32C-233 (3) ° M
3 ° Z
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. l Tel.No. y-s7 y3 Alterations
4
NORTHAMPTON, MASS. Dr�i- M 19f-7 Additions
• Repair
' APPLICATION FOR PERMIT TO ALTER _
Garage
1. Location a ��N�(oc�,c s� Lot No.
2. Owner's name I?Vlf.- ,L i ,vim L— Address 11 JA!: k o�c i✓o�
3. Builder's name Address ?D &X 3o? Li,LL Named 10P-6
Mass.Construction Supervisor's License No. 7 b Expiration Date D L -1D
4. Addition
5. Alteration �La cam..�� �.✓t �a
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:- p20�d dr
The undersigned certifies that the above statcmcnts are true to the best of his.
knowledge kA be " f. nn
Signature of respo ib(e ,ic nt
Remarks
o�Ctw(PLO
a C�ix� � �17Z#�ttnt�r�IIrt
tits ouch ttsctts
_. DEPARTMENT OF BUILDDT G INSPECTIONS
212 Main Street Municipal Building
Northampton, Mass.* 01060
Off 4 I9WOR1�R'S COMPENSA.'EZON INSURANCE AFFfMAVXT
DEI
fiGl
s �
"'.° (li ce-n_serlpermi tree)
with a principal place of businesslresidence at:
(ph000) �/i3-a��- 3so cf
(stzt~i/city/ rip)
do hereby certify, under the pains and penalties of peg3ury, alai:
( ) I am an employer providing the folloVymi g wor'rier's compensation coverage for my
employees working on this)ob:
(Insurance Cpmpa.ny) (Policy Number) (Expiration Date)
( ) 1 am a le proprPelow, general contractor nsactor or homeowneT (circle one) and have hired
the contractors list who have the following workers compation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (I-a=,nc-- Company/Pok—,,Numt:r) (Expiration Date)
(Name of Contractor) (Lasura,.nce Compaay[PoUcy Numb-:i) (E.1-piration Date)
(Name of Contractor) (Insurance Compauy/Policy Numb°-i) (Expiration Datc)
(An--h�dditio"sxd ifneo=ss y to cxltsdc i-Jry ,ton prrtaining to.0 ooat-,j: n)
ant a sole proprietor and have no one work-hg for me.
( ) T am a home owner performing all the work myself.
NOTE:Platte be avrart that Wbilo b0Q=-A-D=%%bo caploy PCX-ZOM to do ;W •— w==cioa-cr rcpat work ou a dwdling of
nat mccv than tbroe units is wt6ch the bomwwmr r=ac,or oa tb,o groins zppurteasrC IS=W arc oat C ally ooasidcrod w be
cmploycua uodct tbo wocicu`s oompctsdicn Act(GL1 SZ,s 1(5)),applicx6an by a bommwxr far a 6=31-or Parma may c`'idc°oc the
lessl statue of as amPloyst uodw the Workoes coeapooa+t_!on Art
I undastind tl»t a Dopy of this satemms oi.y t»for,v..d.d w the Dep.rtmooa of Iadustria!Aeodaif Offie.of Ia+x.ao.for d-
oovcage rtri6auloa and that&U=to scout coves under soetioa 25A of MOL 152—lad to tbd!'-Pos—oCaimlaal Pmaliic
00ani3U0E of a Sae ofttp to S1,500.00 wd/or 6prnoamcnt of tip to oae ytar tad dn'1 PCO064 s in the f«m of a Stop Workordw aad a
fim of 5100.00 a day uipt mr.
u>,s Dal]( •.
PcrmitNtttnbcx
-- Si .oa£LaccascdP ��• _ ,,i:,, :,;�; �;fi.•�`''s-�i-� __ _ - -
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 CO2== to ba filled iz
by the Banding De pax fs .t
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
## of Loading Docks
Fill:
(vol-ume-4 location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl ge.
DATE: JO-t�_�cr APPLICANT's SIGNATURE 0 1 A
NOTE: Issuance of a zoning permit does not relieve an n ant's burden to oomph► Wlt"-011
zoning requirements and obtain all required permits from a Board of Health. Conservation
Commission. Department of Publio Works and other applioabla permit granting authorities.
FILE #
File No.
OCT 41999
DEPT OF 13uiDNc;IN G PERMIT APPLICATION (§10 . 2)
NORT AMPf,0 kA 0106 E TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: cjl�".,)
Address: I'-XAV" ST tilt 1-%& Telephone:
2. Owner of Property:
Address: A)e, LiW, Telephone: :�7 4_—9,7q--3
y
3. Status of Applicant: Owner ntract Purchaser Lessee
Other(explain): `� \�
4. Job Location: _ 11 l4aN A4dV- . Sit- AJ&I. A.n�TT I}dam wn A
Parcel Id: Zoning Map# Parcel# 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 PermitA/ariance/Finding ever been issued for/on the site?
