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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
9 Garage
"
1. Location 6 � /vc - Lot No.
2. Owner's name - Address,56
3. Builder's name f Address
Mass.Construction SupervW is License No. Expiration Dated An
4. Addition LtY �-
5. Alteration _r ��. d&lqjm� 61
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
r
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines J
12. Type of roof
13. Siding house --
14. Estimated cost-0/ 00
J
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Ln
Signature of responsible app,icant
Remarks
y � 7
0 -11 LIAR 2 41999
R� e _
ct t�rfr•xtr :
B Of�J _ l itl,r F.S0aChnsrlla
m DEPARTMENT OF BUILDDIG INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 y
WOR-K-ER`S COMPENSATION 1NSURANCE t AVIT
A;dw �fI .
,,Vith a principal place of business/residence at:
sire �)-
do hereby certify, under the pains and pen<lties of perjtuy,
(J) ram an employer providing, the ollowirlt?, con]pensanon cove:-,-C for my
employee, wor�ng on this job:
(Lnsurance Compaay) (Expiration Date)
( ) I am a sole proprietor, general conuactor or homeowner (circle one) and have hired
the contractors listed below who have the following workel's compensation policies:
(Name of Contractor) (Iusuranc: Company/Pohcy Number) (Expiration Date)
(Name of Contractor) (Insurance Compamyl?oky Number) (Expiration Date)
('N'ame of CoaLMCtor) (Iusuano° Company/Policy Number) (Expiration Date)
(Name of Contractor) aaswan�Company/Policy Number) (Expiration Date)
(attach additional riect ifnoocasry to inchsdc informi:ioo pates mng to rill o t'on)
( ) 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 aware that vehilo hoaN rno c wbio employ pc=m to do n ;,Tfl��r crostucuoaor repay work on a dwctling of
aot mace than throe units is winch the homcow ocr ,=d,=or oa the gonads appurtcnem thccto etc oo(&cncr2IIy ooaTkkred to be
employ—under tho tivcxiccz z4ca Act(GL152,=1(5)} application by a homoowncs far a lien oe permit may evidence tbo
legal rudau of an employer under ttro Woricoee Compomatioa Act
I uadcrstand thsi a copy of this rZ Lf-cd miy bo forvearded to tho Dcpam of Indum ia1 Am&=&OfS of Irnuranoo for tbo
coverage vcri catioa and that failure to secure coven go und<x stctloa 25A of MOL 152 can lrsd to the iurpositioa of crimicw penalties
ooasistrng of a fine of uP to S 1,500.00 and/or impri5oanx of uP to one year and dvi]pcnaltia in the form of a Stop W ork Ordcr and a
fine of S100.00 a day&pint Ine.
Signed this day of z�iL(^/�/( 199 7 For rt,e only
depute
Permit Number
2rX Mapg Lot#
gnature of Li crmittce
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 Building 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 fof Loading Docks
Fill:
'4 voIdme--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA'Z'E: ( � APPLICANT's SIGNATURE z , a
NOTiEr' uqfino4s of a zoning permit does not relieve a lioanta b den to oom
PP Pty witiv,all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other appiloable permit granting authorities.
FILE if
A 1999
File No.
913
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
(/ �1 /
Telephone:( 7 � 5 3cx—
Address
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
SLOther(explain):
4. Job Location:
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):
Cft
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 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 L' 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)
56 HOLYOKE ST BP-1999-0785
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-251 CITY OF NORTHAMPTON
Lot:-001
Permit: Buildina
Category:vinyl siding BUILDING PERMIT
Permit# BP-1999-0785
Project# JS-1999-1412
Est.Cost: $1500.00
Fee:$20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: S E Sulenski 101718
Lot Size(sg.ft.): 3920.40 Owner: RICHARDS ROBERT
Zoning:URC Applicant: S E Sulenski
AT: 56 HOLYOKE ST
Applicant Address: Phone: Insurance:
103 South Street (413) 532-3630 Workers Compensation
HOLYOKE 01040 ISSUED ON:3124/1999 om:oo
TO PERFORM THE FOLLOWING WORK.-INSTALL GUTTERS,COVER FACIA & RAKE TRIM
W/ALUM OR VINYL
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 Sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 3/24/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo