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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. lq Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `�� ,(��l�.CIN � ��� �L-�' 0106G Lot No.
2. Owner's name l d xyc-S Address /DS^ eielol( D4 010ka .9
3. Builder's name n F 5,f,F- ko goo r-liv(, ��' ,Address l ?: BW16 U s� ��%ff�'`1 rte- 0101,
Mass.Construction Supervisor's License No. 06 630 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
12. Type of roof ,15)P/M 4, 17
13. Siding house
14. Estimated cost:-
6 . The undersigned certifies that the above statements are we to the best of his
knowledge and belief. ,
Signature of responsible app icant
Remarks t'i C� (4k 15 tef 6W p Pq Slf1416c
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m g LLn { "I54PATMENT OP BUILDING INSPECTIONS
{ 212 Main Street Municipal Building
Northampton, Mass. 01060 '
WORKER'S C01"TENSATION INSURANCE ATTEDAVIT
of
(li ccn_ser/perm i ttee)
with a principal place of business/residence at:
n 4, i�-f 0 5'2?—dl 26)
(strre i/ci ty/stalr/zi p)
do hereby certify, under the pains and penalties of penury, that:
O I am an employer providing the following worker's compensation coverage for my
employees wolfing on this job:
(Insurance Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's comp--n a+ion policies,
(Name of Contractor) (insurance Comparry/Policy Number) (Expiration Date)
(Name of Contractor) ( u-u=c-- Company/Poliry Number) (Expiration Date)
(Name of Contactor) (In_sumnc-- Comtiauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anach additioaal,}tect if mca,sry to include informatioa pciYnining to all ooc3ra r,)
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 awatc tbxt whilo bomeoKnm woo emplay person,to do mAjDica acc eorSruetion or repair work oo a dwelling of
not morn than three unit,in woico the bomoow=raids o<oa th,ground,appurtenant tbactn arc oot y cocaidmd to be
employes undcr tbo worker`s ooa4x=400 Act(GL152,s31(5)�appticaDon by a bomcovma for a license cc permit may evidcooe the
1cga1 status of an omployer under tho Woricces Compmvtioa Act.
I undcrA*nd List a copy of this rnt—it may be forwarded to tbo Departed of Industrial Acddca&Offioc of Inauzaoe for tba
coverage vaific atioa and that failure to scaue covaago trndcr soc dos 25A of MOL 152 can lad to tbo'impoir w of criminal penalties
ooausting of a fine of up to S1,500.00 tnNor of up to ooe ynr and civil pcniNcs is the form of a Stop Work Orda and a
fine of 5100.00 a day tgainsi Iw-
For•dcpat=rbj v ao only
Permit Number
6' Map# Lot#
Signature c&L' ermittee
•
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 cola= to be fiSled in
by the RU12ding Department
Required I
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
&Paired parking)
# of Parking spaces
f 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: 6 APPLICANT's SIGNATURE
NOTE: laduladoa of a zoning permit does not relieve afi-impialloant'A burden to oom wit
zoning requirements and obtain all required Phi IA all
q permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
FILE #
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DEFT �F 8U4 ' ,'',F ,0 File No. Q
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL .INFORMATION
1. Name of Applicant: a,.S2'/MP6'1L,62 �GOFI&,C ( 91 i7ktdC 7e,72
Address BP-/6 6 ST Y171-)Pte'"N"A Telephone: 5 29-dr 26
2. Owner of Property: �� A.,/E
b5- 'erele' r�ov f 'Telephone:
Address: � �� ��, Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): 9 00 FlN'15 won-TcT�iZ.
4. Job Location: !"�S /alo it u'>y8J ryl0 6 0
Parcel Id: Zoning Map# -d ( Parcel# 14) District(s):
(TO BE BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Pro osed Use/Work/Pr�o!'ect/Occupation: (Use additional sheets if necessary):
�r lv ,5'0't* .`� '7V7-79Z
cLOU Gr. SGG``dz1h`r�-cS Elie �'L y t�
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 DONT 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)
105 BRIERWOOD DR BP-2000-0291
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-Block:29- 183 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-0291
Project# JS-2000-0468
Est. Cost: $1896.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: DE Sheppard Roofing 066306
Lot Size(sg.f4.): 10367.28 Owner: JONES PETER A&ELEANOR B
Zoning.URA Applicant: DE Sheppard Roofing
AT: 105 BRIERWOOD DR
Applicant Address: Phone: Insurance:
17 1/2 Briggs (413) 529-0170
EASTHAMPTON 01027 ISSUED ON.•o9/16/1999 o:o m
TO PERFORM THE FOLLOWING WORK.-SHINGLE OVER 8.5 SQ & STRIP & SHINGLE 4 SQ
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 09/16/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Ga Repair
//�� rage
1. Location 55 l��P14rW--Cx)r,J L),12. Lot No.
2. Owners name G(0fLG/414 .1e ;�545 y Address__-5S&&--&&
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration miyJ Salley" qlwa '466 E�
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. Estimated cost: �St
The undersigned certifies that the above statements are true to the best of his,
knowledge and belief.
/� Signature ojr onsib(e app�icant
Remarks :'/ti)&EYe &/)J Ofif/D�dC.rs //t/ vP PS/77dlJ /fir - •f i/ •�JU f�/C'4%/.y�
r
o . oy 1 1999 Crio of Xart4anlptan
9 6 �asaachnsctls
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. ' 01060 y
WORICER'S COMTENSA'TION INSURANCE AFFIDAVIT
with a principal place of business/residence at:
55 jei&,Xet�001) ,e . 0/06Z (phone#) S8Y- 63
(st-ect/city stald2ip)
do hereby certify, under the pains and penalties of pedury, that:
( ) I am an employer providing the following 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 who have the following worker's compensation policies:
(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)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioosl sheet if n6c=Ary to inc7 infoemati oa pata.ining to all 000trndon)
( ) I am a sole proprietor and have no one working for me.
Q'4 I am a home owner performing all the work myself.
NOTE:please be aware that wElo homcowucn wbo cmplay persons to do mx • c0,,t ioo'or rrp=work on a dwelling of
not mote than throe units is which the homeowner resides or oa the grounds zppurteawA ibatto are not ge ocrally ooc-datd to be
employers under tbo wmicer`s oompcnaxiim Act(GL152,ss 1(5)),application try a homcowntr for a riccnx or permit may c%idc=the
legal etatua of an employer under the Woricoes Compomation Act
I undmUnd that a copy of this datcmmt may be fmw rded to rho Dcperw.a of In&strial A ddaa&OPboe of Ia=aaoo for the
coverage verification and that failure to secure eovaago under sor-doa 25A of MOL 152 can It'd to the'imposition of aimiaal prnaliics
coausting of a fine bf up to 51,500.00 and/or imprisorm of up to one year and awl pcsniGes in the form of a Stop We&Order sad a '
firm of 3100.00 a eery ag�iaA M.
FordgmtwmW uao only
Permit Number
gip# Lot#'
(—iZ9mnXabj=rc ofLilPermittco
P 11999
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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 COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Banding DDepnrtment
Required
Existing Proposed By Zoning
Lot size '201) 7
Frontage q7 76) 1'7"7 701
Setbacks
- side L:c✓S R: L:095 R: 45-
- rear 7 12,v 1
Building height
�20 35
Bldg Square foot � j r7�� ��-
W - a
%Open Space:
Lot area minus bldg I Cj i b-7 2 -7 �.� ��27 S---
f
&pa;•ed parkin � Q / (�
# of Parking spaces
f 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.
DA'Z'E: APPLICANT's SIGNATURE L�
NOTE: Issuance of a zoning permit does not relieve an appiioanva burden to oomply WpI7 .$11
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Public Works and other applicable permit granting authorities.
FILE #
� r
SEP
Fi1e No. Q
ZONING PERMIT APPLICATION (§I0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &_&a4�
Address: 5s- zV/1x4V0 0/) /_k Telephone: SSY 5-96 3
2. Owner of Property: U111-C10W f 6
Telephone:
3. Status of Applicant: _Owner _Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel#� District(s): �
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) 7-
5. Existing Use of Structure/Property_ 7 rjy
—t=;;o
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/N 5%741,1- I9 /laarr t4OW PUAJI zSW11,4MIAI-4 �.
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 KNOW y% ' 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-2000-0224
APPLICANT/CONTACT PERSON BOMBARD WILLIAM R&SANDRA J
ADDRESS/PHONE 55 BRIERWOOD DR 584-5803
PROPERTY LOCATION 55 BRIERWOOD DR
MAP 29 PARCEL 157 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid
Tvpeof Construction: INSTALL 2T ABOVE GROUND POOL
New Construction
Non Structural interior renovations ,
Addition to Existing
Accesses Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE F LOWING 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 Conservaf ommission
A
Signs a of Buildin Official 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.
55 BRIERWOOD DR BP-2000-0224
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29- 157 CITY OF NORTHAMPTON
Lot:-001
Permit: Buildina
Catego Above ground pool BUILDING PERMIT
Permit# BP-20000224
Project# JS-2000-0363
Est.Cost: $2500.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq ft.): 20691.00 Owner: BOMBARD WILLIAM R&SANDRA J
Zoning:URA Applicant:_
A_ T: 55 BRIERWOOD DR
Applicant Address: Phone: Insurance:
ISSUED ON.o9/o9/1999 o:oo:oo
TO PERFORM THE FOLLOWING WORK.-INSTALL 27' ABOVE GROUND POOL
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 Sienature:
Fee Tyne: Receipt No: Date Paid: Check No: Amount:
Building 09/09/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo