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32C-240 (4) 2 V � OON. T v ro rim c `''_F-- ' �y 3 O p cn k R =' -� Z Lo r Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S V(_1 Alterations a NORTHAMPTON, MASS._ 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location >� ` ' `' e Lot No. 2. Owner's name R"\ \�&C, Address ° 3. Builder's name \s� © � �•�.\ C � Address Mass.Construction Supervisor's License No.— 7)5—L?L/ ,?�) Expiration Date 4. Addition 5. Alteration yy\ �F "'X 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 . E 12. Type of roofs\�.^c 13. Siding house \, �w 14. Estimated cosL- �y ��aa The undersigned certifies that the above statements are we to the best of his, knowledge and belief. Signature of responsible app,ecant Remarks C ,".t ��� ,fir • n �. � (�n � � �- � i 3 O4-C Y1AN P2,0 .� ��' �xssxranrctta FEAR iNT OF BUILDFNG INSPECTIONS B242a 212&orkhainpton,q Street ' Municipal Building Mass. 01060 � WOR CE,R'S COPrTENSA`SION IINsURAIICE t , Avur (li c;.nsct:/peruli ticc) vnth a principal plat: of businesclresideoce ac 33ce, (z 5 -\t , V\ I phooe#) 417S (s ty/statdnp) do hereby certify, u-oder the pai�is and p.cnalties of pegufy, that: (�am an employer providing t-he followi-og worker's compensanon coverage for my employees worming on this job: q -1-Ti a`I (Lasul-a-nc:�Cody) (Policy (Expiration Dam,) ( ) I am a sole c)roonctor, geeerrl contractor or homeov-mer (cl:c',e one) and have Ered the coati actors liste i below v�hlo have Lhe followiDg ,vork-erl s co,-i�pensadon policies: a, 0 0nrr c;-:,- 'i1Rir?!.! C_oll"pany%POLiC!' lltit,E----) Lm6an D,-i t,--) --- -- _ � -CE���ru on Date)(. a!n o< _on ,.c,or) , :c Coit_>aay/Fcic/ l' <. (Name of Conaaeior) (1nSZIPnc� Compaa)•(Policy NUM11,1) (Expu-anon Date) (Name of COntl,,ctOr) (Lasur-Lict° Comploy/PoLcp' f11unh�) (Lxpiraoon Daic) (.tudt id -Lcca!:.4c<t ifnc —f o xhx'ti u cr:u v p.-t-autF to.11 cr nGOn) ( ) I -uu a sole propnetor a-nd have no one v.,orking for me. ( ) I am a home owner performing all the work myself. NOTE plc-u be nwa c d,ci +hilo homx�n�,t�o cploy persom to do m icic ,nom cticI3'.0r rcpiz work oa.d--Uing of not meto than lhrw—e-is-imch the bomcow-xr, 'c,«oa tho Quunc!s ayyuttc�r116ctdn,opt Coac ll oomukmd to be cmploym t ndcr tha wockcfs OO alico.Act(GL152,s t(S)),application by e homcowncr far n lic=:x a Pcr� may cv dcacc the legsl rtabu of an ooaployoe under tho Woci,c ,Comp r�aiioa Act 1 mad thdt a copy of tlua mt�,t m.y bo f rw--d,nd to tbo Dcpnrtaxnt of Inbulri,;Arad OJBoo of Iren+nnco for the covc!YE�c Yaificalioa and that Uur c to cxtuc 00%mzgo unlicr%onion 23A of IAGL 152 can,lcd to tbe'imp�ca of aiminll pm-116ca °OT oCx lme oCup]a 5100.00 md1'or impr x oCtip to one yar end civil pmmltics a t'x form oCn Stop WoricOidcr-sad a fim ors 100:00'a dry i�iinst ttic gi F ti-p�Y a.hirc c fT – U ------------ � 1^ R� AM% 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 IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colt== to be filled in - by the Bvdldiny DeparMnant Required I Existing Proposed By Zoning Lot size Frontage Setbacks -frn - 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: {vol-ume--& location) 13 . Certification: Thereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE NOTE: Issu noe of a zoning permit does not relieve an appl oanVs_burd n to oom WwA7 zoning requirements and obtain all required oll q permits from the Board of Health. Conservation Commission. Department of Publio Works and other applloable permit granting authorities. FILE # 7!i I FEB 2 4 File � r ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �I�cl Address: .3.� Cry\ S `t�\-=a +,w�6Telephone: `�'C� �S 2. Owner of Property: Address: G d Z Ste° Telephone: 4' may 3. Status of Applicant: Owner ✓ Contract Purchaser Lessee Other(explain):_ 4. Job Location: c) L4 L )4 S \ Parcel Id: Zoning Map# '-�2C Parcel# O? b District(s): _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property_ °c3 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan Site Plan Engi�d/Survey P s Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vadance/Finding ever been issued for/on the site? NO ti./ DON'T KNOWN. YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO V 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-2000-0740 APPLICANT/CONTACT PERSON Harlow Builders ADDRESS/PHONE 336 COLES MEADOW RD (413)586-0465 PROPERTY LOCATION 104L HAWLEY ST MAP 32C PARCEL 240 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 ' hpeof Construction: REPLACE WALL&CEILING COVERINGS RE-FRAME INTERIOR WALLS INSULATE CHANGE DOORWAYS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building,Plans Included: Owner/Statement or License 052460 3 sets of Plans/Plot Plan THLOWING 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 s 'on 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. 104L HAWLEY ST BP-2000-0740 G1S#: COMMONWEALTH OF MASSACHUSETTS Sm:Block: 32C-240 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0740 Project# JS-2000-1381 Est. Cost: $8000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group Harlow Builders 052460 Lot Size(sq. ft.): 9801 .00 Owner: HEBERT PAUL JR Zoning. URC Applicant: Harlow Builders AT: 104L HAWLEY ST Applicant Address: Phone: Insurance: 336 COLES MEADOW RD (413) 586-0465 Workers Compensation NORTHAMPTONMA01060 ISSUED ON:2129100 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE WALL & CEILING COVERINGS,RE- FRAME INTERIOR WALLS,INSU LATE,CHANGE DOORWAYS '"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 Sillnature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 2/29/00 0:00:00 3949 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo