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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. /01 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 6 4 YAL —5
2. Owners name A' e ('C../kAA Address 1i 14 Liu) k
3. Builder's name r o t !3 -P-0/.(IZ•'2 Address -T Z t''a(,,c
Mass.Construction Supervisor's License No. 2 r'1 ,E Expiration Date
4. Addition / CArL$lnc'� —o,�8 OkUL))
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 1 i Ft Ce� C AC(i ID 4 r L� L.( (6 f
12. Type of roof (�A JLel Mb/&T <'tl/wiolr2 s
13. Siding house JJIA/ YL
14. Estimated cost:
� 61, ao
The undersigned certifies that the above statements are we to the best of his, her
knowledge and bef .ff.
Signature of responsible app,icani
Remarks
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m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street e Municipal Building
Northampton, Mass. 01060
WORICER'S COTiUENSATION INSURANCE t MAVIT
I,
(li cerLSecJpermi ttec)
with a principal place of business/residence at:
(phone#)
(str-�t/ci ty/state/ri p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(lnsl=ace 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 Contactor) (Insuranc;, Coinpany/Pohc-r Nur c,r-) (Expiration Date)
(Name of Contractor) (Insurance Company/Policr Numl;er) (Expiration Date)
(Name of Coati-actor) (LasU C_- Compa_ay/Policy Number) (E),plmtion Date)
(Name of Contractor) (Insmmnce Company/Policy Number) (Expiration Date)
(a-ch additional shcci if noo=ury to inc}udc information pcataining to all�C c ")
(1 am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:phase be aware that whilo homcowum who employ r-t—s to do m+ coastudioc or repair worst oa a dwelling of
not moco than thtroo units is which tbx homoowncr r=&:i oc oo the�o�aP art a thc.^dn°�not Cc ooasidcrcd to be
cmploycta under the vvoric s oomp�saeon Act(GL152,s 1(5)),appdcaflon by a hancoavcs for a Gaase oc permit may cvidcam tho
legal d-f,, ofan employee undertho Worl;cla CompeasA on Ad-
I underttwd that a copy of thin c_tatcmcn2 may be fbrwt rdod to the Departmcut of Industri a!Aocid_&OfSoo of ic—foe the
coverage vcrificatioe snd that failure to sexutt co ca under sceiioa 23A of MOL 152 can l-d to the imposition of aimia-d pcmltics
c omistiag of a fine of up to S 1,500 00 for k3prison of tip to one year and civil pcmriia to the form of a Stop Work Otdcr and a
fine 0(5100.00 a day igaitnt t>x
Si n t f b For&pntl u-
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ErfLicse e t
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2-OCT-1998 09:08:50 Hampshire County Registry of Deeds Receipt No: 90754
Marianne L. Donohue, Register of Deeds
33 King Street
Northampton, MA 01060-3298
Name: HENRY KABAT Addr: 884 RYAN RD
FLORENCE MA 01062
Receipt Type: OR
Payment
Total Pages: 0003 Fees Taxes
Fee: $ 10.00 Cash: $ 0.00 $ 0.00
Tax: $ 0.00 Check: $ 10.00 $ 0.00
Misc: $ 0.00 Charge: $ 0.00
Charge Code:
Comment:
Receipted By: DIANE Status: PAID
DOCUMENTS: 980027738 to 960027738
-----------------------------------------------------------------------------------------------------------------------------------
ype Page Doc Mref Consider$ Record Fee Excise Tax Stat Misc Fee Record Date Document# Book/No/Page Status
--- ---- --- ---- ----------- ----------- ----------- ---- ----------- ----------------- --------- -------------- ------
IIS3 003 0001 0000 0.00 10.00 0.00 0.00 2-OCT-1998 09:08 980027738 OR /5500/0251 INIT
Page 0001 of 0001
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10. Do any signs exist on the property? YES NO L�-'
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.
Thia column to be filled in
by the Wadding Department
Required
Existing Proposed By Zoning
Lot size , �°c �
Frontage 1 1
Setbacks `I ( ' L' " (o b I 3o
- side L: 31 R: /(a ` L: 6 9 r R: Ito
- rear 13z 1
Building height
Bldg Square footage
l 3 0 �� S Q ri', '-1'-! � 5� l i.
%Open Space:
(Lot area minus bldg 1�j f �S Q�,� j t-� ^� C �^- �7 a
&Palled parking)
# of Parking Spaces
f rof 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 knowle ge
� m
DATE: l3 � APPLICANT's SIGNATURE
NOTE: lea an a of a zonin
g permit does not relieve an applicant's burden to comply wit4,,ipll
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commisslon. Department of Publio Works and other applioable permit granting authorities.
FILE #
j
/
JUN 2399'.:
File No. 3 ;�e
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: i-z l..A(j o`(�( CT, Telephone: � ` 6
2. Owner of Property: W'qr..q'Q Cq 3CT-
Address: �{ K Y,4N �4. Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): t/76 4.1 7/Z A C 1--0 A
4. Job Location: 60 '/ 2eY
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S F4
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
i
7rACgdQ IC'o dsi SlfC-3
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 KNOhl' /' 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 c/ 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 I 9 7
JUN 2 1
APPL CANT/C TACT PERSON:
PROPERTY LOCATION: ,
MAP J PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PER UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Building
Tylie of C'nnctrurtion-
Remnrielirig Interior
Acres nry Strurture
Biiildin<Y `P1nn _
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
V 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:§t. 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
Well Water Potability-Bd Health
Permit from Conservatio ommission
Signature of Building for Date
NOTE:Issuanoa of a zoning permit does not relieve an applioant's burden to oompty with ali
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
File#BP-1999-0370
APPLICANT/CONTACT PERSON David Fortier
ADDRESS/PHONE 32 Laurel St 586-8965
PROPERTY LOCATION 884 RYAN RD
MAP 35 PARCEL 072 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid ✓
Type of Construction:
New Construction 161 �'
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant 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 L''----
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
0 41-,6
Signature of Buildin 5cial 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.
Department: Reference No: BP-1999-0370
...................................
Building,Electrical & Mechanical Permits
Fee Receipt No:
shed REC-1999-000966
Paid By: Paid i n Full 0 n
David Fortier Wed Oct 07,1998
................. .. . ...... ......
Received By: ............................................................... .Check.No:...................
Linda Lapointe 454
.........................................................................................
..............•......•................
DEPARTMENT'S COPY Amount: $45.00
.............
DEPAwrMENT FILE COPY 884 RYAN RD
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0370 963704 $45.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
6889 35 072 001 884 RYAN RD SR 19994.04
Contractor: License Type: Insurance:
David Fortier CSL
Address: License No.: Insurance No.:
32 Laurel St 008026
ci!n State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 586-8965
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0231 shed $9,800.00
Description of Work:
CONSTRUCT 16'X 28' STORAGE SHED
GeoTMSO 1997 Des Lauriers&Associates,Inc. Signature: