil pcuaj im in the form of a stop work Order and a
find of S 100.00 a day against me-
For dgaatuane.t—oaly
permit Number
Map# Lot#
ignahux of Lic=seclPc ` e
_
10. Do any signs exist on the property? YES NO
IF YES, describe size,type and location.. TL
Are there any proposed changes to or additions of signs intended for the property? YES NO V
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coloma to be filled in
by the Building Deparcment
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paned parking)
# of :Parking spaces
# rof Loading Docks
Fill:
4 volUme -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowle ge .
DATE:
APPLICANT�s SIGNATURE--�/
NOTE: Issuance of to zoning permit does not relieve an pplioan s burde to mply with tall
zoning requirements and obtain all required permits from the Board of Health, Conservotion
Commission, Department of Public Works and other applicable permit granting authoritios.
FILE #
�
Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: PID1Mr�
Address: C U ' �V� 14Sj _�16 t yV��4��^ Telephone:
2. Owner of Property:
Address: 3b � T Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
1/8ther (explain): �^d�
4. Job Location:
Parcel Id: Zoning Map# Parcel# ss _ 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):
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 PermiWadance/Finding every 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)
File#BP-2000-0635
APPLICANT/CONTACT PERSON Pioneer Contractors
ADDRESS/PHONE PO Box 1145 (413)586-5491
PROPERTY LOCATION 36 KING ST
MAP 32A PARCEL 255 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid 1070 —
Typeof Construction: REPLACE EXISTING BATH RUBS&WALL SURROUNDS-RMS
370,371,373,374,375,376,377 _
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License 017890
3 sets of Plans/Plot Plan
THEYOCLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
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 Board of Health ` Well Water Potability Board of Health
Permit from Conservation Commission,
Signature of Building Official Da
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
r K
36 KING ST BP-2000-0635
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-255 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0635
Project# JS-2000-1144
Est.Cost:$14000.00
Fee: $70.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Pioneer Contractors 017890
Lot Size(sq.ft.): 72614.52 Owner: STAR NORTHAMPTON INC
Zoning:CB Applicant: Pioneer Contractors
AT. 36 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586-5491 Workers Compensation
NORTHAMPTON 01061 ISSUED ON.1 16100 0:00:00
TO PERFORM THE FOLLOWING WORK.REPLACE EXISTING BATH RUBS & WALL
SURROUNDS - RMS 370,371 ,373,374,375,376,377
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 1/6/00 0:00:00 5552 $70.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo