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32C-113 (15)
I JA, > z Nv o z < n ;11 W Cs7 rn am r -1 Z _� * R _ S- c, in Z rri 0 0..;. o 1 -' O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ;Scams►c_Vc \\-- :7%r NORTHAMPTON, MASS. I 1 g c Additions {,, Repair r - A' APPLICATION FOR PERMIT TO ALTER Garage 1. Location .j 9 C ,r- n ? S c— Pi PT CO Lot No. 2. Owner's name Vo..v r \ eel -4z_ — Address 3. Builder's name \-\o.-x--\J KS k.k- \`6-QS'S Address 3�(-_, C-©Ac'....5 )(r)c- .►- Mass.Construction Supervisor's License No. C)S—Q Li- ('tom Expiration Date 1/ (4 (C--)C.) 4. Addition 5. Alteration :Tc ick-e , . V.-,ri\H V e■N.tia \‘ 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 \c:.SS:cN rA 11. Distance to lot lines S -e _ 12. Type of roof `71W iNc4I._,. 13. Siding house N Cam``'1 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. / -.III' rr l e Signature of responsible appiicant Remarks J 4:i'3,';‘;')', {�C;t \,1 UIMD,it. 414;/-.4,,',,,,, y'f.�if`,` Yt. i 1 W s t C L :", „iIbN IZ i' Yl.,:,-$,,A4.1,'4 {qiY` � l �Y'liv 7y� � � Y t� ',1tt,.6 "SP` t `! Y ; A*,r,. 't',(,,--4, \ 1 z4t. c..70',nr wrra Ln)k`F11'ZA L�+'r•' li > 1�'4e,i 4 , ' `r,' y#AA5t2FnikRIsl,,;YLXY,tL,.,,,i .iCYYfIN.1iI24M'd llNk'k gn q,,5}, } vt� T' r �t','� t r ?i �t.F."#>v'r'kvR1 "i'.at:,�.t-�'kl;)�c` S:I'±�A16 � 7 �!� ant: u e r„ 7d it > A�.,e r 6 k % '1'n'•.,),J.,i'i,itti.. t-,,,i,)'.,‘\,--.4ii;YY,;•,ill''t":0:''''1.Ct 4''''l ' '1,, ,','", , l'i•lr'),pil,-.,P.t.,.'%,:;;:,1,,,k.,"\,,,..1,.‘,‘F,;^4;,),"^e 1 ,..tkl,...,, ,, / Aw , t l g Fry ..w,. J 4, t, ,.� � ri ploy ,� ."A'�, / n 4 r i r, '�' 5 '�"Y �a_ �.7 Nv �� °` '' s ue,!. a,aamk4i t.`, � _ i11 Mort Mill A � { , % � ,. � tW is 4k -, ', `J: • ,N, 4 I iwit ' AM I ' �> ■ �1 , ,�:G�.xvmx,.wrwnaaemcvmrnLaxw.wuu�nrra _.;.,. wro�.w. .; r, � $� �x'°k• l S*� ' . \:a . ` tsr t `}\�r rte ,"fir e `1,� }.;�:�h r * \` emu, ji tFt. t ,'ir. �cnneerw�eaatie+.wa# :rnraw,eK+rirtwmv�vawrxex,thk \ r1�ttt \ ,, \\ „ - rk1... t'S.C'iL<••,��lE6kVo"tP"5.,IYI1d'k')i @Si"tF.SA6P '1'k3G44ZNAN41•3"t@61.Iv7tMb4 ,5.1 445F04(1,4 „C1 @i'lk•tb7Y3.F'+M., j,,,,,,,,,,, •,t^, .555.•5,YY.0 l,Itti? 4 'r,V ,,,.t4'',.."'f \416^ t , ��T, �y�,.,,�i:x1,�R6'+. 3'k'', a4,„ a ,, '+',;.i,'', «y ,..°gF1,'� ti< . F �L `1 , ��k^<., (� ° 6)tt #J R 'r } , 4+ i �' D! atM1a "� ��-� s,�lfkF?.d:4X.6.i*ia� . .t9„ivil'dtii,173 . ', t,, .W bT.�P•.'1Ri RO. ^� ,a ,fitY1 WCauS3EE�i a .. 'b§q'�F t4'y' 1. i,,,N C1,.q'„t 1 4 is)�?NY 1r.i1y” ;, I • L V X 0 -a 0 VJ ° _ c rn [ ---T_ . ii . r o 0 -v Li r \ ...„,..... D ( ,....., N. z O H L �\ /.) \.,,,,,,\ , ( // ---- 1 „... ..„...„.______,,,,,.) . C 1 I 1 C .,, 1.... , ... , „„ N.)+—E: .a x _I- cDcr _ LiJ _X ---- '-1-- I\) (--- I 0 _■ m _ _-1 CD L JI X - T-, 1 - i_ C) " II " -I X (0) (i) I r)-±,01 II _.1 -1 K 1 - .1 _.N.. z Z m L °- I ° co G) -n r- J _ o I o X 1 Ni a) -10 , Cr? 7 - I CP 0 0) _ ! Z X _A _A 1 r- ,--- ( ) _N.. 1 .-: i) ___ " I _ ..,1 I ril! — , = �o oj,• ¢ Lr ��; II l, r a , . le.. ... of• Na li •nipfon ► =*=_ ;tIV4o'rAt..'A.B JL11999 �.. 1 l- �W y �i='� DEPARTMENT OP BUILDING U LDITZG INSPECTIONS —11t7111,77-..., m DEPT OF 31iii_ " ;, •2j '1,,it in Street • Municipal Building NORTH M� lIN t:ra P g ,,, -Northampton, Mass. 01060 WORKER'S COMPENSA'z'ION INSURANCE AFFIDAVIT i, c.c..\\, \\'c3.,c-\Ow vc )(� No.,-\©.w jV.:`S��•c-S (li ce-ascrdpermi ttce) with a principal place of business/residence at: 33 C.,ole.T�,c.,,_ ,.� \nor\ a�Pbooetf) (413 clic,-Oy(oc--. (stm.t/city/stair np) do hereby certify, under the pains and penalties of perjury, that: ( am an employer providing the following worker's compensation coverage for my employees worng on this job: 1 \.�i c`G.v e.