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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.y13 'S2.7 Z1 40 Alterations
NORTHAMPTON, MASS. ��' Z�-' 19 c , Additions
APPLICATION FOR PERMIT TO ALTER Repair
a'w 11 � h Garage
1. Location
Lot No.
2. Owner's name i'l t Address / �� t� ►�IrA�D7. llt cl
3. Builder's name L,bCou 4eirvic.G T Z.dtociii Address .? i2K/. W cr&kwp AA
Mass.Construction Supervisor's License No. 06 g? S Expiration Date F-1 7
Q
4. Addition
5. Alteration er wa j ?4y f- �f4ty H-r.,,-Y C, S
S&J k j- 7 ftt, Fhb-ws
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- b�
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief. 4M.—
� 9 �
Signature of responsible app,icant
Remarks
4C T
B ° p� ' ; L
ro iQ a JUIY 2 Q I 98 ressxc4ttrctle '
DEPARTMENT OF BUILDrNG INSPECTIONS
212 Main Street Municipal Building `
Northampton, Mass. 01050
W0RIM,R'S CON PENSAalON INSURANCE LYMAM
(li cc nserJpermi rice)
vfldA a pnfAcipal place of busi�neSSj'residence at:
-3 -I O V— WILL ��. (��st A wtn t � 6027�phonet�) 1j1,13 - --Z 7— 2 /Fd
.. (s�t/c i ty/stalcJz�p)
do hereby cerCit'y, under the pails and penalties ot-
( ) I Z�-FD an employer providing the compensai;on coverage for my
employees Worl311g or: LhIS job:
(Lasur2n�Co�p��y) (polic' (Expiration Dom)
O I am a sole propnetor, general contractor or homeowner (circle one) and leave hiful
the cont actors listed below v;bo `�:�,e the iollow;A;g vrorkeF's C-mpensa',]on policies:
CO:�::, l_�Ci) ,I lS _ - 1G;. C_o 1.1,?.�: lt-1,..1c
(iI?mC Oi Cottlrr.c lo.) (IiL,L.n�h_"� � Otil>)lll j'IPOUC, ��i.l t.'�O (GAp�.I dC�n Dcte.)
(Name of Conir2ctor) (LasZtr nee Comp n}IPoL c Numb-f) (ExPLFI.non Date)
(Name,of Coarrtctor) (Lasur nee ComnamylPoLicy (Ezpifno❑ Dal.)
(r.ttadz ic'��cci!i-`-cct Jnc' —/to :x,..!,
()t4 X am sole propnetor and have no one worLdog for me.
( ) I am a home owner performing all the work myself.
No-m-plc-. be awaz tbai Wbilo bcmc�tivbo cznplay persom w do Y,..,n cc �oa:cr rcya f work on z d wcllmg of
not—lb—tbroo—1.r in-bxb,[be comidrtrd to be
bocaoowacr rcda a cn rho prouoc!r ippuctcnsal tbccto ere oo<E°�n1tY
cmQloyrrs ttDdet tbo workers po x lim Act(GL15233!(S)�appti°D°°by a homeowner far a lianx cc p-jaa—y-46. cc the
lcgil ctnGaa of an cuployx uodcr tbo Worlccl�Compan,iioa Ad
. 1 undcmuU ,d tb.4 a Dopy of this ra.t.caarnt may bo forv,crdcd to the Da�of Ind>_ttri Amdm>�01500 of lanuoo xo for tta
covaxgo,t cation and that Giltmc to ccatrc covc%a under sodiocl25AofM43L 152 c,41�,A to tbo imp on ofaimmil pcaaldca
O° 8 oCx;fincuCup 1o`SI00_pp andlor oCtip to.00e ycarknd cin7 p�?1v�_1°the
form of Stop WoiicOrdcr.ind a
finaoCS100:OO�ridxy.igunil°¢i�r:' ..
. - � �Permit Tlusnt�• � r��- i�~i
.. . �
- �... ..', •.}:.s rrl:Sr... ♦, .. ', 4 a:�.. ,., ;,_ ...... .., ..wa .1. .?,iW.Fa.A6'.='Yra`J��e...?a.w�^ett,�;a.....rr �.3":r�u..ry_ .r5i�.'
v
10. Do any signs exist 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 col== to be filled in
by the Bailding 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
&paved parking)
# of Parking Spaces
f of Loading Docks
Fill:
4 vo1-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
q
DATE: �._ 22r ` � A.PPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioanva urden to oomply wit4_4k11
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applloable permit granting authorities.
FILE #
f
File No. 6) i
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: r n z�Lam ' Lac°W
Address: 3 I-oU OiLL W&St-kkMWh}„ M a, Telephone: �l 3�527- 21 Qa
2. Owner of Property:
Addressj 8 4 dia eK S'�, 4V-t'kN ,j2ty, A 4 Telephone: yl?+X-X6
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): COQ, t_r-
4. Job Location: -7
Parcel Id: Zoning Map# Parcel# O District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Ck�J'izGo�-c
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
!N C w e'VV IL 0
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 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)
t
FILF #
JUN 2 4 1998
a
APPLI,i C AIT/ tONT AC PERON:
OF,,,a ?DROSS H NE:
PROPERTY LO CATION:-
c
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK IT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Builfjin2 Permit Filled nut
Type of ConstnTrtinll-
RernndeliriZ Inter
Addition to Fxi-firlo _
Arrrccnn, Strnrture —.
Building Plar-11cludeff-
3 Sets of Plans / Pint Plan
THI �LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: '
Approved as presentedfbased 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:
.Cut from DPW Water Availability Sewer Availability
ealth Well Water Potability-Bd Health
—Pit fro _onser�tati _om is io
Signature of Building ector ` ate
NOTE:Issuanoe of at zoning permit does not relieve an applioant's burden to oomply with all
_ zoning requirements and obtain all required permits from the Board of Health. Conservation
Commisslon. Department of Publio Works and other applicable permit granting authoritles.
r
Reference No: BP-1998-0087
Department: ...................................
Building,Electrical &Mechanical Permits
........----•.............................................................•--------------
Fee Type: Receipt No:
Building- Renovation REC-1998-000095
.. .....................................................................................
--- --- -- -- --- ------
Paid By:
Paid in Full On:
Enace J Lococo Mon Jun 29,1998
..............................................................•--•••.....................
. .
---••••. ......
Received By: Check No:..............
Linda Lapointe 1655
..........................•-----•---------••----..............-----••-•..................
--------------------------------------
DEPARTMENT'S COPY Amount: $40.00
---------------------------
DEPARTMENT FILE COPY 78 HAWLEY ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: i151 Inspector: Tracking No.: Fee:
29 Jun, 1998 BP-1998-0087 963705 $40.00
GIS#: Map Block: Lot: Address: Zonin Use Group: Lot Size:
6671 32C 228 001 78 HAWLEY ST URC 6708.24
Contractor: License Type: Insurance:
Enace J Lococo CSL
Address: License No.: Insurance No.:
P O Box 548 009795
City: State: Zip Code: Phone:
LEEDS MA 01053 (413) 527-2190
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1998-0091 $2,900.00
Description of Work:
replace house sidewalk& front steps
GeoTMS40 1997 Des Lauriers&Associates.Inc. Ciana+nra•