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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 13 19-� Additions
APPLICATION FOR PERMIT TO ALTER a Repair
Garage
1. Location _-V /"'&2n /Sr 'l�ll'E /�TG(/��' Lot No.
2. Owner's name bRQ� �/i^�E s� l� Address ovc-_
3. Builder's name M �I �SNC, Addressl/�3l`p
Mass.Construction Supervisor's License No. e,91 Expiration Date
4. Addition ✓ yVpyy< RtEEwik't7) /-V I-STt714- /} 0.2/✓� l� �i SIL
5. Alteration 4
6. New Porch A/h
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage wig No.of cars Size
10. Method of heating AIA
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature o responsible apgican!
Remarks
HOME IMPFZO+aE MEN
of Bl-ilc-iill oils afid
Ont-- A siil:ur tttori 6'-ty r°<, Rc>ont y I'M,
-OMV- l" PF�Uv'EMFN d CONi'R AC:1 C)f? _
S*: is[ ii l ri
lo 7l?. j sf�xr{61' :O..1.orl 4}, 1,,10100 lacIri nuw�/l/cf. l�ln�wx �e to
F1" 1 1Wi T'E`S to ORPf'R F TflN t
Registration 103221
Fir f, t z 10 E3 t t,T Type - PRIVATE CORPORATION
T� _ N i3 r- ^0C! ?;P:ration 0 7;'.10,=7r
MCLEOD BROS. 73C.
�v soh R, MacLeod
ADwmssTRAm F —63 Reservoir Park Drive
Rockland MA 023?0
s. �UO�XEKT „ 'PUB' >AFF"
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TA: 40
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04�tiAMp�0 0 1�
a� °a Git of Nart1jullytn11
B asoachasrtta
m DEPARTMENT OP BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 '
WORKER'S C01'r1TENSAITION INSURANCE AF MAVIT
(li censc�/permi ttee)
with a principal place of business/residence at:
1-2 _(phone#) 7 l X71 IGZ��
(stzr_-t/city/state/a p)
do hereby certify, under the pains and penalties of peq ry, that:
an employer providing the following worker's compensation coverage for my
e opployee.s working on this job.
(Ina=C:t 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 Contactor) (Insurancc Comoarry/Poliq Number) (Expimbon Date)
(Name of Contractor) (Znsnrance Companv/Poticv Number) (Expiration Date)
(Nacre of Contractor) (Insurance Compauy/Policy Number) (Expimbon Date)
(Name of Contractor) (Insuramce Company/Policy Number) (Expiration Date)
(ati> addr6cail s± c ifneccua to ix u6c infzrmitioa pertaining to all ocim-actor')
O 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 awarc that whito hcmeoA-Dm wt>,:)anploy pcm=to do mxiuj ,���o=s:r ioa cr repair work on it dtimt&g of
not mot:than tbmo unite in wfsich the bomoowncr r=dca or oa the groua6 appurten ibetcto arc oot gamcrnity oomidavd to be
einployas under the workct`s.oampeasation Act(GL152,m 1(5)),appdcabon by a homeowner for a Ucaltie of permit may evidence the
ltVl dmfit ofan omployoc undertho Wor$oK'a Compoma2son Act..
I unders d that a copy of thu ctaf®cai may bo fomvrded to tbo Dcpwrttj o of Industrial Aocia-&Of5oo of Iazurwoo for tba
oovera unification and that failure to sontre cov;tngo under scctioa 25A of MGL 152 can lead to tba imposition of criminal penattica
oomistiug of a fmc of up to S 1,500.00 an&oc imprizo¢ of tip to one year and civil pcw2ties in the form of n Stop Work Order and a
fins of 5100.00 a day against tz�c
For dcpartm=l u,o 0Q1Y
QUO Permit Number
Map# Lot#
Si nfLi lam
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_ FILE #
t
APPLICANT/CONTACT PERSON: ,yep
ADDRESS/PHONE:
PROPERTY LOCATION: ,
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
� T
Riiilriing
ArrPCenEy StrTirhire
Building
i
TH OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: .
Approved as presented based on information presented *Building ONLY — Sign permits applied.
for separately
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/ZON NG BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
i
Received & Recorded at Registry of Deeds Proof Enclosed
I
i
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
i
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Consery miss' 1
� 7
Signature _!ding Inspector e
NOTE: Issuanoo of a zoning permit does not relieve'an appltoant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation i
Commission, Department of Publio Works and other applioable permit granting authoritles.
i
i
1 y
10. Do any signs exist on the property? YES NO X y t
IF YES. describe size,type and location: _
Are there any proposed changes to or additions of signs intended for the property? YES X NO IF YES, describe size,type and location: See attached elevations for size and plaoement of signs
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
bV the Building Department
Required
Existing Proposed By .Zoning
Lot size 21,185 S.F. 21,185 S.F.
175.66' 175.66'
Frontage
Setbacks -front N/A 15.5'
side L:N/A R: N/A L: 122' R: 34'
rear
N/A 100'
Building height
N/A 10.5'
Bldg Square footage
0 S.F: 37S.F.
%Open Space:
(Lot area minus bldg
& paved parking) 0% 8%
# of Parking Spaces
0 0
# of Loading Docks
0 0
Fill: 32 CY Loam
(volume & location) 40 CY to replace exist.
N/A Foundation
13. Certification: -Thereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an ap]pri-cant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, conservation
Commission, Department of Public Works .and other applicable permit granting authorities:
FILE #
X E_ - -
ixe ` 3 ` . t File No.
DEPT OF BUILDINGINSPECTiONS.
NORTHAMPTON-MA 0106 ING PERMIT ..APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Florence Savings Bank
Address: PO Box 60700, Florence, Ma. 01062-0700 Telephone: (413) 587 - 1776
2. Owner of Property. Jack Fortier
Address: PO Box 376, Florence, Ma. 01060 Telephone: (413) 587 - 9609
3. Status of Applicant: Owner Contract Purchaser. X Lessee
- Other(explain):
4. Job Location: Parcel on the comer of Pleasant Street and Service Center Way
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Parking Lot
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
The applicant proposes to utilize a portion (4137 SF) of the existing parking lot as a
Walk-up/drive-up ATM Kiosk site.
7. Attached Plans:. Sketch Plan Site Plan X 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 PermitNadance/Finding ever been issued forlon the site?
NO DON'T KNOW X 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 X 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 THE OTHER SIDE)
File#BP-1999-0260
APPLICANT/CONTACT PERSON MacLeod Brothers Inc
ADDRESS/PHONE 63 Reservoir Park Dr 781-871-1003
PROPERTY LOCATION PLEASANT ST
MAP 32C PARCEL 134 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓
Fee Paid
Building Permit Filled out
Fee Paid ,�? ✓
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existin
Accessojy Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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 Commission
Signature of Buildin 1cial 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.
Department: Reference No: B.P-1999-0260
...................................
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
new structure REC4999-000634
Paid.6y: Paid in Full 0 n
Macleod Brothers Inc Wed Sep 02,1998
.........................................................................................
.. . ...... ......
Received By: .Check.No:...................
Linda Lapointe 8571
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: $40.00
...........................
DEPARTM ENT FILE COPY PLEASANT ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0260 $40.00
GIS M#2 Block: Lot: Address: Zoning: Use Group: Lot Size:
10138 32C 134 001 PLEASANT ST GB 20995.92
Contractor: License Type: Insurance:
Macleod Brothers Inc CSL Workers Compensation
Address: License No.: Insurance No.:
63 Reservoir Park Dr 015895 WBN38507880
City: State: Zip Code: Phone:
Rockland MA 02370 (781) 871-1003
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0110 New Structure $26,000.00
Description of Work:
WALK UP/DRIVE UP ATM
GeoTIVIS@ 1997 Des Lauriers&Associates,Inc. Signature: