23A-106 (5) a
:PI a:
t O c
-v`° r-
m
,F 3 -I OZ m cil
z t—-3 0 -� S
Z
_J'� N � > ° 3• cn O ci
' -t: � C =
___•---.-- Fri
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No." / 7 e) / V Alterations
cii1t:ok4 ) NORTHAMPTON, MASS. z( �w 19 7i' Additions
APPLICATION FOR PERMIT TO ALTER Repair
4:i:we9 Garage
I. Location / 7' / s-o`er 71,7 /l/1/" ST -i- e'.-v, Lot No.
2. Owner's name b `'1 E/2/ //'i7 Address /%/ .5i..0-1%-'.5i..0-1%-'71` /•9-'w ..5-7;3. Builder's name TT# Wr.
/4( Address /( ?),-.1164,7 S/• lyiczi) .1.7%04 0/0.3e
Mass.Construction Supervisor's License No. /:'/ 7 ?f5'>` Expiration Date :z-/z s-0"
4. Addition
5. Alteration
b. Neo*Porch ArLi2a-- f/�-'> CTU/3 TS b r''ti-, 1 1e-PN o S /1/o 079)n+o /''--3 5,24C- t.?< 4'63%6 x
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
I1. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-
E
/ �p" The undersigned certifies that the above statements are true to the best of his, .
knowledge and belief.
\:,\.r 6+1 . ,
Signature of responsible app,icant
Remarks
•
,
i
I
f"i . . _.
r
I.
— — __... -4---r— ---"— ": -/---- ---- —
•
1 ' ______._____..7___t_' _______T__..7.
-� 1
i4, 4 ,
-11, , .
, , .
, , --t:
1 , i
_ 1 �
�; ! I --------- t i !
I
I I T ( t 7
--1--- ! + ■ i -+
— — — i !
Ii i --j---- --r-- 4/�� •�
�i t ! _.
,, , , ,....,,,,____4_._____,._.
_ _ _ _, _..,___ _ 7 . /or
— — — — - -— -- -- — --.- — t-
! 1 i
A f
- V I '� -
- - -
r
____ __- _- ____ _______-____ ___
/
. _ . - . _ . _ __. .._ ______________________
/
. _._ _ . ��_ __`�������������
-__ ��_�__ - � _- _ -__ ______'��_-
, ~°�,
l °- «� . __ ___ _-__----__-__-____'___.-
__________�________ _ �_ _- - -mc' ��� -
• _ __ _ _ _ , _ _ _ ',_~�~�� - r� - — '
�� `� -
. _ _ ' - - ' _ �� �� .
\
` ---\ \
... 1 ----* i - i . - - . ._.. .- _ ..
itik
i II
I
! ' , 5 v..
, , 1
_ . ____,... __ ___ _
s s s
1 I i ■ IMIN.M...draiMill...1 "1.111.111 I .
1 1 1 nEBBn t ,
, 1 ,
..
. ,, ,. , ,i.:, i n yi -.----1-- . ! I i
•
! 1 '--"7 1 .F..18U 1.' MUM i
II I it
, ____, __Ill _____,;1, .....„__ , ,
■
IN
. _ . _._'-
---_ -____-_-_
// _ -- - ' -_ __^ -_- -- ____.
- - ------ - . ' - ' - - -' -
-
-----'--------- -
---- -�-------- - r �-- -
- - _ _ - - - _ _ -____
- ___ _-_-_--_- -• _ • • � '
_ . +''� -�-�_ _� - `
°
.....„
, , _______
ri r d' NA.
I 1..t V 0 1 I 41
l •, .
•i
, , ' Of\ Age
0, t�
w
S ,:ye
1 \ O
.,, .......:,,,a_cc.c\J ,,,...=-,__
,s,61 trA
\ ,„,..''' k . 4„,, et,\
r
\, \ -4„ \\,,, t''''' I.: i ,,„...... ,,,z
th\ .v‘ 1 ' ; ' ''''' '
\ 1 . , ,..
t .,
`" '4,
Oki)
* * \ \ . .
11114 4:4114} ' ,
.30
-- '1 , IN
N w-
ti
k. a
. i v*'- 4
S?
. g'
7" ty, '' 5 1 fft
t 4 6
, 4/ ), -3 itA -tO 6, - 0 0 i
414110, 440
••n 0, 1Y
_ �01 '- C-&---
/I
•,,
•__— -" -_ - __. - -" i - --.-- —_. -
,
I 1 i I
,
. I 1 I
I -*
vl
,
i n 1
_ _— 7 t -t--
: i1-"- ': i : _
■
I 1 I I t I ' f I j + f
1 .1 1 ' 11 I I I ( I i I 'I I 'f
1 I { ! 1 ( i i
• r� ! I t i III
i
1 , 1 A i .
__ t.
9 ,"
Lik
-- 1 --0t
- i
I
' �y O
ri ' )1
_ .
O 1 ■
•tr-11-' -1 it R
tS
in 1
e
01.5, fPiO Y i l ll 1 1 . `.
r I gi af
Nartilampfort>.A` 4 je APRitvtr Z4 ! - 201999 ' mm iSERf II tSCIIE ► = _
_=r► ,;:t .i♦
r
' ,
....m ,,P
uF Bu i Cc PEPARTMENT OP BUILDING INSPECTIONS 4 `.-1
. . . - . 2142-Maw Street ' Municipal Building
=----
Northampton, Mass. 01060 IMO"s
WORKER'S COMPENSATION INSURANCE AFFIDAVTT
li �.,/ 1'.- —2 i • s.€--1
(li censceipermi ttee)
with a principal place of business/residence at:
/( 7}4J/6//T 57-. /747e2.0 A-4, (phonef)_0217 9O/ y
(mr. t/ci ty/stateizip)
do hereby certify, under the pains and penalties of perjury, that:
I am an employer providing the following worker's compensation coverage for my
employees working on this job:
_'-- S4-e�ZJ%-s-,,CI-
/�=, � 33/95'
(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) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Coa parry/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional rheQ if nocrnuy to include information pertaining to all c trac:ton)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
•
NOTE:please be+swum that while homeowners who cmp lay persona to do rna6-t-o,orr,cow:truth00 or repair work on a dwelling of
not morn thaw throe twits in which the bomoowncr resides or co the grounds apportm nt thereto arc not generally coasidcrnd to be
employers under the worker's compensation Act(GL152,ss 1(5)),application by a homeowner for a license or permit rosy evidence the
legal hams of an employer under tho Worker's Compoaz.tion Act
1 IllaCkrtaild that a copy of(Ai,eiatemcat may be foewerdod to tiro Department of lndusnial Aaeiiderrtt•offioo of Inxrr,000 for the
coverage verification and that failure to secure covcra.go under section 25A of MOL 152 can lad to the imposition of criminal penalties
eomistiug of&frac of up to S1,300.00 andddor of up to one yar and civil penalties in the form of a Stop Work Order and a ''
fine of 5100.00*day spins tae.
For departaneotal use only
a G;1. � 1P�pt Ntunber
Lot Au
Si. of Li ermitfcc late .
Ammorminimiumw
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 - front F
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# of Loading Docks
Fill:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge. ,
DATE: 1-2---0/414% APPLICANT's SIGNATURE
NOTE: Isnoe of a zoning permit does not relieve an PP lio n burden to oom PIY with gill
zoning requirements and obtain all required permits m the Board of Health, Conservtation
Commission, Department of Pubiio Works and other a !feeble permit granting authorities.
FILE if
r,r] 7 F-t' `.
10 F=
+ ) ,1,1. File No 46 /9 G'S C) I
APR 2 0199 ,;
i.....,_
, n ,4O ING PERMIT APPLICATION (§10 . 2)
DEPT au iNSPEC1 s
,T . ' . ?"'""1- '''
--'PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: \ ,c` /h1 /1-7 2/L / jJXX/
/-'977)c2 n MFG ,c%/"-1 I
Address: / P/i°/ ( 7/ S i Telephone: y r e) / 1
2. Owner of Property: "P'/`''Q '`' ') 6 se e i• ‘''.6? 7 is :
Address: /9/ 54D 2 /14-/N ST ;aE, « Telephone: S to G /97
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): 73 1--t O b i c l v =7z-ra-(- v,c
4. Job Location: / 9/ 5 0<<777 /'.d-i,-, 3T,_ 4-7--c,2, '-cA
Parcel Id: Zoning Map# 4:::?3, Parcel# /46 District(s): .�a re
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 4,01-3. e*
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/2 E- '4 7'-7 e--.,-7- t9,c /J7/. J( c e"L✓r'M�7 "7-5--7.--3)--i— f C"2C f, — C '/c- 7
.>--'CLti-/DE % .2N577fl t./7-I" pE- Ccl,ic./2C 7 f,E)<'.s - 3t.tri r / -i57J - f'�}..',C ,;j J,,s7°
E LNG- /M/o iE'er♦ci-J6�A..w 4)0,,eic -r--0 Rei1lc s vii23-/N't) S/ZZ- Ct vGS'
7. Attached Plans: 4- Sketch Plan n 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 /4. YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW x YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO le 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)
Aiminur
File#BP-1999-0858
APPLICANT/CONTACT PERSON John Zieminski
ADDRESS/PHONE 16 Dwight St (413)247-9014
PROPERTY LOCATION 141 SOUTH MAIN ST
MAP 23A PARCEL 106 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: PORCH REPAIRS,PIERS,POSTS,FLOOR JOISTS,DECKING,RAILS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 017889
3 sets of Plans/Plot Plan
TI 6LLOWING 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 Board of Health Well Water Potability Board of Health
Permit from Conservation Commiss.
V/..
Signature of Building Off J 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.
141 SOUTH MAIN ST BP-1999-0858
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23A- 106 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-1999-0858
Project# JS-1999-1506
Est.Cost:$6000.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: John Zieminski 017889
Lot Size(sq.ft.): 5052.96 Owner: TRACY GREGORY&DANA
Zoning:URB Applicant• John Zieminski
AT: 141 SOUTH MAIN ST
Applicant Address: Phone: Insurance:
16 Dwight St (413) 247-9014 Workers Compensation
HATFIELD 01038 ISSUED ON:4/22/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:PORCH REPAIRS,PIERS,POSTS,FLOOR
JOISTS,DECKING,RAILS
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 $isnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 4/22/1999 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
4