Loading...
30B-074 (3) a kW . n • T 0 t 7Z a Q 7 -«, C an R "t = F 5 i-n T 70 o . -t Z O et f l Z � • v-i ... Ci7 — C y 4D v 1 5 Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. 7,5'/'.—. Z5'? Alterations • V, NORTHAMPTON, MASS. 1/ `� c 9 Additions '��� Repair t �-` APPLICATION FOR PERMIT TO ALTER —� / Garage 1.../1". Location - 2 • `� / r r �/ t , l 1 i" e 1 1 c <> / , � , / / Lot / No. ;l 1^ l. Owner's name a• e ,'`7 4 ! G 4 07 R r` / ...°)"' 4 a ch /hdress / 5 / 6 V e, / 7 . j — /� �6)' i'i , f3". Builder's name �T h C----/c/ e, ,4,' G A a-.)rt it c'`- d essdr 2 g 3 fl ,% 1 e /o /., Mass. Construction Supervisor's License No. Q / 0 7KZ Expiration Date 1//r7'9 7 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 ��// �/ / „X2. Type of roof K el, 26-- /� "1 Po 0 ".(,L/4/ /� •- Gc'�'AVe cc /`�ChO e -DI/�! )7 , 4 71 0-- P /c e .s,� ham/ / /`o r e- 4 is-- e' o :F ' /h e t,, -,�� 02 r/ „.1../,/, h� /✓' 13. Siding house l'4. Estimated cost: 4 ,/ 6-(90, dt-e) The undersigned certifies that the above statements are true to the best of his, her knowledge d belief. ( LLLL & L zd0 Signature of responsible applicant Remarks x. a� pi, 3 0 {99� ('rt cif N>,xflimit ton . . = * *= 4 AL B Wilt Iv facssaehcuillc N eaWK. : . ofd' — DEPARTMENT OP BUILDING INSPECTIONS VI_ � €` •. 212 Main Street • Municipal Building 1 ! Northampton, Mass. 01060 we s • WORKER'S COMPENSATION 1NSUIZANCE AY= AVT' I, 6 e fr It Vr_itc z t vn 6 a L,/,— (li e.: sJpermi(tee) with a principal place of business/residence at: Q Wei ,5g Wt51-ite -k! l><a1GQ (pboneff), 7'',.5---C1 (strr I d ty /s 21t,7 do hereby certify, under the pains and peoa.lties of perjury, than ( ) 1 am an employer providing the following worker's compensation coverage for my employees working on this job: • (Insurance Company) (Policy Number) (Expiration Date) ( ) 1 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) QI.nsluanc Company/Policy Number) (Expiration Date) (Name of Contractor) ( Insuranct Company/Policy Number) (Expiration Date) • (Name of Connector) (Insura_nc. Company/Policy Number) (Expiration Date) (Name of Contractor) (I.asuranca Company/Policy Number) (Expiration Datr) (enaeh additional /hoes if 0ocauy to rich) c informaaoe pQ' i..;ng to .ill cod- c'nn) 1 am a sole proprietor and have no one working for me. ( ) 1 am a- home owner performing all the work myself. NOTE_ please be aw'zrc the. vahiJo bomcowncra wbo employ priori to di ©" - " rw. 000srvct.iocror repair woke on a dwelling of not more than throo units in whictx the homeowner re :Odes a oa the grounds sptuttcasui thereto ere oo( generally coosidcrcd to be cmploycrs under tbo worker's oempcasrlion Act (GL152.=1(5)), application by a bomeowo<r far a license oc permit may evidence the legal /tams am employer uodertho Woracle Compea:mike Act • 1 uodcrstaad that a Dopy of thin etat,aamt may too focv ard<d to the Dcpartmcea oflodutri el Accidmr' OiSoo of 1a7un.00c for the coverage verification and that failure to secure oovanso under zoetion 25A of 1 a L 152 n lead to tbd imposictsaa of criminal pm:aim " °oaiuting of a fE nc of up to S1-500.00 and/or innpraonmeut of up to one year and evil pcmltia in the foem of a Stop Work Order and a Eno o(5100.00 a day against me. . ' Signed this / day of 1997 For dq,cti siu oO only / / Permit Number . \ J IL t. Map# Lot # Signature of Licens e/Permitlrx 10. Do any signs exist on the property? YES NO (.,/ 1', 1i 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 r \ � C -t}, rlA by the Building Drpartment 7.