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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
%r NORTHAMPTON, MASS. 1 9 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location AP i c 5% Lot No.
2. Owner's name 3 G o .ice) \J F r) i A Address /� /)I11 -r i
3. Builder's name T J cP j r S A'S L; , Address 1 1 �` 7 IiJ i∎-->7 i7 i"
Mass. Construction Supervisor's License No. a / �j G1.5 Expiration Date 6/579 ',
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? '/, CJNI` 12 / “„ .7 y ,i i Oa v i? ))_)
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 and belief.
� '' Signature of responsible applicant
Remarks &/-I r5 r cep p 10''cV 1'1 y S i NJ c cio cri'v► ca../L-11 4 6 . ./ Ale 12 c 5 ,j ( v;'..
-
O � -1 , _ • • ••......:::_:,.......i,,,,......
4
$ it : Q 6 • l x3sxcans _ �
' 1 �I�
s DEPARTMENT OP BUILDING INSPECTIONS f
212 Main Street ' Municipal Building `
Northampton, Mass. 01060 ONO '
WORKER'S COMP ENS A "nON ENS(JRANCE A_FFID AVTT
7
!, ;ttiAt. r w - • ,r) -_ - —
.' (1i clscdp;.lv.
V/ith a principal place of business/ eside.nce at.
rc ;` JAA))11 - -_� y A _il » I)rvN (p t] o [lei)) _ ? t1- o j c'7:
(err Ucity /sU1tdnp)
(lc) hareby ce,f•Li y, lucid tllC pal )s C:[lii pf_:o:Iluec Oi ;p rjl'_ii ',i11i
( ) 1 ml ?n i:LIlpl( ) i): ','id nc iaC roll )Avul• 1 v. cOtill)Casgicm cover i for Ill)'
;1 pl0\'(:'.',S WO' :li v{ On inIS IOU.
(LEISuI I_O CO CO_]_'y) (POI._1 _,r) CI_.0 2iio Dalf,)
( ) i am a sole: ;C c " ; ?
Outi01, C]
iC C.
Call '.,lll1 C C[0. i0
Cr - i ne –o - C'n - lei (c!i OH
.C.) anC: L:-\'e lir`:;1
t cont`aci0 •l!ste,d L:,10 ';','1'10 1 ( :c'. O 1 ):Jan C' , °:nsaii0:. ;?O11CleS.
(Ha me of Coi't�1Cio:l — (1 1,1 !! c (,o! p:-.Iy /PC -ICj IC'Wi *''r) (on Da(e)
- (Manic of Coarj cto:) (insli! l (E•;)lr „:Lion Daft)
- (Name of Contr,.cio, (IrS>imacc: Comoauy /Folic) NunU ) (Lxpil2don Dal:)
(: -tllC -,d'! uccv! t,_ct Jf•<ccc, cx, :o-J,u'- u2.ccs b cc. .tci :r_g to ill ccc.f:�or )
1 am a sole proprietor and have no °11e wor1ang for me.
) 1 am a home owlier performing all the work myself -
•
NOTE plr b a . c tha hlnlo bOQJoQWOCf] wbo employ pa oa to di trminicamc., c h uion:or rap.dr dacd to be
o f
not me than 11:100 units in whit q the b omoowp rCr5, or on tbo Woods xpp L'1 L2
1irtc. 1ber o no( t. '11}' oo03
erc under the wodceex icocapsco,tsiica Art (GL152.S31(5)), ic o. by a bomeowvcr for 3 bcmx cc permit m..y cvid•cooe the
1e 1 cubit of an employ coder the Worlco(r Coosp000aiioa Act •
1 w kr,i, d that a copy of ( biz mL.cmcat m..y bo forwurdad to the Depatdncoi of J/wi+.• . v1 Accki-occtf Olfioe of tmur =coo fotth�.
oo 8c Y!gificxtioa th?t f u
trc to coq c s )vcrarm
o tdcr section 2 s:A W31... of MO 152 cut 1c4 to tbo iron aC _ ; pcwldn
'
?� oCx-
1g - fine b Cup 10 :S1 00.00 .rid(ot 'oCup to.orx yor'znd tivd pca�.?Uct in the form of i St W oi l c O i d c r . i n d a -
. . laraotS mcr:' • ” `
- • 'Eoe t,:c.... v •
• QcTmiE:• - car _ titer`_, -
1 , fi t• 7, Ir " s' w •a <s"� f + j"�';S' h-7 _
. igxatu . txee 9
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 column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# pf - Parking Spaces
# o f Loading Docks
Fill:
--(volume -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
i
DATE: : - o- �� Y APPLICANT 's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve a appll nVs burden to comply with all
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 #
"Al 261 d
File No.
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 5o( J s T /tiJ 4 '
Address: /IF : //4 ►L h n is Telephone: 5-- ' t-/ - rr 1 o 7
2. Owner of Property: ? r_ c .— y F
Address: F4/ it s i Telephone: I. 3 1 3 7
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain): ({ Ul /de/1
4. Job Location: 0)/79 si'
Parcel Id: Zoning Map# Parcel# 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): •
/ ,, r
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
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 963724
JUN 2 A D9
APPLICANT /CONTACT PERSON: � !h, /� f( '
1 L,_
ADDRESS/PHONE: I _.��_�1 F
PROPERTY LOCATION:_ T a
MAP 02(-5—C- PARCE c9 / ZONE
THIS SECTION FOR - OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTLLED OUT ,-------
Fee p2 id
Building Permit Filled not
Fee Paid /9/e 15/P ✓-
.'1 - - •. •..'
New C'nnstrn . [_,. • • - use . • . / . for
Addition to Fsisting 1 'PP", #
AcAccessoryStrllr dire 4. F' a 4 _ _�...- i' �� 1
Bnilding Plans Included- �
_____Owner /Oren pant Statement nr T,icense # a _ 7e)c9." c----
3 Sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPtLICATION:
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
0: ">:: Septic Approval -Bd of Health Well Water Potability -Bd Health
M ti
! Permit from Conserv. ron Commission
.�-,.
Signature of Buil. t 6. sector ate
NOTE: Issuanoa of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public) Works and other applioable permit granting authorities.
Department: Reference No: BP- 1998 -0080
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
demolition REC- 1998 - 000088
Paid By: Paid in Full On:
Joseph Jasinski Fri Jun 26,1998
Received By: Check No:
Linda Lapointe 1910
DEPARTMENT'S COPY Amount: $10.00
DEPARTMENT FILE COPY BRIDGE ST
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: ‘1(K Inspector: Tracking No.: Fee:
26 Jun, 1998 BP- 1998 -0080 963724 $10.00
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
9398 25C 251 001 BRIDGE ST URA 871200
Contractor: License Type: Insurance:
Joseph Jasinski CSL
Address: License No.: Insurance No.:
115 Island Road 057025
City: State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 584 -0307
Project No: Category of Work: Const. Class: Cost Estimate:
JS -1998 -0084 $750.00
Description of Work
demo entryway
GeOTMS® 1997 Des Lauriers & Associate& Inc. Cian ally rn•