�42---t . l,nS . CS) - 1 C f+ - Ui3`�3-Y 41�j '1-`17 \QLI I C�c' (Insurance Company) (Policy Number) (Expim on Date) ( ) I a a a sole proprietor, general contractor or homeowner (circle one) and have hired the contactors listed below who have the following 'worker's cow pensation policies: (N alp., Of(_'om.ocit- t (I nsmanc . (,otllpariyi otic.1 Numb,-„r) ( \DIFO.UOa Dna) d'L I LC el Commc.at) (iii_a Idc,( Ci mua,lyil uttl • u'IILII) (E\-mr2LOR Date.) (Name of Contractor) (Insurance Company/Policy Nlrmt;_r) (Expiration Date) (Name of Contractor) (Leon ccc Company/Policy Numtar) (Expiration Date) (r-ttach a'nzeccal'act ifnoera,ry to i_CJyOC infc.cmI tiea pcztnicucF to all cc,tr>don) ( ) I aril a sole proprietor and have no one wort ing for me. ( ) I am a home owner performing all die work myself. NO plc--cc be aware that wlzilo hcmcovroers wbo anplay persons to do maisottn.ace. non:or repair work no■chvclling or not morn than throo twits in which the lwtpoow ncr rcLcs or ca rho Q«ed aptcn:�tbacn:n not E� a12Y eoasidacd to be employers tinder tba wockces porn iica Act(00152,n 1(5)},applir,tioo by a homeowner for a Liccnle or permit may cvi-d !So 1 cep l rtnlu,of an employee under rho W oriccl,Compcc o xi ion Act_ • I under:wad thud a.copy of thu mtcmcat miy bo fotwnrdod to rho Dcparcmcnt of In6satri d AcOdorr&Of ioo of lro rwoo for tbo cove1-18 c'rctificaiioo End that f.ti rc to caurc covcrago under soctioct 2.5'A of MCL 152 can teal to tbo-i-mix itioa of cdrainsl pcnaltin .• g!Of a-fmc of up to 51 00.00 scd1cc ixupri3ocracat of up to one ycnr end civil pmaltics in the forni of 1 Stop Work Ocdcr.itnd a - fi>m of S 100:00't d:ty igi.init aic , Fo`.dc mar l uo°°ty Pcrmit Number t .- • Sgh � L6sPii — r i . iyta .� ncc/ cantcc 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: (Lot area minus bldg &paved parking) # of -Parking Spaces it of Loading Docks Fill: {vol-ume--& location) \' 13 . Certification: i hereby certify that the information contained herein is true and accurate to the best of my knowledge. DAVE: r�h �' APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning ��` g permit does not relieve an applioant's burden to oompty with .ipIi 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 # j,..a OCT 14 1999 File No 6POZ53 9 V °Er r.6"-';' Q,►, PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: TS3 b C-4z1 e,s Telephone: 1 3 G ( C 2. Owner of Property: O.. c Or3 Address: CI Lcs rl`z. c' Telephone: c' 3. Status of Applicant: Owner Y Contract Purchaser Lessee Other(explain): 4. Job Location: c_9 ST Parcel Id: Zoning Map# 3 de-- Parcel# /I 3 District(s): Zae (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Cc-0-x*C�,\ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): SZJQ-.• ® \G\ \ 'c 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 DONT 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 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) File#BP-2000-0394 APPLICANT/CONTACT PERSON Harlow Builders ADDRESS/PHONE 336 COLES MEADOW RD (413)586-0465 PROPERTY LOCATION 59 CONZ ST MAP 32C PARCEL 113 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ,/ Si g.5-- Paid Lg6 4O Sig. Typeof Construction: REMODEL KITCHEN&BATH&NEW CEILING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052460 3 sets Plans/Plot Plan THE LLOWING 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 o 'ss' Signature of Buil.mg Official Da 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. r • 59 CONZ ST BP-2000-0394 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 113 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0394 Project# JS-2000-0673 Est. Cost: $25000.00 Fee: $125.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Harlow Builders 052460 Lot Size(sq.ft.): 12893.76 Owner:, HEBERT PAUL E Zoning:URC Applicant: Harlow Builders AT: 59 CONZ ST Applicant Address: Phone: Insurance: 336 COLES MEADOW RD (413) 586-0465 Workers Compensation NORTHAMPTON 01060 ISSUED ON::10/19/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:REMODEL KITCHEN & BATH & NEW CEILING 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 Sinnature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/19/1999 0:00:00 $125.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo