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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. - 7 �' Alterations —°'
NORTHAMPTON, MASS. �' �-( —1912 Additions
_
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �, C] .,- .z_��in (� r iV"�= Lot No.
2. Owner's name Address -
3. Builder's name Address !Zl)
Mass.Construction Supervisor's License No. Expiration Date 02
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 i1c_ ' „ �_.�_" r - f �
14. Estimated cost ;
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
c �
Signatuvt ojresponsibte appicont
Remarks
�o JUN 16 1994
laf 'Naz#Ijttillpf ail
a B !fit f 1 4jF I UILC1'11U 11a55tachcisctta
m '17EPARTM!-NT OF BUILDING INSPECTIONS
212 Main Street ' Manicipal Building
Northampton, Mass. 01060
wORTCER'S COMTENrSATION MSTTIZANCE AI'hIDAVYI'
-- / lictin-, r--x rmItt:c
Vi[I? a pI-r,.ClpaI D1aC- of bus*nt-s&/rCSs d e n "-t'. t
etAet
(lo 111tlCby C:.:il f-m, t1?1(1:. ills (1?!i1S 2i1C; 1)?ilc.itleS Or OC,rj111y 1121.
I and 211 enli)loycn cICi,;G:'S COL:IU ]�3i!vi] CG IOr [i7}'
CIL'[)IOVCCS '\ 'OI"c;irli c11 li1iS i)i?
4
ri711aLy) (i�0�'�-v �`,11t'1b�L) (!'tip 1)2:.''.)
2II1 c SOIe D>01) 7C.( : S�CIlr'r�l t ]'_t c(�Oi C }10L'1c0�4I]e: (CICC,e on,:') anci II,. h1reGl
Oic, contractors listc-c' belovr ,-T'l 0 It ; toilo.v Vwc:r>ers wmpcil IOn pol es_
(..:_IiLolt,Ot_.1PCcol) �I.__ ..�_!:,. _.:�I11, _ �'�'. - lLL_L,';) . .iJIL..uRD..t:
(Nalir Of ol cy (`-x;)il<.non DaIc)
r F 'Ut_y .luu Dal c)
(2�.,jjnc of Contrlctor) (,ns�I<rt �on t,l„,�ioii,,,r 1 umC�r)
(a:13di ati3i�m�l z:xc:LFrcc-wry t��r'v<k��._'cr-�u:iu:p:::iaiv:r,t��-;i cca:r_c4:z)
O I am a sole proprietor ails have no one v"orkino for me.
O I am a home ovrner performing all the v.,ork myself.
NOTE:please be aware thal w!alc he l='Au r3 wtr3 a-.:,)loY lxrsoaz Lo&min can co brut o0 or rcpau vorK on a d.\cll ag of
noe mcc a then throo units i:v,-hich the or oa tlu gcouix:s zpp.:rten,ni th.--dn rite oo(C"--UY oo¢si icrcd to be
employers under the cvQ&cr,5 ccnp a ion Act by a hom,cown�r far a licrnsc or pernui=y cvi(cnoc the
lcgl clams of an employoe under tho Woukc ,,conr�tion Act
I understand tlrsi a copy of thin amtcmmi uu.y bo fcwv,wciod to tbo Dctxitta—d of 1.& id Aeadai O¢oa of Isszti `i for the
coverage vaificitioa and that failum to scatrt covcrx so undo s-o t oa 25A of htOL 152 caa lead to tbd itnparilioa of c[im nsl pcasltia
coauv=g of a fine of up to S 1,500.00 andloc im soanvx-.t of tip to ory }car and Civil pcm 11 a in the form of a Stop Wotic O der and a
firm of 5100.00 a dxy cgauist me-
f ' Foe dg3at�uw only
Permit Number
a IT--) 5_9 4 Mai#_ Lo1#
Siulturc ofLian�cc'Pci7ni
� y ,
10 Do any signs exist on the property? YES NO
IF YES,describe size,type and location: ilia_ __-
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 COIL= to be filled in
by the Building Drpartmnnt
(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
&paged parkingi
# of -Parking Spaces
# of Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 7 APPLICANT's SIGNATURE A y' r {6—
NOTE: Issuance of a zoning permit does not relieve an applicant's burdelfi to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applicable permit granting authorities.
FILE #
h�
t
■v 6 F.i 1 e NoL'�—�--=
lu� Jun
PERMIT APPLICATION (§10 . 2)
,^t
-PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:A t ' �r e-.W'
Address: �D C�4 1Y 5 &C'n Telephone: 6-.2 7—6 c� P 4-
2. Owner of Property: ld rc?�yt C — Ro S I A
Address:S 5 dVeX/uu Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# gZe District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property _
6. Description of Proposed Use/Work/ProjectJOccupation: (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 Permit/Vadance/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 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)
1
55 OVERLOOK DR BP-1999-1097
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-201 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Cate og a:vinyl siding BUILDING PERMIT
Permit# BP-1999-1097
Project# JS-1999-1826
Est.Cost: $3950.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Larry Paquette 100679
Lot Size(sq. ft.): 15552.80 Owner: ROSH TONY D&ELSON
Zoning:URA Applicant:_Larry Paquette
AT: 55 OVERLOOK DR
Applicant Address: Phone: Insurance:
40 East Green Street (413)527-6375 Workers Compensation
EASTHAMPTON 01027 ISSUED ON:611611999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING, GUTTERS & SHUTTERS
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 6/16/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo