29-465 (2) D a o
M
•_ P o "! y Z
o .y Z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.i37 19 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3 Cres.,,&c. ' J) )(::7/G Lot No.
2. Owners name 73-0 e- 13 P�z y Address Z 3 0- D4-dI e � J K-
3. Builder's name ��� �o,CAS '. Address
Mass.Construction Supervisor's License No. O 7 Sa Expiration Date
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
12. Type of roof
13. Siding house
14. Estimated cost 1360--
The undersigned certifies that the above statements are we to the best of his, .
knowledge and belief.
Signature of responsible app-icant
Remarks 7 aJs -.�� 7 N✓ / ,ri,,r���/l✓5" ✓ fed-- � -SS
JF
CLZ r of ��z#l�ttlri}�tnrt
Z
$ « 9lxssnchtrsttts
gyp^- E^�i�� DEPARTMENT OF BUILDING INSPECTIONS
1p�d
INSPECTOR 212 Main Street • Municipal Building
"'�""°"�°
Northampton, MA 01060
Applicant Information
Name rd ---------- -------- —
Location L� S
City 4r, Ili
---- --------------------
O lam a homeowner performing all work myself
V1 am a sole proprietor and have no one working in any capacity
❑ 1 am an employer providing workers' compensation for my employees working on thisjob.
Company Name------------- ------ --
Address
City-- -------- Phone#
Insurance Co.------------_—Policy#------ --_
Company Name
Address
City Phone#
Insurance Co. Policy#
Failure to secure coverage as required under Section 25 A of IYIGL 152 can lead to the imposition of criminal
penalties of a fine up to$1500.00andlor one years'imprisonment as well as civil penalties in the form of a STOP
WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be
forwarded to the Office of Investigations of the DIA for coverage verification.
I do hereby certify under the pairs and penalties of perjury that the information provided above is trues and correct.
Signature � �E--- Date /�1/�Gd
Print Name Phone V-
//
Official Use Only Do not write in this area to be completed by city or town official
City or Town Permit(License0 ❑ BnlUncDept
❑Lkewirtc Board
Check if imrnediate response is required O Sekctirrea'Dept
Contact Person Phone 3F
E]Health Dept.
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 Dep+irtment
I Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved Parking)
# c)f Parking Spaces
#
of Loading Docks
Fill:
4 volume -& location)
13 . Certification: I hereby certify that the information contained herein
(, is true and accurate to the best of my knowledge.
DATE:,Adty /Y ���° APPLICANT's SIGNATUREE`�
NOTE: fits uUnce of a zoning permit does not relieve an a
zoning requirements and obtain all required ppli°ants burden al comply with all
q permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
MAY 1 g Mg
File
,�� N
r9
vI iT OF 8U ;NSPECTIONS
NG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: r,
Address: L/ A Telephone:
2. Owner of Property:
Address:_;3 G'i �c-f l�d� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# GQ Parcel# District(s) ,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ►,e_�-' LBO it C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
A
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 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 D cument#
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)
ow
23 CRESTVIEW DR BP-1999-0989
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man Block: 29-465 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:windows replaced BUILDING PERMIT
Permit# BP-1999-0989
Project# JS-1999-1677
Est.Cost: $100.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Ed Corbett Jr 116069
Lot Size(sq.ft.): 11979.00 Owner: BEGLEY_JOSEPH B&PAMELA C
Zoning:URA APP licant: Ed Corbett Jr
AT. 23 CRESTVIEW DR
Applicant Address: Phone: Insurance:
4 Reed Street (413) 584-6571
NORTHAMPTON 01060 ISSUED ON:5120119990:00:00 `
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT WINDOWS
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 Sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 5/20/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo