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Zoning
Miscellaneous Additions, Repairs, Alterations. etc. Tel. No. Alterations
: NORTHAMPTON, MASS. 19 Additions
717.414
A PPLICATION FOR PERMIT TO ALTER Repair
;, Garage
(_,' Location /6 DA 410% !� / /C 4...V Lot No.
,./"2
' Owner's name a i,...z_N, GJ Address � PIA/ x/ ARO
uilder's name -i C S t e g c oV FIN , IA) G C. Address
Mass. Construction S, rvisor s icense No.
1 0 6( Expiration Date 9//
4. Addition D
z� Alteration L°. - ie o 0 F W (T44 Fo f M IA I S v t-•- T -# ! a A) v St/ 51e e PL-7 'm e frl - ..
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
timated cost: es 0, 00 0. 00
The undersigned certifies t the above s cnts are true to the best of his,
kpc vledge and belief.
(,S /'
Signature of responsible applicant
Remarks
• _ - . . . J
;., r Iggg # • C Of A ry fIlanr. tan • - t, = *
.;t a "., c • s ti . � Ak1G swan itrstlls . • ; =-=_-_--
_.
V a� t, Y DEPARTMEN OF BUILDDQG INSPECTIONS .4 °- t
. 212' Main Street ' Municipal • Building .
Northampton, Mass. 01060 A ,`',.
•
WORKER'S COMPENSATION )NSURANCE A.14T1DA,VIT
• 1 , . .1 0SG R
(PC(jj cCf►�(‘) !MC
(lic nscc/perrmittec) .
with a principal place of business/residence at:
•
)to kit\ex' Akre /S '.�a..ti.. ;'(l'1 �(?�_ C%1 i (phone #) 4L/ y
(atrt/ci /stair/zip)
do hereby certify, under the puns and penalties of perjury, tint:
(am an employer providing the following worker's compensation coverage for my
employees working on this job:
P. ft v S. 8S • r /
et-e .1
L
(Insurance 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 Contractor) (In.s uanc Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) . • (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(aaarh sdditioarl short ifnoeca,sy to mchidc information p - t.ising to all coo: eors)
( ) 1 ant a sole proprietor and have no one working for me.
( ) I aJn a home owner performing all the work myself.
NOTE: please be aws.re that WhiJo homeowners orb* employ pecans to do r••:•.+ •, e, oocmuctioa•or repair work. on a dwelling of
not moco than tbroo mitts in which the boasoowner resider or co the grounds appurtensed tbec to ue cot cooerarly ooaridcred to be
employers under the worker': oompeasation Act (GL132,1s1(3)) application by a bomcownir for ■ licenx or permit may evidence the
legsl rtatu. of an employee uad.rthe Werkoer Compemation Ad.
•
1 modern and that a copy of this atat may b. forward.d to the Dcparmxrot ofledustri.l Accidc' Offioo of kwr+ow for tb. .
coverage vai&Cation wad that failure to smure: ooveraso tinder soctioa 23A of MOL 132 era lead to the' imposition of criminal pc ikid s • : i .
oomirtiag of Etna of tap to S1.560.00 mNor imlxiiorpmcs>t of tip to one star sad dull realties is the form or* Stop Nyack Order sad a . .
Sao o(31,00.00 a.• ,*pinsttae: •
''` , - For&p.:t cce l%usoo .
• Pctmit Number! .
• o . — ./ 4 • ye 7 m.sf >:.otS • -
;-'4;;Q.:, S... of Li: - • =mitt=C • ' / fro
,
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:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(LOtarea minus bldg
&paved parking)
# of Parking Spaces
#' of Loading Docks
r
Fill:
{volume -& location)
13. Certification: I hereby certify that the information con -'ned herein
is true nd accurate to the best of my knowled•r. /
DATE: / / 97 APPLICANT's SIGNATURE ,
/
NOTE: 1 ua oe of a zoning permit does not relieve an i plioanes burden to comply with
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other appliouble permit granting authorities.
FILE #
i
ti AUG 1 1 1999
"- Fil No 6
3
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT .ALL INFORMATION
� Q
1. Name of Applicant: 3 0se f A , CACC-O PO 0 F ) I) c.
n
Address: ) -(0 )4 , ,,' . J't MP_ Telephone: 'fl 3 '. 7 ?� - "6 6
2. Owner of Property: t i l I l l1 'o c%
Address: / 0 ' Di y' Q R 0: Telephone: 4/ <3 ,c -L./L/1'7
D
3. Status of Applicant: Owner Contra.. - urchaser Lessee
Other (explain): /� 4. Job Location: T1zl?ziTT Z ,
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) 4'801/ 5. Existing Use of Structure/Property Pe fL._ I /3 ) eL o(.j / RPS I L>er f P
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary):
p€ ec.oF FLA- , oQF (,U 1TH 14 Intl) Far1,'i //I/S eL19 -1-)zn t uh i te
TPO s 1 k - r L y A -,`NI IS RAITQ P_ .
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 # rD
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)
e■
104 DAMON RD BP- 2000 -0146
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18D - 004 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildings
Category: roofing BUILDING PERMIT
Permit # BP- 2000 -0146
Project # JS- 2000 -0236
Est. Cost: $12000.00
Fee: $60.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JOSEPH RACCO ROOFING INC 118641
Lot Size(sq. ft.): 87120.00 Owner:_vIOCK WILLIAM D & EVELYN F
Zoning: GI Applicant:jOSEPH RACCO ROOFING INC
AT 104 DAMON RD
Applicant Address: Phone: Insurance:
260 HARKNESS AVE (413) 782 -6886
SPRINGFIELD 01118 ISSUED ON:8/11/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:REROOF FLAT ROOF W /4" FOAM INSULATION &
SINGLE PLY MEMBRANE
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 8/11/1999 0:00:00 $60.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo