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29-358 (2) � � o 9�� ty T �• O m z m r -z Z (n O Z t7 3_ ..► rt1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. r""_' - Tel.No. J/�3-5�7 5�5 Alterations NORTHAMPTON, MASS. JCD tY,N� cal 191?9 Additions ' APPLICATION FOR PERMIT TO ALTER Rcpair /� r� Garage 1. Location <.1 it i ficft b�lC-- Or i Lot No. 2. Owner's name ;;�1 Address / p 3. Builder's name-I PK)ID A i+pl ) CUf'1 1 r,,C I— Address 9oL Ltu/Z�£f INI �C(✓ lf?` /2 Mass.Construction Supervisor's License No. �� %8 Expiration Date ` 42— 4. Addition n , 5. Alterations Si�� , C'lLf«r �� �,C-9 X 13 6. New Porch 7. Is existing building to be demolished? )y 8. Repair after the fire 6 9. Garage N No.of cars Size 10. Method of heating p 11. Distance to lot lines '&one 36' 12. Type of roof �f} 13. Siding house �yYbb •0� 14. Estimated cosL- Jo The undersigned certifies that the above statements are true to the best of his, knowledge d belief. Signature of responsible appicant Remarks R�' &U,6 f-0y 6git(V �Cj0 Lc� io d`tom 1eL) 0 it,Z2 m n nit- 0.415&,/ z ` yo,, Dec. aitco Eex(uc �c ' n �� ' k ` de � ((� I �(J]lJ'1.7, ^,�^ � yea;3f;CllIIttlt! x1f an SEP 2 y DEPARTMENT OF BUIIDDT G INSPECTIONS z 212 Main Street ' Municipal Building Northampton, Mass.- 01060 ` WORKER'S COD4TENSA ION INSURANCE AFTIDAVTT no (10 12f, �4 0 R-P I' Can,LMC' - with a principal place of business/residence at: Lq Ltulrej k)CJ �t le- &&'0 CV7 (phone#) 2—02 c� (st =VCity/stalr/zip) do hereby 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) (Fxpirat on Dale) ( ) I am a sole proprietor general con or homeowner(circle one) and have hired the contractors Listed below v� o ve the following worker's compensation policies: (Name of Contractor) (Incur-ncc Company/Policy Numbcr) (Expiration Date) (Name of Contractor) (Lasu=c-- Company/Poky Number) (Expiration Dzte) (Name of Contractor) (I.nsurancz- Comp3- y/Potief Numbu) (E-xpiration Date) (Name of Contractor) (Imsurancc Compauy/PolieY Numb- ) (Expiration Date) (ankh additional Sheet ifnoo=ss q to io�i fo z Zion pertai.-ung to.1I oo�raGnn) ( ) I and a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that while bomro my n Mbo c=play pc:saaa to do .:,eh.0= caw�xt ioo'or repair work ca a d..cni•tg of not MOM than thtoo UMU is which the homr o"c r r=&=or oa tbo grouahs appurtmvt tbccto,rc cot C xmtly oowWcrcd to be employes under tba%vcK `s.pxVcaeticn Act(GL132,s3 1(5)).application by a homcowni r far a tea—a p-7d may evidcooe the legal ttxtu of an employer under the Workzes Compom.t"Act. I undaAt nd thA a copy of this mtemms MAY be Iorward.d to the Depervncaa of L,&Lt ial Aood�01G*-of Irounnoe for the oovaage vaificzdoo and that failure to too=cova-xv tmder soctioa 25A of MOL 132 ran ln.d to tbd impasi -of aimmal prnaltia i ooausting of a-Sme urup to 51,500.00=Nor impri3ontncat of tip to oat year and Qvt7 pm ltict is the form of a Stop Wufc Oirdcr and a fine 0f5100-0o a day tgaias;tar r Forte* anty — (/ ptxmit Ntllnbcr fro, l.