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32C-233 (2) --------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Reference No: BP-1999-0573 ................................... Department: Building, Electrical & Mechanical Permits ..•.•........ ........................................................................... Fee Type: Receipt No: Building - Renovation REC-1999-001575 ......................................................................................... ...................................... Paid By: Paid in Full On: Tom Boyle Thu Dec 10,1998 ......................................................................................... .................................. Received By: Check No: Linda Lapointe 4475 ......................................................................................... .•.......•.•..•.•....•..• .•..........Amount: TREASURER'S COPY $40.00 --------------------------------------------------------------------------------------------------------------------------------------------------------------- .................*..............................*................................... ........... ......................*------------------------------- Reference No: BP-1999-0573 .................................. Department: Building, Electrical & Mechanical Permits ......................................................................................... Fee Type: Receipt No: Building - Renovation Rf',C-1999-001575 ......................................................................................... ............*........*........... Paid By: Paid in Full On- Tom Boyle Thu Dec 10,1998 ......................................................................................... .....•••....•........•....••.•......•. Received By- Check No: Linda Lapointe 4475 ......................................................................................... ....•...•..•.............•..•......... DEPARTMENT'S COPY Amount: $40.00 ............................................................................................................................................................................. ..••.....• .......".................*........"........*........."..................*........... ........ .......*.......... ........*--------------------................ Reference No: BP-1999-0573 ................................... Department: Building, Electrical & Mechanical Permits .................................................................................. ...... Receipt No: Fee Type: Building;- Renovation EC-1999-(}i11575 ...................................... ........................................................................................ Paid in Full On: Paid Boyle By: T Thu Dec 10,1998 om Check......................................................................................... Check No: Received By: I.,inda Lapointe 4475 ...................................... ......................................................................................... Amount: $40.00 CUSTOMER'S COPY ............ ........................................................................................................................................I--------- GeoTIVISS 1998 Des Lauriers&Associates,Inc. to DEC 91998 e ,�lasaarhnsrtla DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street a Municipal Building Northampton, Mass. 01060 WORICER'S CODR ENSATION INSURANCE AFFIDAVIT (licensee/permittee) with a principal place of business/residence at: (phone#) '!fit{ (street city/ ap) 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) (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) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (anach additional sheet if noarauy to inchule informarion pertaining to all ooatie ,) 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 awaro that while homeowners who employ parom to do maiatcaaaex,constnutioa or rcpair work on a dwelling of not mote than throe units in which the homeowner resides or on the grounds appeutenarrt thereto=not generally considered to be employaa under the worker's compensation Act(GL152,ss 1(5)),application by a homoow=for a license or permit may evidenoe the legal status of an employer under the Wodeees Compemation Act. I unde staid that a copy of this statement may be forwarded to the Depertmao2 of IxkLstriel Accida&Offioe of InAusam for the covezip verification and that failure to secure coverage under section 25A of MGL 152 an lead to the iwposi ion of a iminal penalties ooeuisting of a fine of up to S1,500.00 and/or of up to one year and civil penalties in the form of a Stop Work Order and a fine of 5100.00 a day apinst mo. For dgWtMMW use only Permit Number Map# Lot# ignalure LETZ v c V = ,� �p m z m n O Z .+ Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alteration NORTHAMPTON, MASS. ! 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot 2. Owners name Address J1 3. Builder's name A I Address Mass.Construction Supervisor's L• ense No. C) 41!1 j .7 Expirati Date A 4. Addition �I 5. Alteration 14 01rAA&4 6. fi 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 ��O The undersigned certifies that the above statements are true to the best of his, knowled d belief. Sig ur f responsible app,icant Remarks L� DEG, 9 ;998 �� 1 C t v 1 I� A W i' a I � . AOM A AM AM AM AM AMM AMM Awk wm w M opm Aft A am A Am AM dpw Aft AM 4m AM +:t -pow w � s 1 µ _ I Mw AMW Ar Alft Ask Aga A Aft 4m Aft Amm AMR AN%-*,. AMW f �# \ \\ j �\� � | { .� \ ./ \� « © « . . 2 \ �\ � / ��\ :� « \\ � \ � \ �� . yam§ . \ »�� } , } . � � �/ �� /�� \ 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 cola= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L:, R: AS'_ L: R: - rear 1,O �? f 1- Building height Bldg Square footage %Open Space: (Lot area minus bldg &Paved parking) # 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. DATE: – — APPLICANT's SIGNATU .-,- NOTE: Issuanoe of a zoning permit does not relieve a applioan s urd mp equirements and ly with all zoning r obtain all required permits from the and of ealth, Conserveation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # ll'LV a File No.P9�'5 2 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ale"e Address: Telephone: !�/,3 2. Owner of Pro erty: Address:�I� �t ._�.�A1�L. mod ' Telephone: .w 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: j/ jenti !� Parcel Id: Zoning Map# 3�(2— Parcel# C�33 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S, Existing Use of Structure/Property 6. Dearription of Proposed Us ork/Project/Oc upation: Use additi n h necess ry): r i 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. S. 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) File#BP-1999-0573 APPLICANT/CONTACT PERSON Tom Boyle ADDRESS/PHONE 43 Damon Pond Road(413)296-4544 PROPERTY LOCATION I 1 HANCOCK ST MAP 32C PARCEL 233 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ,/ Fee Paid !uildin Pe lled out e Paid Typeof Construction: NEW EGRESS STAIRS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 040979 3 sets of Plans/Plot Plan 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 fission Signature of Building QOTcial 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. 11 HANCOCK ST BP-1999-0573 17 32-C COMMONWEALTH OF MASSACHUSETTS - -- - N1ap 323 233 CITY OF NORTHAMPTON Block: Lot 001 scat gory: Bterat o-addit�op BUILDING PERMIT -- - Permit# ABP-1999-0573 'Project# dS-1999-1075 Est Cost $2,800.00 - Fee: $40.00 J PERMISSION IS HEREBY GRANTED TO: iConst. Class: Contractor: License: Use Group- Boyle CSL-040979 Lot Size(sq. ft.) 6751.8__ Owner: DUVAL PAUL H Zoning: RC -__ — Applicant: Tom Boyle Units Gained: -.- -- AT: 11 HANCOCK ST ,Units Lost: ISSUED ON. 11-Dec-1998 EXPIRES ON: TO PERFORM THE FOLLOWING WORK: NEW EGRESS STAIRS 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: Fireplace/Chimney: Gas Fire Department Board of Health Insulation: Rough: Oil: Final: Final: Smoke: Treasury: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building-Renovation REC-1999-001575 10-Dec-98 4475 $40.00 212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272 GeoTMS®1998 Des Lauriers&Associates,Inc.