NO DON'T KNOkN' &.--' 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 Dcument#
9. Does the site contain a brook, body of water or wetlands? NO L,--'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)
i
2
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a Garage
NORTHAMPTON, MASS. �-/— 19.;* Additions
APPLICATION FOR PERMIT TO ALTER Repair
11,,,,
1. Location 11 14ANCCKJ\ S� Lot No.
2. Owner's name 'PAV L ^Dvy^ Address SA✓11i, (�
3. Builder's name `T", & y l e� Address C(nes�'eR9r 1 d 1 MA
Mass.Construction Supervisor's License No. (� ® rz' 7 G/ Expiration Date A .2 a
4. Addition (�
r-5 Alteration ARC n4j& a,,_L..�Y rn
W-L 6Arxna t:�Ar-ka.-A 0-,, �,•tcf+� ���c
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 Q oA &h4
11. Distance to lot lines V Aa 5 3t:Y° W do, is N 10
12. Type of roof SI A£
13. Siding house C kA66R(l
14. Estimated cosL-
4101W 0
The undersigned certifies that the above statements are we to the best of his.
knowledge and lief.
Signature s 11 a p,icant
Remarks aA ackstL .AA 0. Jp� Lt 6tA Lot", QM0 tar"
� k -P-4 lam `+ h4�►Sa SitnQ .
I�o
f3
-f—j-
Am
Ib.
—etc
NO,
JUL l+tss:tern:rtl>f
DEPARTMENT OF BUILDWG INSPECTIONS
%bil r K
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORKER'S CONTENSATTON INSURANCE AFFIDAVIT
(licenscdpermittee)
with a principal place of business/residence at:
(phone#) -
(strreticity/ P)
do hereby certify, under the pains and penalties 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 Comparly/PoUcy Number) (Expimtion Date)
(Name of Contractor) (Insurancc Company/Poky Number) (Expiration Date)
(Name of Contractor) (Insurance Company(pohcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(atl-h additional sheet ifnxessiry to include infocnuiion P':-r ning to all coa'saaora)
( I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE_plcaac be aware that whilo homcrnvncrz who cmplay persom w do=Mtc .,Cy,wussuc oa or repair work on a dN-ding of
not nx"than throe units is which the homeowner rcxidca or on the grounds=ppudc�thereto arc not&,toff lly ooan&-rd to be
cmployaa under the workcex ooaVc=saiioa Act(GL152-s 1(5)�appdm6on by a homooww for a!cruse or permit may evidence the
legal antra of an omployec under rho Worlcora Compemation AcL
I undastand that a copy of thu ahtemcat may be f"ww ded to tbo Dcpectmcot of mall fr d Ai cdda Offioe of Iosur:ace for the
--ge verification and that failure to to u=covaago under soaion 25A of MOL I32 can kid to tba impoidion of cri -a,pcaaltics
oomisiiag of a fix of up to S 1.500.00 and/or oCtip to one year and civt7 pmaltia is the form of a Stop Work Order and a
fim of 5100.00 a day agninA tn=
For dgmtm=l U-CIQh•
Permit Number
Nfap4 Lot#
Si of
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 column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size jf'6 '
G X1�
Frontage
Setbacks - ` �' "' s" '°J t<
- side L: 15' R: xV L: R:
- rear
3a
Building height aS
Bldg Square footage
16W vv
%Open Space: 1
(Lot area minus bldg 30�r
C
&paved parking)
# of -Parking Spaces 3
ht of Loading Docks
Fill:
-(volume--& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my kn edge.
DATE: 2A re? APPLICANT's SIGNATURE
NOTE: laj&udnoa of a zoning permit does not relieve an pplioant's burden to mp la all
zoning requiremants and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
JUL, egg
Fi l e No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: -bJVA L
Address: 1i J4.A QCpck— St Telephone: '94 5 7�
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: x Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: i if UANCIO K 5+
Parcel Id: Zoning Map# 3d�L Parcel# o District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Ryw
6. Description of Pro osed Use/Work/Project/Occupation: (Use additional sheets if necessary):
CM
WQKA- aM" CNN J Aa,_1 �ibC,W
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 PermitNadance/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 X 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-2000-0007
APPLICANT/CONTACT PERSON Tom Boyle
ADDRESS/PHONE 43 Damon Pond Road (413)296-4544
PROPERTY LOCATION 11 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
Building_Permit Filled out
Fee Paid
Typeof Construction: REMODEL 2ND FLR BATH&KITCHEN&REPLACE FRONT PORCH DECKING {
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 F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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 mmission
Signature of Building Officia Da e +
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.
��14,
11 HANCOCK ST BP-2000-0007
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:32C-233 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2000-0007
Project# JS-2000-0008
Est.Cost:$10000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Tom Boyle 040979
Lot Size(sa. ft.): 6751.80 Owner: DUVAL PAUL H TRUSTEE
Zoning:URC Applicant: yft
AT: 11 HANCOCK ST
Applicant Address: Phone: Insurance:
P O BOX 15 (413)296-4544 `
CHESTERFIELD 01012 ISSUED ON.7f6/I999 o.moo
TO PERFORM THE FOLLOWING WORK.-REMODEL 2ND FLR BATH & KITCHEN & REPLACE
FRONT PORCH DECKING
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:
ootings:
Rough. Rough: 7/02 Vil 40 ouse# Foundation:
Final: /� (� ` Final: /a/�'J'l Q�.��1- 7 �t��►.
` Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CIT F NORTHAMPTON UPON VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of i nature•
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/6/1999 0:00:00 $50.00
r
212 Main Street,Phone(4 U)N,240,Fax: (413)587-1272
Building Co r Anthony Patillo