`t Mapol T_Lot;r Si�nahitc - catuittx - o r c\r �Il C� G r i� �V(12- (y'n�. � a 6 ` 3 SEP 2 1199q Y h �b o� 5 3 occ�/,n��' W U �i"i�L' 10. Do any signs 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_ e IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. This col— to be filled in by the Bni2di.ag Drpartmeat Required I Existing Proposed By Zoning Lot size Frontage '�o! Setbacks - frnnt ✓ a ' a 3� - side L: 15 R:JP L: 5��- R: - rear 81 • t/- '71f � Building height /& 35— Bldg Square footage %Open Space: (Lot area minus bldg � 1 &paved parking) 5 J # 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 knowle q, DATE: t , ) ry APPLICANT's SIGNATURE NOTE: Issuance of as zoning permit does not relieve an applioant's bultdien to oompty vgth .ali Czoning requirements and obtain all required permits from the Board of Health. Conservotion ommission. Department of Public Works and other appiioable permit granting authorities. FILE if I SEP 2 1 1999 003 7 File No. ik�" uF t"S PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: fan fta� Address:84- Luui-d I-LI/ k-,*& Oe-,)4G ,� Telephone: JFX7- o�(o v,`5r 2. Owner of Property:_ _Mao ring?i'1 Nn()01 A/1 Address: 9-5) Akre 6 rw i- OtL,A4e Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee -,"'-Other(explain): G Ir1 t'T'-",K- 4. Job Location: st 0re,.k roc->12 Parcel Id: Zoning Map# District(s) O T3E FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/P rope rty_S(r I& Fy't[l cj 6. Description of Proposed UseNllork/Project/Occupation: (Use additional sheets if necess ry): a-' [� �t ctio!j, u i%cjQoy:, e le•'r w-- 5"'r/q' (kcl cr'00 l)'Y/r'1 C ' 7. Attached Plans: Sketch Plan V 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/Vahance/Finding ever b een issued for/on the site? NO DON'T KNOW te/ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW L� 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 I/ 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-2000-0317 APPLICANT/CONTACT PERSON DAVID A HARDY CONTRACTOR ADDRESS/PHONE 82 LAUREL HILL RD (413)527-2655 PROPERTY LOCATION 251 ACREBROOK DR MAP 29 PARCEL 358 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiny,Permit Filled out Fee Paid 3 "! T_ypeof Construction: REPLACE EXISTING 5 X 13 DECK&ADD 10 X 14 DECK,REPLACE SIDING WINDOWS EXT DOORS&REM EXT CHIMNE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE�CSLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: t 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 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. -11117-'..±ftNA py Y A maw ix "i rr .'' in m NOR to Saw fin "yWayawl too'to Ohio 2"A its I myw fit AS How YQ TV AT t f, x * N i dh�r 3 251 ACREBROOK DR SP-2000-0317 gIS#: 00 COMMONWEALTH OF MASSACHUSETTS Map:Block:29.35s CITY OF NORTHAMPTON t:-Q Q1 at De Addition BUILDING PERMIT Permit# SP-,2000-Q317 Project# JS-2000-0506 Est,Cast:$11165.00 Fee:$56.00 PE.RNIISSIONIS HEREBY GRANTED TD: Const.Class: Contractor. License: Use Oroup: DAVID A HARDY CONTRACTOR_ Lot Si sq.ft.): 14069.88 Owner,,:,_DOS TNY Nib UUEN T Zoning:URA Annlicant:QAUit] A H�RDY.C-Q�Ti3;p�,�OR IdEl rant jd Ph one, Instance; 82 LAI1:i2&ML RD (413)527-2655 WESTHAMPTON 01027 ISSUED 4N.•tJ9^(2�/19990®O:UO TO PERFORM THE FOLLOWING WORK.-REPLACE EXISTING 5 X 13 DECK & ADD 10 X 14 DECK, REPLACE SI©ING,WINDOWS,EXT DOORS &REM EXT CHIMNEY POST C N-SO. 0_,30AUMMM STREET Inspector of Plnmhi ' spector of Wiring DP:VV. Inspector of Buildings Underground: Service:: Meter: Footings: Rough: Rough: House# Foundation: !Ot I LI l Fftnal: Final: Rough Frame: Gas Fire D�artment Fireplace/Chimney: • : . _ insuiation Final: Smoke: Final: 01-f 1l`t S q,? THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOL ION OF ANY OF ITS RULES AND REGULATIONS. _ m Pee TMe: Reac�it No: Da#e Paid, Check No: Amount: Building 09/2311999 0:00:00 $56.00 212 Main Street,Phone(413)587-1240,Fax:(413)387-1272 Building Commissioner-Anthony Patiilo