32C-137 (12) v
'C
� 3 p O �
� .4 c -� Zm
�:M c
to O .�
, �
Z
> 3 ` O
to ...�y'
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S�'G `�6 3 Alterations
NORTHAMPTON, MASS. N,)y A 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3`1S 1'�t Rs�� s, n-i� � Lot No.
2. Owners name J\0<- fu911tk Address -1'2- PLA-Tj,jjAA GtluLt
3. Buildersname aLUI� M, tAAL,— Address 2-U SP1L(,VC ST— fWACI-)C 11,A 0106L-
Mass.Construction Supervisor's License No. 0-11E74 Expiration Date G 2G 1 00
4. Addition
S. Alteration �w,) ��n ►?cAmi J�- WAS
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:-
3 6 no. W
l The undersigned certifie/th/ ab ove stat ments are true to the best of his,
knowledge and belief.
Signature of responsible appicant
Remarks
�'.. NOV 51999 (r,• ,af ton inn
t
� �,, ; Ala:adrnscits
DEPARTMENT OF BUIIDNG INSPECTIONS
212 Main Street a Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(licenscrlpermittee)
with a principal place of business/residence at:
ZCU G see4, G sT olo6'Z (phone#) S86
(strceucity/swdzip)
do hereby certify, underthe pains and penalties of pedury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expimtion Date)
40 )r�- general contractor or homeowner(circle one) and have hired
the contractotmhsted$elow 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 Compaay/Poficy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(at'%A addiboml shot if neocauy to ioclude 6forraatioa pertaining to all ooatradon)
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--m the"b ila bomeownets who employ p=om to do taaitrimanct,suction of rcpatc work on a dwc ft of
not am*than throe tmiu is w<i h the bomoowoar mid=oc oa the greunds VV=teaautlhado are not g ocr4y o=sLkrtd to be
employ=trndeC the V—kets coaTca"tion Act(GL152.=1(5)1 appliza6on by a homoowarr for a license or pe add may evi&wc the
legal atanua of as employes underthe Wakoes Coarpemdioa Ad.
IuadaoAnddut:copy ofWxautemmd=my befocwavdadto the Depm mmtcflndrrstridAoa4m&OTWOoflinwaa afor the
c0Vmge verl6edim sod that f&rc to saute crimp wader zoc d=25A of MOIL 152 can lad to the iwpoeition of aimioal pw-ltia
coozisoag off—tfup to SI,SW.00 aW-is Fbo=,eat ofup to am ycw and civil p=Wcs in the foes of a Slop Wade order cad a
Sae Gf3100M a day agdaA tne.
�j FosusemlY
Permit Number
!4 Nu V'S, 61 Lot 0
Sig aahut of IAA=sec/Puxmittce We
10. Do any signs ebst on the property? YES NO X
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 cols to be filled in
by the Bcilding Department
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
&pax,ed par kingi
# of Parking spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the info r a n ont ine herein
is true and accurate to the best of my knowle g
DATE: /Vl V �l 155-S A.PPLICANT's SIGNATURE
NOTE: 1"uanoa of an zoning permit does not relieve an applioant's burden to oomply With all
zoning raquiramants and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Worke and other applionble permit granting authoritlea,
FILE #
0E�'i i F
File No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: :, V L Y2 c i"a
Address: a?-,Q s p j2 1 i2 c1 - A f L ephone: "� l 3
2. Owner of Property: c)c-LCk
Address: l,�Z�j),7 fa jn_ l.z ill-(e Telephone:
3. Status of Applicant: O%�ner Contract Purchaser Lessee
Other(explain)::
4. Job Location:
Parcel Id: Zoning Map# yd(f— Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property (f f FI'Ce t �?
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
C _
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/Vadance/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#
9. Does the site contain a brook, body of water or wetlands? NO-,Y—' 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)
e
File#BP-2000-0485
APPLICANT/CONTACT PERSON ALVIN HALL
ADDRESS/PHONE 206 SPRING ST (413)586-4633
PROPERTY LOCATION 395 PLEASANT ST
MAP 32C PARCEL 137 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
Ty_peof Construction: REMOVE&CONSTRUCT INTERIOR NON BEARING WALLS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included• --
Owner/Statement or License 042574
3 sets of 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 C ission
1 6
Signature o 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.
c
395 PLEASANT ST BP-2000-0485
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 137 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0485
Project# JS-2000-0836
Est.Cost: $3000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALVIN HALL 042574
Lot Size(sa. ft.): 21997.80 Owner: FORTIER JOHN F&EVELYN C
Zonin KGB Applicant. ALVIN HALL
AT. 395 PLEASANT ST
Applicant Address: Phone: Insurance:
206 SPRING ST (413) 586-4633
FLORENCE 01062 ISSUED ON:11110199 0:00:00
TO PERFORM THE FOLLOWING WORK.REMOVE & CONSTRUCT INTERIOR NON
BEARING WALLS
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 11/10/99 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo