32C-195 (2) t�
._1
C"1
a
co x m
M _
Z
s. :.. ._ > cn O
r Z :+
� � m
o o
�l 3 Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. f Alterations
f Additions
NORTHAMPTON, MASS. 19
APPLICATION FOR PERMIT TO ALTER a Repair —
.. Garage
1. Location /.2 / /��111771 S�� Lot No.
2. Owner's name .SCR vz 7e V r f '^'L Address le;?— ✓e YU
3. Builder's name lam 6�� S__S _ _ ____ _____ Address ��7 Z�-1 "Pro
Mass.Construction Supervisor's License No. e)S Z2 9 Expiration Date
4. Addition
5. Alteration 2 f f a i,I AV S/A 1-d i
6. New Porch
7. Is existing building to be demolished? i1rT1
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- �� Q
The undersigned certifies that the above statements are we to the best of his
knowledge and belief.
Signature ojresponsible appicant
Remarks :!,/
azx
AMO
w`i It
JUN 1 8 19Q K . Street,Nt ` ?uiA Oi
1 (41� )584-5555 fax(413):.36-039:
r
- n
o
• � - ; a
121 Williams Strect Nord=ptoin $154,1900
sbk' ltoows 9 Bed<ooros:4 f so tit. 2
s B<:ie,WK,NOW Lat*C. 16 Qa l.•N'eB Livia,Arm 2W
Gower:Btu Toodsm:UPC Roadmig.wwvd,carpet.vittyy 1 Ve+a/Fm*:Yu
cots mediae:9itgod F"= Best Cos Forced Aar I>�ed:wu��re Om 2m Nag
Cmmp:Now RcnW Egaip:Now Paved Dtive:ya t1hp"*-,Yes
p%vhlB'%sy:Yea Hat wasrx:CAS Ptyed She+at_yes ReeLi :lieg
F arage:.S7 feet S"mr:Fhbi~C wasbar comt-:ra Disbwadwt Yes
AP6rox Agm- 19DD tit+ Febik Yv.wCama-yes Ta=s17W7'2 Yr-Im
1":Kifthm Din*,Liviesmom Den,firingtOW Foil BeKil MM
2':Fwr Bedmfl .FA Bwthtcom
Cellletr:
R+�ics:lti+Ja�-�a Gast�biio�a
C wmm V=DP:7&ma an s-A I'Ya RA. 2%
1s.yeses od�a soaewri+�psi�tb w�aaa mate i 7 4PSM84 anu w9 m m"a so wa�sy a w easier
wed uue>Ai'4ieew.
wrrmwy etaeerM4r►d dsxnpfeoeev ql r/+e oreoywrry c e:gas madmXft nSer sf=9 OjVW offreWOW am MOM 4f the
Oreror'e7tl:ert!r-pt^_th;>�-'!,�ri-`-�kl-=v.�'�`•s-wr�r os++emu;r�psww ar ra►i�d bj'a7mRF lI.]i7R �
Chuyl A.Finkbsm
f�roerlBroiCer
Reaftr,GRIM, 0" CUR
TOTAL P.01
�tLAIMP
81999 f�as:ac4ttsctfs
TMENT OF BUILDIXG INSPECTIONS
'Main Street ' Municipal Building
Northampton, Mass. 01060
WOR=R'S COMPENSATION INSURANCE AI�TT DAVIT
(LcensuJPernuttee}
with a principal place of business/residence at:
/ci (phone#)
(street/city/statr/zip)
7 do ereby certify, under the pains and penalties of perjury, that:
) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance 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 Contractor) (Insuran(-- Company/Poky Number) (Expiration Date)
(Name of Contractor) (Insurance Comparry/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance Comparry/Poticy Number) (Expiration Date)
(Name of Contractor) (Insurance,Company/Poky Number) (Expiration Date)
(attach additioml ahce if ntccaary to iocludo iafOc on pertaining to all ooatmd )
( ) I am a sole proprietor and have no one worming for me.
( ) I am a home owner performing all the work myself.
NOTE:plcaac be aware that whi]o homcownct3 who employ pazom w do m,;••�construction or repair work on i dwelling of
not nic"than tbrcoo units in which the homoowncr resida Of oa tho grounds zppuctcnsnt thereto arc oot wally ooasidcrcd to be
cmployaa under tbn woefctY coaq>= ioa Act(GL15233 1(5)),application by a homeowner for a Gocasc or permit may evidence tho
1 tSal atahsa of an employee under the Work ces Compemation A—
I understand that a oopy of this rtatcmcat may be focwruded to the Dtputmcai of lo&�al Accidr&Offioo of Iaxxanoo fa dw
oovema verification and that fad=to secure eovango under soetioa 25A of MGL 132 can kad to tba imposition of c:itninal pcnalt cl
oomistmg of a fine of up to S1,500-00 and/or iurfuiso of tip to one year and civil pcmltia is the form of a Stop W oric Ord,and a
film of S 100.00 a day agniasi me.•
For dtparU=-W—0-1Y
44tz G'/ / Permit Number
�� / ! Map# Lot 4
+ .: Signature of LiccnsedPermitice
I n
U JUN 1 81999 f
ti
r
3
i
f L`
it'll /
�L JUN 1 81999
;
, u 1 ;
Nn�{���5,�,�'T`Fey,�4'�n
\
•�_ '� � is Z / ' --� �� '.
