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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �J 7"0( Alterations
�?� Additions
NORTHAMPTON, MASS. t-- x_19
Re
APPLICATION FOR PERMIT TO ALTER pas
Garage
1. Location .D 3 , Lot No.
2. Owner's name Address `� -�-
3. Builder's name r Address P b 11 u /h
Mass.Construction Supervisor's License No. bl" 17 Expiration Date
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 ll
12. Type of roof
13, Siding house
14. Estimated cosL-
The undersi ned certifies that the above statements are true to the best of h,
knowled d belief.
Signature f res ons�blc app icant
Remarks �0� W �szwJ 1r 5
tit of 'Na rt1jamptnit
1,U i SEP 2 3 R!1 5 RC4 use IIs
m _ DEPARTMENT OF BUILDrNG INSPECTIONS
21,3 Main Street ' Municipal Building '
4 �v•
"— --korthampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFE)AVTT
F, PI Cnn, Tnn/PionP.P.r Cnnt.ractnrs
(LcenserJpermlttee)
with a principal place of business/residence at:
P.O. Box 1145 Northampton, MA. 01061 (phone#) 586-5491
(streeflci ty/stale/zi 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 working on this job:
Liberty Mutual WCI-31S-499822-038 6/30/2000
(Insurance Company) (Policy Number) (Expiration Daze)
( ) 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 policies:
(Name of Contractor) (Insurancc Company/Poiicy Number) (Expirnboa Date)
(Name of Contractor) (Insurance CempanyiPolicy Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyiPolicy Number) (Expiration Date)
(Name of Contractor) (Insurance Compazry/Policy Number) (E)Tiration Date)
(attach additional sheet if noccnsry to irx'aude informs2i oa pertaining to all occtra rs)
( ) 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 homeowacca who employ pcaom to do m*i„+m xn r construction or repair work on a dwelling of
not more than throe units in which the bomeowocr raid,=or on 64 gow�appurtenant thereto art not fly 0007idcrcd to be
employ=under the warker's oompe¢Saticn Act(GL152,n 1(5)),application by a homeowner for a licrnse cc permit may-id—the
regal os- of an employer under tho woricoea Compemation Act
r undastand data copy of this statement may be forwarded to the Dcpartmco2 of Indr>strid Acadcn&Ofoo of lrmxanco for the
covaage verification and that failure to scare covorago under section 25A of MGL 152 can lead to the imposition of crimiaai pcaaltiea
oonsitiing of a line of up to S1,500.00 xn&-imprisoamcrl of up too=ytw And Civil pcmlUa in the form of a Stop work Order and a
fine of 5100.00 a day against ma
For*Mtrneaw uao coly
permit Number
map#{ Lot#
Si ofLicansec/Fc,
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 ccln= to be fi2l.ed in
by the Bni2d2-ag Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minas bldg
&paned parking)
# of Parking spaces
ht of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information con fined herein
G is true and accurate to the best of my knowle e.
DATE: "L/�-�65 APPLICANT's SIGNATURE � ��--
NOTE: issuanoe of a zoning permit does not relieve an applioan burden o comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applloabla permit granting authorities.
FILE #
SEP 2 3 IN9 File No.
33
ZNo PERMIT APPLICATION (§10 . 2)
PiZE SE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Pt tsy��,•r-- �,���c��S
Address: P, Q , S wy 11�� r 'lY� Telephone: 5 lCt;l
2. Owner of Property:
Address: 16 Telephone: Ski 3f(Sb
3. Status of Applicant: Owner _Contract Purchaser Lessee
f/ Other(explain):.__
4. Job Location:
Parcel Id: Zoning Map# Parcel#_� District(s): R _
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property
6. Description f 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.
S. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW 1"/' YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW r/� YES
IF YES: enter Book Page _ and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO G-'� 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)
c
File#BP-2000-0334
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 I
T_ypeof Construction: INSTALL NEW RUBBER ROOF&FLASHING
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
T LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased 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 ission
Z
Signature of Building Offic' Date
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 :
36 KING ST BP-2000-0334
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV.-Block:32A-255 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildina
Category:roofing BUILDING PERMIT
Permit# BP-2000-0334
Project# JS-2000-0547
Est. Cost: $7000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Pioneer Contractors 017890
Lot Size(sq. ft.): 72614.52 Owner: STARNORTHAMPTON INC
Zoning: CB Applicant: Pioneer Contractors
AT: 36 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413)586-5491 Workers Compensation
NORTHAMPTON 01060 ISSUED ON.o9/24/1999 o:00:oo
TO PERFORM THE FOLLOWING WORK.-INSTALL NEW RUBBER ROOF & FLASHING
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 09/24/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo