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32C-212 i m OCA �< E o=- � Z cn O r _ 'P r Q `n; z m M C M Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair / Garage 1. Location ! Lot No. 2. Owner's name Q2 Z / s i Address S 3. Builder's name 7 G ' osu f li145 e S Address 1417 9� �u A - Mass.Construction Supervisor's License No. &H01 I L/;� 4V4"5-1-1i C_ 9 Expiration Date L1 i Y 4. Addition 5. Alteration 6. New Porch l O S 6 n © , 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:- —750 -o c) The undersigned certifies that the above statcmcnts are true to the best of his, knowledge and belief. Is 4.f portsib1,appicant Remarks Via) YKA e /L ,v 04(H/tNp�0 - a a eMAR 3 01999 MKS IAChN5Ctta m +' OF$ti;• BPW1ItTMENT OF BUILDr NG INSPECTIONS MAin Street ' Municipal Building Northampton, Mass. " 01060 ' WORKER'S COMPENSATION INSURANCE A t ' AVIT (li censerJperini tt ee} with a principal place' of business/residence at: / �� / �`/ 1 �av ( t!• /t V0 w. (phone#) (stic-_i/ci ty/sta trhi p) do hereby certify, under the pains and penalties of perjury, that: O I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) (�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) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contmctor) (Insurance Company/Policy Number) (Expiration Date) (Nam of Contractor) (Insurance Company/Policy Number) (Expiration Date) (arradt ' om1 sheet ifn�uy to include mfonnition pertni=g to nil oo�radors) ( 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 whilo homcoµacn who ccaplay pcnom to do�iryf .,•= conwuc6on"or rcyair work on a dwelling of not man than throo unity is winch the bomoowncr rc=(Ica or oo the uvands appurtcamA thacto&m no(ecna-ally oo=du«d to be employae under the wmicc' oompcmaiim Act(GL152,m 1(5)�application by a homeowner for a liccwc a pa alit may cvidcax the legal etatna of an employor under tho Workoes Compensation Act I unda'Rand that a copy of this dat.cmaaf tray be forwwtt d to tbo Departmm of 1,A, Yin1 Aocidc0&Office of tawr.noe forth. covaxge wrificsiioa and that failure to sca=covcrngn undo soc ioa 25A of MOL 152 can lad to the ic4xnition of criminal pemitics oomistiug oC a fim of up to S 1 5(10.00 aadlot of up to one ycsr and avt7 prnatGa io the form oC a Step W ocic Ocdcr and a ' fins of S 100.00 a day agpitui the Foc dcpatw4aw tuo only permit Number Lot# signahmtWtA6sockcrmittcc 10. Do any signs exist on the property? YES NO C­-'� 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 column to be filled in by the Euilding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear --- Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved Darkj_nr 1 # of -Parking Spaces # 'of Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. S� DATE: APPLICANT'S SIGNATURE NOTE: luau noe o a zoning permit does not relieve an *hol3o-rd burden to comply With $11 zoning require ants and obtain all required permits tram of Health. Conservation Commission, Department of Pubno Works and other applioable permit granting authorities. FILE # MAR 3 0 W, Fi 1 e No. j a� $-TNG PEMffT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ��/� 'Y - �I.l( Art S Addre � 2. Owner of Property: F- 9=- 4 e y ,l6 e-7-FA4 h081 Address: zV Ol f/ Telephone: S Y 7V 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): / ,,�j 4. Job Location: qK �/L4, ()Pgr Parcel Id: Zoning Map#&vl�C' Parcel# L----�/ District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 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- y--' 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 '/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-1999-0798 APPLICANT/CONTACT PERSON J C Pratt Builders ADDRESS/PHONE 147 Westhampton Rd. (413)584-5504 PROPERTY LOCATION 41 HOLYOKE ST MAP 32C PARCEL 212 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny,Permit Filled out Fee Paid )2C Typeof Construction: REPAIR FRONT STOOP, STAIRS,&RAILINGS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 061401 3 sets of Plans/Plot Plan 7 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 Co ssion 3SO 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. 41 HOLYOKE ST BP-1999-0798 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-212 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-0798 Project# JS-1999-1431 Est.Cost: $750.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: J C Pratt Builders 061401 Lot Size(sq. ft.): 9104.04 Owner: JARZEMBOWSKI JOSEPH F&MARY T Zoning:URC Applicant: J C Pratt Builders AT: 41 HOLYOKE ST Applicant Address: Phone: Insurance: 147 Westhampton Rd. (413) 584-5504 NORTHAMPTON 01060 ISSUED ON.'313111999 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPAIR FRONT STOOP, STAIRS, & RAILINGS 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 Sienature. Fee Type: Receipt No: Date Paid: Check No: Amount: Building 3/31/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo