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U 1 G N U faa$N ..f •N \ +•I +• •.! *U•N N .M•NiNwas:::: N lA�! 51���1�- -- -- -- - ----- - --------- --- -- - --- CITY OF NORTHAMPTON g' �'+ MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS wT Page Plot s s APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ''•� \ ZONING (/,^ C � I• AT (LOCATION) _ 1..�.J i V\- C VSO 1 CAL �-it ��1C,, ��F DISTRICT � C T LOCATION I 0.) (STREET) p� OF BETWEEN 1�`2- i2'tZIV'Z \cY�R. \V'� AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE to 11. TYPE AND COST OF BUILDING - All applicants complete Parts A - D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For - Wrecking" most recent use M M 1 ❑ New building Residential Nonresidential 2 Addition (If residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family - Enter 19 ❑ Church, other religious number of units - - - --> 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 I❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units - - - - - -- - -- o-. 2 2 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ 6 ❑ Moving (relocation) Carport 24 ❑Office, bank, professional 7 ❑ Foundation only 17 ❑ Other - Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 Y� Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g.,. food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement ................ � school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use existing building is being changed, enter proposed use. in the above cost a. Electrical ..................... c.i. b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.) ............ 11. TOTAL COST OF IMPROVEMENT 1 $6 6 0 III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 ❑ Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories ............... 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 [::] Other - Specify 42 ❑ Public or private company 50. Total land ores, sq. ft............ 43 ❑ Private (well, cistern) K. NUMBER OF OFF- STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors ........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 C] Electricity 44 ❑ Yes 45 !7 No 53. Number of bedrooms .............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevotor7 54. Number of Full.......... - 46 1 Yes 47 ❑ No bathrooms Partial ...... . DEPT. OF BUILDING INSPECTIONS BUILDING �° / 212 Main Street O< //// Northampton, MA 01060 PERMIT ,3& 3(c l VALIDATION. !! DA E J " 4c 19 PERMIT O. APPLICANT ADDRESS Wr I ND.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMEN NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION L (TYPE) REMARKS:' AREA OR �� �y PE RMIT E / /� L) VOLUME ESTIMATED COST ( 1 t4 (CUBIC OUARE FEET) OWNER R BOIL y , / ADDRESS `M BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSES ORS COPY I, lQfP Z t 6 1, L wlers 04 1 F ,A t r < f f� i t i ; Ll c. l � ')eellaneous Additions, Repai rs, Alterations, et NORTHAMPTON, MASS Repair e APPLICATION FOR PERMIT TO ALTER l Garage 4 t 1`10. Inc (1; Address Address��� ion Supervisor's License No. i Expiration Date X-i --� - 8.- f f— N y f 10 Ate (' 11 oddemolished? 1 �nee t lot 13S. oo [ r f 14 l ' t g ho No. of cars use st;,�a�acos�� -- Size k em a * J The undersigned certif- ,knowd ies that the ove statements ref, are true to the best S4nature of'responsible a ��� PRA, ican[ -- a 0 x, \ N r A � _ � � o •� c" �_ H .c .� A L icon �i rl N M i bA bA L O � +, a G cn a a x I S E c a c c c c • a � � � v U C CC W ... IT a� E ° c a ' a ✓� �"� 4m1 4.4 o o a nn z M u � ,� •� � b ° ° .c E CZ, A c.. L row• C3 L Z vi O S p 0., I �Q'+ •� ' 'U � � C ° � ^ .O C ► MC . � y I i, py r N • (/� 0. C � � � u � � � .� 0. L z0 ►�+ cC � i ,per .� /ze foomsnnozureal�� ✓2'ta.crarll.� ?-\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 134740 Board of Building Regulations and Standards Expiration: 1!11/2010 Tr# 262024 One Ashburton Place Rm 1301 Boston, Ma. 02108 Type: Private Corporation U.S. METAL ROOFING DISTRIBUTION, INC. GARY REHBEIN r . 740 HIGH ST. SUITE 2 ,,..�...� — HOLYOKE, MA 01040 Administrator Not valid without signature ACORD „ CERTIFICATE OF LIA INSURANCE iilo DOW 2o08 PRODUCER (781) 273 -3200 FAX: (781) 273 -0600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bonacorso Insurance Agency 7�LC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 83 Cambridge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1502 Burlin on MA 01803 INSURE AFFOR DING COVERAGE NAIC # NNSURED INSURER A: Seneca Insurance Co. 0077 US Metal Roofing Distributors, Inc. iNsuRERaGranite State Ins. Co. 740 High Street INSURER C INSURER D: Holyoke MA 01040 INSURER E: OVERAGIES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING A NY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES STE LIMITS SHOWN MAY HAVE 4 REDUCED BY PAID CLAIMS. INSR ADM POLICE EFFECTIVE Pg IN EXPIRATION LIMITS OF INSURANCE POLICY NUMBER GENERAL LIABH,ITY OCCURRENCE $ 1 ,000,000 X COMMERCIAL GENERAL LI40UTY DAMAGE TO RENTED $ 50,000 A X CLAIMS MADE 0 OCCUR SGL3000109 11/7/2007 11/7/2008 MEDEXP one $ 10,000 X CG 2010 10/01 $ 1,000,000 X 1 $2,500 Deductible GENEMAGGEEGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS CO MgQe AGG S 2,000,000 POLICY X LoC AUTOMO LIABILITY COMBINED SINGLE LIMIT ANYAUTO (EaacddeM) $ ALL OVWED AUTOS BODILY INJURY $ SCHEDULEDAUTOS (P-) HIRED AUTOS BODILY INJURY NONLONTIED AUTOS (Par aodda�) $ PROPERTY DAMAGE $ (Per acddot) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: G S ExCESSIUMBRELLA LIABILITY OCCURR s 3,000,000 X I OCCUR MCLANA$MADE CUP3000109 12/7/2007 11/7/2008 AGGREGATE $ 3,000,000 E A DEDUCTIBLE $ R TENTION $ EMPLOYERS' LIABILITY ON WORKERS COMP W STAT OTH- UTY AND ANY PROPRIETORIPARTNEWEXECUTNE VC3798224 12/1/2007 12/1/2008 E.L EACH ACCIDENT $ 500,000 B OFFICEROMEMBEREXCLUDED? E.L. DISEASE -FA EMPLOYEE $ 500,000 ff yes, describe undx SPECIAL PRO VISIONS below E.L. DISEASE - POLICY LIMIT s 500,000 OTHER DESCR PTION OF OPERATIONSILQCII USKM ADM BY ENDORSEME11fT1SPECIAL PROVISIONS J is named as the additional insured by means of 180 CG2010 1001 Blanket waiver of Subrogation is provided. Additional Insured is named on a Primary and Non Contributory Basis, for ongoing and completed jobs. There is No Residential Exclusion. CERTIFI HOL DER CANCELLA71ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSNNG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN N0110E TO THE CERTWICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Of ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Hichael BOnscorso ACORD 25 (2001108) 0 ACORD CORPORATION 1988 IANCrt�a ,�,,,o o„m 1'.l Board of Buildin `fie Fp ulations One Ashburton Place, m 1301 Boston, Ma 02108 -1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/19/1944 Number: CS 031003 Expires: 05119/2008 Restricted To: 00 GARY C REHBEIN 16 JONATHAN JUDD CIR SOUTHAMPTON, MA 01073 Tr. no: 795.0 Keep top for receipt and change of address notification. 3 SCAt a 50M- 05M6- PC6440 ✓t'LE Z16r71it0?ttlJ2LZ��b O� ✓t %�i1JCLC. r�7.a.!, BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR - Number, CS 031003 Birthdate: 05/1.9 /1944 Expires: 05!1912008 Tr, no: 795.0 Restricted: 00 GARY C REHBEIN 16 JONATHAN JUDD CIR SOUTHAMPTON. MA 01073 --- comadssloner o �� twr p F E (rri of { a� f(�i111l�lfotl —' 4 314 3.xrhncrttI' DEPN(?MENT OP DUIi.DfNC INSPECTIOI,,S _ 212 Alain Strcct ' Municipal Duilding Northampton, Mass. 010G0 WO FUCI,l i'S COjNf'ENSA - nOn C4SUTL"CE AFTII)Ati C '"1 L G � 4 : ! .� (li c�nsxJfxrnv tics ) wiLb z plincipaJ place of busloess/residen ( e/at: / S l. . i /. E` r f f_, ;r {; , � f (Those;:')" / sa�.Uci 1 /slakclrpp) do hereby ccrbf). under lhe.pa_inS znd peuilties of perjury, _Ml ( 12m an employer providing tSie iollowinL worker's compens: u0n. cove mzc for my e mpiovecs worung on U1is job: (Lasur Comranv) fpolic: Ntua'ocr) Fixpimion Due) () I aoi a sole pronrte(or, general coatraaor or homeow - Bef (ei:cie one) and have hued the cooiractors listed below cvbo have the i'OUOI UP wor.�Cer's ca��ensaoon pe!icies: (Nary: O" C01!71Ci0r) f lnRJr7. Ill,:. Company/POUCj - (Name of Cootraelor) -- (Insuraocc. Comoaav/PoUc Numcrt) (P��u tins Die) (Name of Cowaelo,) (bisurajDc:. Compa y[PoUcy Narob: r) (E\Dirooa Dalc) (Name of Coaaacior) (L raacc- ComcauylPoUcy Numbj) (ExpLmuoa Daic) (.aacb zdl�tiocsl d ct if ocraaa,ry to u,crudc iafor.r,� oo po,.iniat w .0 ooay.� -o i) O I am a sole propfie(or and have no oae worang for me. () I am,a home owner perform'wo ail the work myself. NOTE. pt be .wx th,:.i0c bemcG Den wbo cmplay pQ_.Qm to di cam^ ,,, o , rc;.a r . ork an d..<11_E of aDt oxxv Lb-D tbroc mri W %% oc:b lbc bocDoowOQ rctdr3 or oD tb-c pvum�6 xppAn a z tb- -o T Rx C_,Q oc(c :Q"rx:d W tC r�tployc, uoGc t1x .ocSd� oc�u - oa AG (CL1S2- =1(5)j "Licsaoo by . bomco -oa fca c G C.r •t « ponM a_y c idcnoc 2 c )cgl rtxa.. of -A a:gloyx uodr too Workd. Compoma!_ion Act 1 rwdo'rcaad dace > copy of [hi, ma maw o•y b. for- ,.� to Lb. Oap.nmcw of iD6us d Aoodcac! Offi_ far tb, oovcrl va- irjcaioa .od au-A LiJ= to ursuc toowrw4v uxodet 1.0 V oo 15 A or 1.iOL 157 .lad a the r -,r> kti- Of -i "a p - O00U$ JUg of c fiM orup ID S I ,}00.00 ,rtdor mMaruo Emcat of up to ooc yc cod o ail prn ) tO 61 form of , . t wy Work Ord- .nd . fun of 5100.00 , day cp me For dry.nrmow �•c only Permit NuIDtxx -- f A r_ P 7 �t r J; to i $t(;p1lLt7t of l,icnLSC[I'PC rTrI]LLGC __- -" dQP t T n bn +, T daG s d - SECTION 8 • CONSTRUCTION SERVICES 8.1 L con end Construction S u p ervisor : ) Not Applicable ❑ Name of License lJ olde r ' ff License N tuber L�ot �1-4w a. j:ki /9-e 2 -1 1 h 'IV P. Address Expiration Date ' Signature Telephone�7 y Not Applicable ❑ Company Name i Regis ration Number dil A 1 0 AddrErssl l J Expiration Date Talephorfe '� � ,� �� 7 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. e. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... ❑ No...... ❑ The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor_ CMR 780. Sixth Edition Section- 108.3.5.1. Definition of llomgowner Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one how in a two -year period shall notes considered a homeowner Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official. that he /she-shall be rem)onsible for all such work performed under the buUding permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, You may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature Cl ci E:T b( t.T daS A SECTION 6- DESCRIPTION OF PROPOSED WORK fcheck all auniicabiel New House [] Addition Replacement Windows Akeration(s) Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs 11731 Decks (p Siding [0 Other [C31 Brief Description of Propose Work: F^' L, ' 7v sty Alteration of existing bedroom Yes No Adding nekr bedroom Yes N Attached Narrative Renovating unfinished basement Yes No l / Plans Attached Roll - Sheet W AIN* h6dif tl Wil0t ore t 11 #i�o� f' ilia a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories?- f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes __No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations') Yes No _ 1. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i, t" [c 1,Qk'f? '1 (111/" � 3 "e— K ,J� as Owner of the subject properly hereby authorize f l to act on my beball; iA all rnat rs relative to work auth rued by this ' ding permit application. Signature of Owner Date I, ` 4 I r , r c' t� �,� /Authorized Agent here is declare that the stateme and`information n the forego( applicati are iril e d accurate, to the best of my knowledge and belief. ' Signed under pains and penalties of,perj ry. P Pri Na A l, s attire of O rlAgent Date a E•d nic C- T L LT ..1�n Section 4, ZONING All Information Must Be Completed, Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size T Frontage ....__. ----- ..._.• __._....� �._.__ _ Setbacks Front L: R: �___ -._J I.: ._. Side i R: - rr Rear Building Height Bldg. Square Footage % r_...._.., Open Space Footage _ % (Lot area minus bldg & paved Dar — 1--- -7 - ---I # of Parking Spaces Fill: !_. II- ...- volume & Location A. Has a Special Perm it /Variance /F ding ever been issued for /on the site? NO O DON'T KNOW YES O IF YES, date issued:I IF YES: Was the permit recorded at th Re istry of Deeds? NO Q DONT KNOW _ YES 0 IF YES: enter Book Page; and /or Docu ent p B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ® Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: ^ D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type.and location: E. Will the construction activity disturb (clearing, grading, X vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 2 •d dSE :in i, n I,T daq rA; City Northampton APR 2 2 2008 BuiJd'6,g Department r Main Street Ro m 100 1$iithamp�on, MA 01060 phone 413 - 587 -1240 Fax 413- 587 -1272 r APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR Ttivu FAm" -Y DWELLING SECTION 1 - SITE INFORMATION APR 22 1.1 Property Address T141% secti6>�.� b be c+,xr�pJ efed by office AJ Map t:nt T) Unit _ ElmtSt> bistrict CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Name (Print Current Mailing Address: c X� CGY G Telephone Signature' 2.2 Authorized Agent: N in : Current Mailin Ad s: gnature Telephone SECTIO - E TIMAT NS RUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building L (a) Building Permit Fee J 7 J 2. Electrical J___ (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection - 6. Total =0 +2+ 3 + 4 + 5) Check Number d This Section For Official Use Onl Date Building Permit Number: Issued: Signature, Building Commissioner /Inspector of Buildings Date T •ol clt'C:10 t' bi claS File # BP- 2008 -0925 APPLICANT /CONTACT PERSON U S METAL ROOFING DISTRIBUTORS, INC ADDRESS /PHONE 740 HIGH ST, SUITE 2 HOLYOKE (413) 536 -5474 PROPERTY LOCATION 5 WINCHESTER TERR MAP 36 PARCEL 036 001 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid uild nl Permit Filled out A ee Paid Typeof Construction: roofing New Construction Non Structural interior renovations Addition to Existin¢ Accessory Structure Building Plans Included• Owner/ Statement or License 3 sets of Plans / Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* 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 Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay 7, I F Sid ia4 ure of Bull Official 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. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. • BP- 2008 -0925 GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category BUILDING PERMIT Permit # BP- 2008 -0925 P,oi ct # JS- 2008 - 001384 Est. Cost: $0.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin U S METAL ROOFING DISTRIBUTORS, INC Lot Size(sq. ft.): 11020.68 Owner: BERUBE CYNTHIA L & EDWARD A Zoning: URA Applicant: U S METAL ROOFING DISTRIBUTORS, INC AT: 5 WINCHESTER TERR Applicant Address: Phone: Insurance: 740 HIGH ST, SUITE 2 (413) 536 -5474 HOLYOKEMA01040 ISSUED ON :412212008 0:00:00 TO PERFORM THE FOLLOWING WORK.- roofing POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: 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: FeeType: Date Paid: Amount: Building 4/22/2008 0:00:00 $25.005092 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo r w LU �. � H J C) `` L ° "� Q F- p Q LL H v a 4 CL H W u_ < O H Q rr 0 a -' w cr < z w a t� c3 co z z i LU H Z o o Z F- w O Z a Z N ,Q D H v a 0 H D Q Z Q H F_ Z N co CJ } - O Q J ~ Z H «� H w W a LL U > w o- U 0 O Q L- Lli H 0 E c� a 0 LU F- w Q) p W z (f) 3 F - 0 H w z z U � w r4 a O M Z `t w 0 U H w a Q C3 3 CL cA j 0 LL w Q - rpR rIt� �v 'lop 70111pt PN7, o B 2 ill Str O . 014 ,0, a rNS D h4127Pton, )V4ssCIP41I3u � Iph,s oz ©do ,,,e Joa Ho.� O p oc : Okzl ease p �l R: Ln t1 T TON ` ap) �Nat+e & To me he Ad licensed' 'C ent " erg �subdivis , ,t, p t ' •� _ z o, DEFINITION e1x111 ion f which he /she reside� of Or which ( c >� intended to be, a one ndZVi t6) ner s,' hone} structures accessory to s -V dual un� t o r was xt constructs more than one 2- &,actsor hire anded to to considered a homeowner. Such "ho.,, as w bo d official, on a form acceptable to tL, su erVJsodoes not .Ac shall be responsible for all such work permit. "''n a Par ° t As acting Construction Supervisor your presthe will be required from time to time, during and upon c,- work for which this permit is issued. �At� Also be advised that with reference to Chapter 152 (WoL. Compensation) and Chapter 153 (Liability of Employers to Employees L, injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person (s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws, and State of Massachusetts General Laws Annotated. HOMEOWNER SIGNATURE BUILDING PERMIT # a C y �h a Z Y d 0 M _ � y � W y. I Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. �4 _ UZ �y Alterations NORTHAMPTON, MASS. 7 -15 1 9 - 2 , 19 Additions APPLICATION FOR PERMIT TO ALTER a Repair Garage 1. Location 5 ��✓�� �' sTZ`.� T/�r �a� .vc E Lot No. -n3& U 2. Owner's name !'7��ed r= ',� Address �"�`�c'�tr -�: 3. Builder's name AY1F.,- 7 Address 26 T .11`7 - Mass. Construction Supervisor's License No. Expiration Date 4. Addition az;n2c he5"2 ✓ Tc 1�' 5. Alteration 6. New Porch A16 7. Is existing building to be demolished? Ale) S. Repair after the fire A 9. Garage /Va No. of cars Size 10. Method of heating _Nz�± 11. Distance to lot lines 12. Type of roof 'I /l•� 13. Siding house /ev 14. Estimated cost: - �a5 The undersigns jifies that the above statements are true to the best of knowled and `ef. t Signature of responsible applicant Remarks r - The land in Florence (Northampton), Hampshire County, Massachusetts bounded and described as follows: A certain tract or parcel of land, with the buildings thereon, located in said Northampton, known and designated as Lot No. 5: on a "Plan of Lots in Forest Glen, Northampton, Ma owned by Ray -Vee Realty Company, Inc." dated July 17, 1962, by Cobb, Beesley & Miles, Engineers, which Plan is recorded in Hampshire County Registr of Deeds, Plan Book 62, Pages 102 and 103, said Lot No. 51 being more fully bounded and described as follows: Beginning at an iron pin on the Easterly side of Deerfield Driv and adjoining Lot No. 33 as shown on said Plan; thence running; N. 00 27' 20" W. along said Easterly side of Deerfield Drive a distance of 89.74 feet to a point thence following; the arc of a curve, the radius of which is -10.00 feet, a distance of 16.00 feet to a point on the Southerly side of Winchester Terrace as shown on said Plan; thence running S. 88 45' 20" E. along said Southerly side of Winchester Terrace a distance of 99.70 feet to an iron pin and Lot No. 52 on said Plan; thence turning and running S. 00 27' 20" E. along said Lot No 52 a distance of 100.04 feet to an iron pin and said Lot No. 33; thence turning and running N. 88 45' 20" W. along said Lot No. 33 a distance of 110.00 feet to the point of beginning. Said premises are conveyed subject to restrictions described in Document recorded in Hampshire County Registry of Deeds, Book 1391, Page 126. Being the same premises as conveyed in a deed from Cynthia L. Berube to Cynthia L. Berube and Edward A. Berube dated June 24, 1986 and recorded in Hampshire County Registry of Deeds in Book 2760, Page 284. Proposaf rrEAS4l3.527-,623 TAFT AVENUE JOHN FORD ROAD THAMP TON, MASS. 01027 ROBERT W W . GRAHAM ASHFIELD, MASS. 01330 413.628 -3335 BUILDING CONTRACTOR 413.628 -3880 COMPLETE REMODELING, ADDITIONS AND NEW CONSTRUCTION PROPOSAL SU D TO PHONE DATE STREET 45 - J JOB NAMEOF ? CITY, STATE A O JOB LOCATIO ARCHITEC A E DF PLANS 7 Jog ^ S We hereby submit specifications and estimates for All i XrzD� ,f� s� L , I a ODUC�; Date Filed j� -y2 File No. ' - 0 ?'S ZONING PERMIT APPLICATION ( 510.2) u e A 1. Name of Applicant 50 A Address: S a , rte-& rL Telephone: 52.4 -6202 2. Owner of Property: (vyyrN,;, ,C. r Address: s wr�r,e r0-,P ,cLe.ec.,ycc_ Telephone Yq -o�a� 3. Status of Applicant: ✓ ^ Owner Contract Purchaser Lessee Other (explain: ) 0 3 C 4. Parcel Identification: Zoning Map Sheet # `36 Parcel #, Zoning District(s) (include overlays) Q Jib Street Address 5' u,,LA, (°rrl• r Required 5. Existincr Proposed b Zoning Use of Structure /Property - De GK X~C_ (if Project is only interior work, skip to #6) Building height %Bldg.Coverage (Footprint) Setbacks - front - side L L 50' R 70 - rear Lot size Frontage o0 Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work /Project: (Use additional sheets if necessary) _pecl< 7 - e .C)(ISr; s M,Cc r- rV rime) o a 452fl,2.4a IM 424,94edy t, �/N �.E'•vs?7,� 7'o EXTF�� Rel1WAl Gr9RAF/s TO r*,z.�1> e/,2e► 1w i°cAR-77ow e e 71 P glee 24n r _/ r'G sm Pr- 7. Attached Plans: b/ Sketch Plan Site Plan 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Applicant's Signature: �1��� o `' ` : THIS SECTION FOR OFFICIAL USE ONLY _ Z Approved as presented /based on information presented '� 5 Denied as Ares nted, RgpAn f Den' 1: �^ Signature of Bu.ildi ns ector � � p ate NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Heakh, Conservation Commission, Department of Public Works and other applicable permit granting authorities. 7/92 FXAS (A Nl r .3 c a� �v °- ai f Q r O r A a t Q C y x �srr•tr� y b C ro C Po ? n t �•-� .� n rA, C > � at n O p tD p '1 O O. ' ° C z 'y. b ? C �• Un •••a � v, � r.. p n n a A ro o eo r► rn 'sJ 'p O O A rp = R C C n y' A p � .. .1 p X p e ro O h n n ,A t9 N N N X _ C _ (D V) O b � `•� O � r9 .. 07 C • f�D �. a � • 'C7 C!O . m CL O_ b A ti a ' C �' AD S a f D r = v ? 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