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35-235 o w 3 0 M C R `4.3 8 ,. u, Z D �O M I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No Alterations NORTHAMPTON, MASS. _ 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair • Garage 1. Location x Lot No. 2. Owner's name �'1 /K �' 21/Z Address--Z- o!3 f/of=1CV Ot',-lyr 3. Builder's name .F,.S&eJ; r1G' Add:ress ` 7- 2 Mass.Construction Supervisor's License No. G s U -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 13. Siding house 14. Estimated cost:- �. undersigned ned certifies that the above statements are true to the best of his, g knowledge belief. ? Signature of responsible appitant Remarks tIF It G�'7�� l� L/I VE ft_ 4�tWf pT oy _ Qr�itLT. tt y tTRtt w,..�af i339aChaftlta 8 ' m DEPARTMENT OF BUILDITIG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass.' 01060 , WORKER'S COMPENSATION INSURANCE AFM' AVIT C (li ceuseclpermi tree) with a principal place of businesslresidence ax: •2/KGs S'/, j'S% '"� ?G'/Z `�l� ©/U�(Pboneft) (mr t/ci ty/stairJzi 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 worsting on this)ob. (Insurance Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, general contactor or homeowner(circle one) and have hired ,.he contractors listed below•ti,•ho have th:; follow g worker's compensation policies: (Name of Contractor) (Insu -ncc Comparry/Polic7 Number) (Expiration Date) (Name of Contractor) (Incur-nom Company/Pok—,,Number) (Expiration Date) (Name of Conmctor) (iasu=c-- Compauy/Poticf Numbu) (E.1•piradon Date) (Name of Contractor) (Insurance Comparry/Poug Number) (Expiration Da tL) (ankh id&t3cua>1 lbod ifnacQVry to in 'udc icforaaaoa pert__$w.J1 oocrraGOn) 1 am a sole proprietor and have no one working for me. ( ) 1 am a home owner performing all the work myself. NOTE Plcaae be awuc that v;Ua bomcoKVcrs mbo employ pctsons to do ;,n, •acc 0o5ruc600-or rcpa'u work on a d'cU g of not mor»thaw throe tmiu is wh"the bomoewocr raidea cc oo tho Mounds sppuctcn tb=fzo arc nee gc c&y o ndccd to be employers under tho vmckcr`i oompc 4cc&Act(GL152,=1(5)),appti=6an by a hoa=wxr for a lio—cr Permit may cvidaoc the ItSJ dansa of as easployet under the Woricola Compemat ion Ad. I uodcstaud that a copy of"rwcmmt may be focwwzd�d to the Dep.rtramt of Indaua d ADS OfSOe of low"for the oov=Na c vcriBcd1oa and that fiU=to scram covcrago undcr soWoa 25A of MOL 152 caa lad to the impo. -of ai-6d Pcaaldn E oCa$ae tsCtsp to S1�S00.90 aadlor koprjso c of tip to one yes and 4ivt7 pm■21io is the foam of a Slop W«k Order and a . floe oC4100.00 a day sips tae A For acyathwaslWeiD F PcrmitNumbc; _. Simon. . .. er�aittoe • > ,. •" 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 i 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 columm to be filled in by the Building Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear s Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parkin 9i # of Parking Spaces ht 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 knowledg . DATE: I&IFAg APPLICANT's SIGNATURE NOTE: luatian6e 4bf a zoning permit does not relieve an applicanra Aurdan to comply with-gaii zoning requirements and obtain all required permits from the Board of Health. Conservtation Commisaion. Department of Publio Works and other applicable permit granting authorities. FILE # OCT 15999 y F1 1 e No. s , °°P R T APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: J.�r � / i l�dt'< �dh-%!?tr°CTd/Z Address: /O�i /✓�6�1 S 5�� i�S� ''� � Telephone: 2. Owner of Property: I L E // 21"9z e Address: /7 � �� L41 7 C/ Telephone: 3. Status of Applicant: Owner _Contract Purchaser Lessee _Other(explain): 4. Job Location: 12 Fes'! A [Wi�y Parcel Id: Zoning Map# J15- Parcel# S 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 PermitNariance/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) 17 BAYBERRY LANE BP-2000-0430 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -235 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2000-0430 Project# JS-2000-0744 Est.Cost: $2514.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DE Sheppard Roofing 066306 Lot Size(sa.ft.): 36241.92 Owner: PARZIALE MICHAEL J&LAURA I Zoning: SR Applicant: DE Shepoard Roofing AT: 17 BAYBERRY LANE Applicant Address: Phone: Insurance: 17 1/2 Briggs (413) 529-0170 EASTHAMPTON 01027 ISSUED ON.'1012111999 0:00:00 TO PERFORM THE FOLLOWING WORK.-SHINGLE ROOF OVER EXISTING 1 LAYER 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 10/21/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo