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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19_ Additions
Repair
APPLICATION FOR PERMIT TO ALTER
..r.".. Garage
Lot No.
2. Owner's name 1,;11� t 4 / ‘1.1r-Li, Address 7 LI u.444.1 Cve
V
3. Builders name 1� � V ,,� , . - .`_� Addressie:e� eVa tS-� vne,/ ,.,,.-saa_—e x,p
Mass.Construction Supervisor's License No. h', : /J/=_L. Expiration Date a 41
4. Addition 1,
5. Alteration /C kite -Ate/c-� /.J,..,A._:,=s / / 4-,d eli /:v1iL a'; .---.:4-_.. 1._ Z` Y'
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:-.,—,.
The undersigned certifies that the above statements are true to the best of his, her
knowledge apd belief/7, j
ii/(� 1. .- Signature of responsible app:eaee
Remarks
Department: Reference No: BP-1999-0234
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
replacement windows REC-1999-000512
Paid By: Paid in Full On:
Jeffrey Cranston Wed Aug 26,1998
Received By: Check No:
Linda Lapointe 365
DEPARTMENT'S COPY Amount: $20.00
DEPARTMENT FILE COPY 40 DUNPHY DR
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:
26 Aug, 1998 BP-1999-0234 $20.00
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
8301 43 063 001 40 DUNPHY DR SR 15115.32
Contractor: License Type: Insurance:
Jeffrey Cranston HIC
Address: License No.: Insurance No.:
P O Box 307 101176
City: State: Zip Code: Phone:
WILLIAMSBURG MA 01096 (413) 268-3504
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0438 windows replaced $2,500.00
Description of Work:
REPLACEMENT WINDOWS & DOOR
GeoTMS®1997 Des Lauriers 8 Associates,Inc. Signature:
et
2 lYl
4 1 [f l / .�j
��O --i File Nar /
DEPT e':£dti-- 1
tirf I„ FOOING PERMIT APPLICATION (§I0 . 2)
'" PLEASE TYPE OR PRINT ALL INFORMATION
i+'
1. Name of Applicant: ,(t': '.��i t ,-- i II
Address: !/7,--1, .,-,:c. ,,, J .. -. Telephone: _ .
2 Owner of Property l e t rt_t , ,,‘ /8".' I?. r"c ,i
Address: YG' T.,a..)r„-, Ps- �,i,�„ tr Telephone: u� F�- /S�Y t
r
a Status of Applicant: Owner /Contract Purchaser Lessee
Other(explain):
4. Job Location: 9L' t n:1)k to 4, 4t..n..t9Adr` rvc'
Parcel Id: Zoning Map# Ii Parcet# Il/ District(s): 5,e
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S417,-/-
6
�' r
6. Description of Proposed Use/VVork/Project/Occupation: (Use additional sjteets,if necessary):
/0 e.„„),,,, ,,,,J,\,‘„,.. j vj,r2.-.era 2-9ft.ar ca.�.-- Do
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 PermitNariancelFinding ever been issued for/on the site?
NO L' 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 book,body of water or wetlands? NO 7----DON'T
JDONT 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)
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:
21. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
this cob= to be tined is
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: Ft
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
;paved parking)
# of -Parking Spaces
F of Loading Docks
Fill:
;volume--5 location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: K- C - APPLICANT's SIGNATURE -}i/
- i L _
NOTE: 1 of zoning permit does not relieve an lieants burden to comply with all
zoning requirements and obtain all required permits f the Board of Health. Conservation
Commission. Department of Public. Works and other applioable permit granting authorities.
FILE
•
a". e, 1 ' AUG L 4 ;998 1(,ifRI of dorf{�smptart _•
9 flIt+TCfj .� Aiu,crryacrtt,
ct4�, , DEPT DE at • �_
�a� "rip , v -DEP Torek OF BUILDING INSPECTIONS • _-(f--
. Math Street ' Municipal Building —_
Northampton, Mass. 01060 -''s
WO CER'S COMPENSATION INSUA
RNCE r1P'ITT
rIlAV
I. nT=� PAru\r1,,
(licensee/permiftre)
with a principal place of business/,esidence at -
c/
oi,� % iJ -4 i I'•}ice _�t, //_t �rt,cG I^df- (phone#) 9i f 72.s0O'
(streeUcity/statJzfp)
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following worker's compensation coverage for my
employees wolfing on this job:
(InsutanCompany) (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 followine worker's compensation policies:
_ •
:Name of Coneraor) (tat 2 Com(not( ofc!Nidnlec.) OM:pu 'ilCn Date)
(Nance of Contractor) (insvance Company/Policy Numbs) (Expiation Date)
(m.o:d:Pitioml:;..r Ynceomuyt - umpmom Soil
u,..,�__sore,. cx_—Pm)
I am a sole proprietor and have no one working for me
O I am a home owner performing all the work myself
Nom:plus-beaw.v<that..Lilo bvmcvwixn.t'w c_ploy pasoato tb vw oc w or rctair work on.dxclliny of
not no Mtn three=IP in which the h,--mmmomtsbice«on the go md,apurtemmat theao ex oa gincirally moidmml to Ec
mploym t kr the workm4 anpavtiaiArt(GLt52sa1(5)).applies ion by a hommtwr Or a 6c-nn a permit may cmicopc iSc
lege(dot's of an eyloyae under da werkda Cooqpig.tiou/pit
I uadassaod Met a copy of this netmeweet mey Sot vnl4 to Ma Dryntmvot of Indmmiil Accideafre Office of lcw+cm forts
veragevmficiioo writhes.failure to seas covngo abet section 23A of MGL 132 an Iced to the imN+otity ofaimwl pmiltie
cx -`„ofeEno of up to 5l$O.00 mMof mgznoatxm of Pp to arc ycarwfav]pmiltie in the form ore Slop work Daae and a .
Gen ofSMem•illy agvmt me
we cozy
/ / / Permit Number -
f - ,=5-�.,(� MaFor p'A Loth .
/� f�uc bi Lwcascc/Pcmuttcc ` —