w r1
MW
laoill.ioyjn12 Bult—AS jlw-sad aiqualldd12 jayjo pue sMjoM o!lgnd jo ivauajr12daa 'uolsslwwoa
uoljsawrasuaO '411190H jo p.J1208 ay; Lucjj sjlwjad paalnbai 1112 ulejgo pue a}uaWaJlnboi Bulu&z
ilo +44jM AjdLuoo of uapjnq u4ueolldde us awa11aj jou swop jlwjad Buluoz 12 So aouenss! :310N
•a parAOUX Zur 10 gsaq aq4 04 a4e.Tnooe pue an.T4 ST
ura_Taq pauregUOO u0r4eWT0gUT aq4 geg4 Z3r4-Tao Zqa-Taq I :uoT4P0TgTq.Ta' • ET
W / V (rroTq a?oor )y--aurnlon)-
:TTZ3
sxooa buipvoq 3o #
saovdg buiX-TlB(j #
�SuT31SPd pa,ied '
6pTq snuzw pa.TP lo-I�
:aoedS uado%
r/7 �� 06elool a.lenbS bp19
lg5ioq 6uipiin8
o Mai -
✓�� 2! :l 9/ :a q! :l opis -
- s)ioeglaS
211V 06eluoaj
�2 azis 101
6uiu0Z A8 posodwd 6ul_)six3
i paainba�l I
gQaar�svd.oa 6IIrPTzn9 aq4 dq -
-T P-TTT3 -q --4 —To-- rrgy
•xolmnigam-T .10 Yom
os sDQ QarxsQ vg Nvo slm&wa -To 'ayxaTdwoa Sg ssLw xor zyhwojml = • TT
:uogeool pue adAl'azls aquosap'S3A 31
/J ON S3A 6Apadoid 941 jol papualw suBls to suoglppe jo of sa6uep pasodoid Aue aima ajy
:uogeool pue ad/4'azls aquosop'S31k 31
/l ON S3A 6fi4jadoid ayl uo;slxo subis Aue aQ pL
File No. /
IR
�U, JUN 18 1999
71� fi G PERMIT APPLICATION (§10 . 2)
DES
TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /
Address: 2?7 z/ Telephone:
2. Owner of Property: _}-e /I v
Address: / - r ry ar Sl TeIephone:_�S�
3. Status of Applicant: Owner Contract Purchaser Lessee
-Other e3� ain): 1--- _
/. / //�i,orh S ✓ Y /t
4. Job Location: _
Parcel Id: Zoning Map# - Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Si^r 2
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
L-h1-lJL1y�n/r-✓ �,.-�C��/ 9 C-I'%'✓7 "! /// ,J�a.;`� <i ,y ?-d".. ./ 4'k'.r" +,t , ,
?f r d / �� �' / l+�/1° /l %/r� l '` .., Id
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 KNO:A.'_)( _ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW Y 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)
File#BP-1999-1116
APPLICANT/CONTACT PERSON Thomas Gross
ADDRESS/PHONE 237 Plumtree Rd (413)665-8235
PROPERTY LOCATION 121 WILLIAMS ST
MAP 32C PARCEL 195 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
y
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildinp,Permit Filled out
Fee Paid &-a fCD
Typeof Construction• CONSTRUCT 2ND FLR EXIT REMOVE WINDOW&INSTALL DOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildiniz Plans Included:
Owner/Statement or License 059093
3 sets of Plans/Plot Plan
THE Kpproved WING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
as presented/based on information presented.
1
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 j
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.
. ' ,c Re M^ `?' .J .'r�' .,�✓'.sue +w+xs
Js�
a
d L
..J "-rte a
121 WILLIAMS ST BP-1999-1116
GIs#: COMMONWEALTH OF MASSACHUSETTS
hbR:Block:32C- 195 CITY OF NORTHAMPTON
Lot:-00i
Permit: Building
Cateeorv:
BUILDING PERMIT
Permit# BP-1999-1116
Project# JS-1992-1847
Est.Cost:$500.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: 5-'s Contractor: License:
Use 9 ou: X-9, Thomas Gross 059093
Lot Sjgg sq.ft.):-8102.16 Owner:_ServiceNet
Zoning:URC ADDlicant: Thomas Gross
AP 121 WILLIAMS ST
Aplicant Address: Phone: Insurance:
237 Plumtree Rd (413) 665-8235
SUNDERLAND 01375 ISSUED ON.•6/2$/1999 0.00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 2ND FLR EXIT, REMOVE WINDOW &
INSTALL DOOR
POST TIHS 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 Deuartment Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: G 12 -7-15--
T a-t
r hpw
THIS PERMIT MAYBE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLA ON OF
ANY OF ITS RULES AND REGULATIONS.
i nature•
Fee Tyne: 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