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The sprinkler alarm is monitored by: Landry Lock & Alarm 14 Blueberry Bend South Hadley MA (413) 538-8609 I > c cv = m > i cm� to Z cry y o vt OO m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ZZZ_ 1"�AS �-rr ST • Lot No. 2. Owner's name Address 3. Builder's name �� � �+-> -��- Y2 Address IL, Mass.Construction Supervisor's License No. Q 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 11 Nr' 12. Type of roof 13. Siding houseC 14. Estimated cost- 'lUj of�o The undersigned certifies that the above statements are true to the best of his. knowledge and Signature of responsible app,icant Remarks �.,. � � 1�[.-� c-+h-�v� 7y 4-7 o�nA>rpro .�"�. �. tl i 1 ' JAN 2 7 2000 (1 fLr of NO:uilla"113foll B � � �tcietcrlln>:rlls - — -m DP_PAR'l . iPNT OF ITUlLDD,lC INSPECTIONS 212 ]1': in Street ' Municipal Building 1 ,rthampton, Mars. 01060 WORTUWS COMI'i dSATMN INSURAN(7E AFFIDA.Vl'I' (liceii-scdpefmittce) - — with a principal place of businessh, device at: Co w 3V 5-jr,"V-Y Fes' a'C Vo , �honc>� g[1,-12�LcL l stntit/ci ty/sta tcJzi p) do hereby certify, under the Mains ; I Penalties of perjury that: (/am an employer providing Ili followin& ,voikcr's compcusation cover,; ;e for illy employees working on this job: d--S(- gol ncc C)tnpany) (Policy Number) (F �n. cio Date) I am a sole proprietor, genera ontractor or homeowner (circle one) anti have hired the contractors liste(I below who l re the following work-er's compensation pohcies: (0 S, Co. w.=A—0z 8S 8-v `t z ame of Contract,,t-- - --- -- —�-- (N ) (111 111 c Coulpany/Polic)' 14111111 I) (Exl,iintion Datc) (Name of Conti icior) (111 ancz Conlpalw/Poli� ILIllbcr)— (Expiation Date) (Name of Conn. 1 1,u.) (11mimix—Z Company/Pull'), iluull-'cr) (Ex1, lation D:,Ic) (Naine of Contractor) (Insluance Conlpauy/P(,lu.y 1,lun1bzl) (Expiration D.,ic) (anach a.dditioml if ncocuuy to inc}u,k infocuutioo lutaining to.11 a:n�rocton) O I am a sole proprietor and have no one woi king fi)r me. O I am a home (wl,ner periornling all the-\.,ol k nlyself- NOTE:plcaac Ix aware,1,.t t,i.ilo lxx1cot,u:t3 mit 3"Wlay lxcrocu to d3 u:.iutcajocc,cous:rucYioo of Icpau Null:on a ii—lling of not moro than tixoo ttrritr i:i t.l iclt tl~Iwnx uocr rcai icy cx oa t1.c gtuut,.ir aplrtticnacu it ciu etc cw(l czxrnlly cai.t<krcd to G: anploytn under rho tvocl, cungxnzaiicxt Art(GLl52,n 1(S)},rj)&cation l,y a itotncottu-r fcu a liw3x cr perntit uray evidu.c the legal eiatua of an amployo, „tor tin W xica'a cc pmvlioa./Adc I undcnturd drat a Dopy of thi.cl.tuaxa.t auy ho faxwnnl«1 to tho l)cSw tu.:<d of In.L,.L iai A idcdle Offil o of luxaanoo for d- covengc vcrificatioa and that failuzc to roatrc covcrngo tuj^k sccliat 2 5 A of).((]1,152 un bud to tba irupix i oa of"iminA pcnalliu comisting of a fine of up to S 1,500.00 acxtJor uuluiiocuncrrt of up to on:year acnl civil 1x itia is d..form of a Stop Work Or&r and a ` flno o(5100.00 a day ag timt ur f oc-d,A,utrikaill uao udy Pctlnit llulnber — --� _— SigDahtrc ofrjGct76(c/Pct 11,iticc 5 , 10. Do any signs ns ebst 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 aolama to be filled in by the Building Depmrt=ent Required Existing Proposed By Zoning Lot size Frontage Setbacks side L: R: L: R: - rear v Building height Bldg Square footage %Open Space: (Lot area minus bldg &pai,ed parking) # of Parking spaces f 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. DATE: APPLICANT's SIGNATURE NOTE: Issumnoe of a zoning permit does not relieve an applioant's burden to oom Wit -all zoning requiramants and obtain all required Pfy h q permits from the Board of Haalth. Conservatiorn Commission. Department of Publio Works and other appliomble permit granting authorities. FILE # ;i i XS i JAN 2 7 20 � Fi 1 e No. . w 'OTING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 13LI-7 �_Y� Address: �� '}424ZAJ �CA C UAA,Ve4'T Telephone: 2. Owner of Property: "S�( (_-�o Address:—, C>V —Sir ( -z-z Z. q 1426o�'q Telephone: 26th'"- (p 3. Status of Applicant: Owner Contract Purchaser Lessee ✓ Other(explain): ` �- 4. Job Location: Parcel Id: Zoning Map# &02�Parcel# O� District(s): (TO BE FILLED IIIN,,BY THE BUILDING DEPARTMENT) -- 5. Existing Use of Structure/Property AA-_t e Q V�S4 qtVLP--n 06-__ O C-n�e_f 6. Description of Proposed UseMlork/Project/ ccupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan y 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? t� 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 V IF YES: enter Book Page and/or DD ment# 9. Does the site contain a brook, body of water or wetlands? NO 1 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) t File#BP-2000-0679 APPLICANT/CONTACT PERSON Robert Walker ADDRESS/PHONE 36 Service Center (413)584-1224 PROPERTY LOCATION 222 PLEASANT ST MAP 32C PARCEL 168 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid z ,Lo Typeof Construction: REMODEL 1 ST FLR STUDIO SPACE TO OFFICE SPACE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 034783 3 sets of Plans/Plot Plan TH OLLOWING 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 Co ion 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. r Building 2/1/00 0:00:00 7850 $350.00 212 Main Street,Phone(413)587-1240,Fax: (4 U)587-1272 Building Commissioner-Anthony Patillo It,, Z-- e-n-n 1 ewe 222 PLEASANT ST BP-2000-0679 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 168 CITY OF NORTHAMPTON Lot:-001 Permit: Buildinq Category:ry o :renovation BUILDING P a Permit# BP-2000-0679 Project# JS-2000-1253 Est.Cost: $70000.00 Fee:$350.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Robert Walker 034783 Lot Size(sa. ft.): 8015.04 Owner: HEROLD JORDI ---- Zoning:CB Applicant: Robert Walker 1 AT: 222 PLEASANT ST Applicant Address: Phone: Insurance: 36 Service Center (413) 584-1224 Workers Compensation 1, NORTHAMPTONMA01060 ISSUED ON.•2 11 100 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL 1 ST FLR STUDIO SPACE TO OFFICE SPACE 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: t X1)tv Final: Final: c Rough Frame: ;Z)4-z- o i; at Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: OK 7—/ 3-o o THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO TION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu a c w` mature: Fee Type: Receipt No: Date Paid: Check No: Amount: 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo