29-511 (2) JUN 2 31999
u
S
f ;
1
�!I
I
I
i
I j I
I
. l
i
I
� 0
—u �(
O O
JUN 2 31999
rt-
°C
. c�u
CD
CO
Ql-
T
I
I- - - - tLZ
C?
t�
U
i
�x '$ JUN 2 31999
L � �
\n-
a
b5
I` > o
I v .
T
v b c
w rn
6° cII- 3 ZZ mmp
N 3 cn O
�- -�
j (X
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location "1 � trC3 \C-� C`z-*°vl C Lot No.
2. Owner's name lip f'l h YY7Ytl e,,-- _ Address � 4, \c C ti f. P tc,-(-ev) C f
3. Builder's name noy""( �o ► n n Address 192 SC)1)11-1 �':
Mass.Construction Supervisor's License No. q g Expiration Date a ' ? q 9
4. Addition
S. Alteration Q mou-e -kx-, m er -if 1;'Ot--)Yr•
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:- "
The undersigned certifies that the above mcnLs are we to the best of his.
knowledge and belief.
Signature of responsible app,icant
Remarks
R
�O�ttAM
t
JUN 2 3 W9 �lasaarFlmsrus
DEPARTMENT OF BIIILDWG INSPECTIONS
1 212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COM ENSATION INSURANCE AMIMAAVIT
1ho nnft!, K bcA; ian
(licenscrJpermiticc)
with a princlipal. place of busi(neess/residence at:
ILE el f5Alelu- t
(grc_1/ci ty/s(aie/zi P)
do hereby certify, under the pains and penalties of perjury, that:
T am an employer providing the following wort-er's compensation coverage for my
employees working on this job:
(nsu=ce Camay) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hirers
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Compaay/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compaay/Policy Number) (Ex-piration Date)
(Name of Contractor) (Insurance Compaay/Policy Number) (Expiration Date)
(atl�ch additioml sliest ifnccrnary to include tmfocmirioa pataio:ing to all oodrncion)
' l I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:pleasc be awanc thrt wkilo homoowmcrz who employ priors to do m.:..,.,,.,,�a=stceioa or repair work on a dwelling of
not crow than tbtoo touts in which the homoowncr reside or oo rho t m>od3 Vp admu t thacto arc no(Caxr y ooandacd to be
employee under tho ivocktr's oompcas4cia Act(GL152,s 1(5)},awti-�oa by a homcowncr far a liccme cc permit may evidcnoc the
ICVJ ctatva ofao employee uodertha Workoet Compemition Ad
I unde:�that a copy of this rSatemm2 may be foswerdsd to the lkpartm� of L,&L-did Aoadmts'0fboo of l=uc=-for the
Coverage vaification and that failure to secure coves ngo under soctioa:1SA of MOL 152 cam lad to tbo imposition of uiminsl pcmldcs
oomtstiug of a fine afup to 51,500.00=NCC6Pris0aMCntofuP to ooe year and dvra pcmriia is the form of a Stop Worts Order amd a 1
fmo of S 100.00 a day against rasa
For dcpatmcrbl use only
Permit Number
f.Ai,wr- a_ Cp —Lot 4
: f Signature of Lia=scclPcrnuttce
*s304ljoyinv Bul;ua,iB ilw.aad algaolldda ma4io pue "JoM ollgnd +o ivawiaedaa 'uolssiwwoa
uolistAJ0suo0 '4ilvaH ;o P-AwOa 044 wo.ii silo+-iad pa.jlnbai 1112 uleigo pue sivawajlnbaa Buluoz
llo ililM Aldwoo of uapjnq sju ua awalla.i iou saop ilwmad buluoz v +o ooUvinsl :310N
Hrnrxors s sxxol'Iaar :Hsya b
/-Tv
6paTMOU4 ant To qsaq aq4 o4 a4P-znoop pup an-T4 ST
ura.Taq pauTP4u00 uoT4eut-To3uT aq4 4Pgq Z�r�Tao �gaTaq I :uOT4POT3TqTaD • ET
(uoT-.Poor 'I- autnlonY,
sZTt3
sxooQ buiPVOq
saopdg buiXi>za_ 3C #
�ui1T3j.T.rd pa �cd� i
5PTq snuTzu uaia;ol�
:ooedS uado%
a6eloo} a,ienbS 6p19
446104 6uipi!n8
aeai -
:-j :a :-j apis -
s)ioeglaS
a6eluoi j
azis 10-1
6uiuoZ AS posodoad 6ugsix3
i paainbaN I
:;LIKcq SYdaa 5uTpTrng aq-4 dq -
UT P°TTT9 04 04 umnToa rtU
•xord�ojxx Jo xoxT
os Soma aarxsa ya Nvo LXHUHa -TO °asZHTCTWoo Ss .LSLW NOXMJVWO 81x1 = ' Tr
:uogeool pue ad/l'azis aquosop'S3A JI
ON S3,1 lAvadoid aqp joj papualui suBis jo suor ppe jo o;sa6uego posodoid Aue aiaq;any
:uogeool pue od/(4'azls oquosap 'S3A Al
ON S3A d4ladoid aqj uo isixe su61s Aue oa p L
JUN 2 31999 f
1/I_I I �..7 1 7r1k1
► io 10, ING PERMIT APPLICATION (510 . 2
)
PLEASE TYPE OR PRINT ALL INFORMATION'
1. Name of Applicant—JE I) '1 ig n iA - 'b 04-•er i-j
Address:1'12 3bt')_Fl+ Telephone: 6�S- Ca
2. Owner of Property: kA l'G r _
Address: A) _ VV\_Telephone: Q
3. Status of Applicant: Owner _Contract Purchaser Lessee
Other(explain): 1 ( �►�' f
4. Job Location: vl `C'
Parcel Id: Zoning Map#-`J7 Parcel# L— District(s):—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of StructurefProperty 9\n e rn C�Yh l
6. Description of Proposed UseMlork/Project/Occupation: (Use additional sheets if necessary):
f Lo M ay_e
1t)0 n
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 Document iO
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 OTHER SIDE)
6'O .o-14
File#BP-1999-1129
APPLICANT/CONTACT PERSON THOMAS DOLAN
ADDRESS/PHONE 172 SOUTH ST (413)585-0612
PROPERTY LOCATION 9 TARA CIR
MAP 29 PARCEL 511 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid �
T_ypeof Construction: REMOVE 2 CLOSETS TO MAKE 1 LARGER ROOM
New Construction
Non Structural interior renovations
Addition to Existin¢
Accessory Structure
Building_Plans Included•
Owner/Statement or License 039281
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Pp roved 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
y
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commissi %
Signature of Building 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.
9 T CIR BP-1999-1 129
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-511 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-1999-112 9
Project# JS-1999-1869
Est.Cost:$500.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: THOMAS DOLAN 039281
Lot Size(sa ft.): 54Q1.44 Owner: KRONER KARL
Zoning:URA Applicant., THOMAS DOLAN
AT: 9 TARA CIR
Applicant Address: Phone: Insurance:
172 SOUTH ST (413) 585-0612
CHESTERFIELD 01012 ISSUED ON:612811999 0:00:00
TO PERFORM THE FOLLOWING WORK.-REMOVE 2 CLOSETS TO MAKE 1 LARGER ROOM
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 Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/28/1999 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo