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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. t� �� z `> Alterations
NORTHAMPTON, MASS. <=�T `� lg!SL Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��' ° ' <y I v w i 2 I Lot No.
2. Owner's name t\�� LEA, t t Address
3. Builder's name Address c-TV
Mass.Construction Supervisor's License No. C�' Y `� ' Expiration Date l7�i 16''4 0
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? I\t
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:-
` to the best of his her
The undersigned certifies that the above statements are we
knowledge and belief.
Signature of responsible app icani
Remarks he�- t t i C t7 b-,`C C G y S j i w i t rte Y4-IA rlr
L-7.
�• •g Grit af Naz#llaili hail
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OCT 7 1199$ its%Rchnsrtts
DEPARTMENT OF BUILDING INSPECTIONS
f 212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORICER'S CWt ITENSATTON INSURANCE &F + AVU
j�. C:7C._CC.,try A(\-'j
(li censecJperuli tree)
with a principal place of businessIresidence at:
Cry e^(t r t.:,arR'i1,�PNp't�c.lh•(phone#)
(str e°..t/ci ty/stal elri p)
do hereby certify, under the pains and penalties of peg3uly, that:
(4- 'Ian an employer providing the following worker's compensation coverage for my ,
employees working on this job.
r 7 9- 00-D9�) y F l /ter V
(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 compensation policies:
(Flame of Contractor) (lnsun3nc:- Cotnoarry/Pokcy Number) (Ex��itatio❑Date)
(Name of Contractor) (Insurance Conimim Police Numb r) (Expirauo❑Date)
(Name of Contractor) (Insurance Comparry/Policy Number) (Expiration Date)
(Name of Contractor) (Insm-mc, Company/Policy Number) (Expiration Date)
(attach additic"sbect if nosy to include information per�to all ooatmdon)
( ) 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 awvc that while homco"mcrs wbo cmplay persons w do maim •ncc cou5&uctioa cu repair work on a duelling of
not mocc than three twits is which the bomeowncr r aides cc oo the gm ods appurteasut the;ern arc not&cecr'dly oemidemd to be
employers tinder the vmrk&es oompcuatioo Act(GL 152,=t(5)),application by a homcoavcr for a Grease cc pcimit may evidence the
ltpl rtatua of an employer under tin Workces Compmsition ACL
I undcrA=d that a copy of this statemmi may be fory vrded to the Dcperlm d of lnastri al Axid—&OfSoe of Imurznoe for th*
ooverlge vaificatioo and that failure to satire covernga under soctica 25A of MGL 152 an lad to tbd imposition of ecimiosl pcamd
coanstiug of a•fine of up to$1,500.00 and/or irNn soum aL of up to one year and civil pcmltice in tbo form of a Stay work Order and a '
finer of 5100.00 1 day against mG
For dq use oily
Permit Number
' Sign:►tu>t�oft.itx�scelPeiznitice � ••
10. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This color= to be filled in
bT the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pai,ed parking)
# of Parking Spaces
f of Loading Docks
Fill:
(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE_ L,
NOTE: Issuanoe of a zoning permit does not relieve an appiioant's burden to oomph wlt"`$li
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioabia permit granting authorities.
FILE #
;a
° OCT 71,998 'I
i ...., -._a_..,.__ ... File No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: K3 o a i ---c\, L ,J
Address: 26 S C7Q-'� (Qs- c-T-4- Telephone: y l 2 2 cJ
2. Owner of Property: QA- ( 61VZ�- o k E-L-'.-> 04y S C
Address:-37) 3ti�i`�'� 5� >;2-( 6 JC,2Q-y V Telephone: 91 ' 3-
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: oL&j
Parcel Id: Zoning Ma p# Parcel# District(s): ZIYO C--j
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property N - 0 V\k( -�L v A 'j r Z
6. Description of Proposed UseMlork/Project/Occupation: (Use additional sheets if necessary):
tv iJ')( i e t'c12�',0\1C 6Z
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 KNOltiI- �c _ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW '2C- YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO_�<7 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-1999-0365
APPLICANT/CONTACT PERSON Robert Reckman
ADDRESS/PHONE 36 Service Center 584-1224
PROPERTY LOCATION 50 UNION ST -Unit#21
MAP 32A PARCEL 58 ZONE
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{O
T e of Construction:
New Construction
Non Structural interior renovations Q �
Addition to Existing
Accessory Structure
Buildina Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan ✓"
T E LLOWING 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 Conservation ission
Signature uilding Of icial 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.
City of Northampton
7 y
Building Department
Office of the Building Inspector
Permit No: BP-1999-0365 Date issued 10/08/1998 Fee $40.00
Map 32A Block 58 Lot 021 Zone URC Section 116 ❑ Yes ❑ No
ll; UILDING PERMIT
This certifies that Robert Reckman CSL009498
has permission to ENLARGE &ADD CLOSET& REM FIREPLACE Inspection on site -Foundations Over❑
at 50 UNION ST -Unit#21
provided that the person accepting this permit shall in every respect Inspection of Plumbing-Rough Over❑
conform to the terms of the application on file in this office, and to the
provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing-Finish Over❑
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Gas Inspection Over❑
of this permit, Expires six months from date of issuance,if not started.
Inspection of Wiring Service Over❑
Note: A certificate of occupancy will be issued by this office upon return Inspection of Wiring- Rough /&IlezllfP Over 11
of this card by the Plumbing, Wiring and Building Inspectors. Inspection of Wiring-Finish /A //G AW Over❑
Building Inspection - Rough d J� jC3- � �-q'� .�f7�ver❑
*Plumbing and Electrical Inspections required before "
Building Inspections Insulation Inspection Over❑
Building Inspection - Finish_0 Over❑
Smoke Detectors (Fire Department)
This card must be ted on site visible from Public wa
Certificate of Occupancy
Buildi Commissioner