-- J Required Existing Proposed By Zoning Lot size 4 Frontage Setbacks - frnnt _ - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paced parking) # Of - Parking Spaces # ' Loading Docks Fill: vol -ume - -& location) • 13. Certification: I hereby certify that the information contained herein G • is true and accurate to the best of my knowledge. / _ ' DATE: 7-3a P o 7 APPLICANT's SIGNATURE 1 " NOTE: Issuanoe of a zoning permit does not relieve an a lioanes burden to oomph/ Ply wttfl, ,ipll 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 # t. 3 01997 File No ) 6()J 7 ZONING ZONING PERMIT APPLICATION ( §10.2) PLEASE TYPE ORR PRINT ALL INFORMATION 1. Name of Applicant: tr c /a/,A? r e ft �t 2-3-7 d -x`7 Address: ) ,4`0 r t 4 f71 Telephone: � ¥ "1 2. Owner of Property: S 7y1 Address: —rec. 71 Telephone: 3. Status of Applicant: L Owner Contract Purchaser Lessee Other (explain): / . y"z - -/5 - 1 . re , L -13 / /ove.h C � 11/1 4. Job Location: ,/ Parcel Id: Zoning Map# Parcel# 9 `t District(s): (TO BE FILLED IN BY THE BUILDING / DEPARTMENT) 5. Existing Use of Structure/Property e!'/ c/e ' > i Y u L 6. Description of Proposed Use/Work/Project/Oc pa on: (Use dition heets.if n • e l7 `� c e .5�� T F= / rz_ o a 8 ÷ . %�o c) w / h S' ha- 4 t �('/ ro se � 4. c e Porc4 P.0 of 14 ,,,,le_sr ffe _s:11 a if _Si y/et 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 r/ 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 f/ 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) Aminommilw VI fi r ` 1 ii z ° '. _ �r.�; FILE # 962608 1° JUL30199 / � APPLICANT /CONTACT PERS • : 1 d' ADDRESS/PHONE: a7,' ` i2111111r ._� PROPERTY LOCATION: / oZ _ --6 ,.�. MAP 303 PARCEL: ZONE THIS SECTION FOR - OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MIND OPT t/ Fee Paid Building Permit Filled ply Fee Paid o Type of C'nnctrnctinn• -y-- New Cnnctriu'tinn /__ 7a w -G ��/ C e Remndeling Tnterinr Gr /. ./ Addition to FYisting U T %� Aerescnry Strnetnre Building Planc Tnrinded- s 3 Sets of Plans / Pint Plan TH EJLLOW]NG 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 -Bd of Health Well Water Potability -Bd Health _Permit from Conservatio • ' ommission Signature of Building ; . or ate NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all _ zoning requirements end obtain all required permits from the Board of Health. Conservation Commission, Department of Publio Works and other applioeble permit granting authorities. $ � •� City of Northarnptun REQUIRED INSPECTIONS � � -,- ��, r 1. Footings and Walls .,. BUILDING DEB TMEN mp * 2. Structural Components in Place 3. Col npiete Building* Office of the Building Inspector , No. 726 Zoning Form No. 962608 Date 8/ Fee $ 20.00 Check # 1480 page, 30B Parcel 74 , Zone URB Section ! , 127 ❑ Yes ® No i isk - BUIL PE • ,, . * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Gerald Archambeault _ before Building Inspections replace 1/2 of slate roof w /shin les,stri & reshingle has permission to p 9 p 9 It ,0� porch roof ti 1 52 - 154 Federal St & porch decking It c %! situated on p° 9 • .45ifir „ City of Northampton provided that the person accepting this permit shall in every respect 1 `" BUILDING INSPECTION LABEL conform to the terms of the application on file in this office, and to the ffQ L 1s provisions of the Statutes and the Ordinances relating to the Construction, A P P Q v' E Co Maintenance and Inspection of Buildings in the City of Northampton. � � � Any violation of any of the terms above noted is an immediate revocation Inspector ot- of this permit. Expires six months from date of issuance, if not started. Date ft /9 Note: A certificate of occupancy will be issued by this office upon return of this caul sig' d by the Plumbing, Wiring and Building Inspectors. Manufacturer's information: windows, vinyl siding, roofs Budding Inspection — Finish J J rr 7�� ** Install pet Man y g, and woodstoves Smoke Detectors (Fire Department) Jam Other , , - ` THIS CARD MUST DISPLAYED IN A CONSPICUOUS PLA , .. ON . MISES i ��- scupancy • .,‘"--le5e' - Builkng Inspector .