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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations X
NORTHAMPTON, MASS. Z11y 19 CIO Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name S"�GiN p rte. 7--^c, • Address
_ Sw
3. Builder's name
v M l
Address Pt 0 1
Mass.Conswc6on Supervisor's License No. D\-7 sct 1-) Expiration Date 2-
4. Addition p
5. Alteration .-&-\T) ,1 l t,)CL
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:-
The undersigned certifies that the above statemcnts are we to the best of h,
knowledge lief.
{� ` Signature of rerp nstblc app scant
Remarks I�0-n"P, (j 0--2- ( L! D(4 t —1 07 , L D
g " Crzt� of 'NQZt4antptan
FEB1 4 2000 Ai Ks 5Rchnsetts
DEPARTMENT OF BUILDING INSPECTIONS
�'TPT OF 13!` i 4PEl71uk. ,
212 Main Street ' Municipal Building
Northampton, Mass. 01060 y '�
WORKER'S CONTENSATION INSURANCE AFFIDAVIT
I, PIONEER CONTRACTORS PT ONN,. rNC_
.(licensce/permittee}
with a principal place of business/residence at:
P.O. BOX 1145 Northampton, MA_ (11(161 (phone#) 413_586_5491
(street city/staleJap)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following worker's compensation coverage for my
employees woricing on this job:
I iht-ri-y M total Tncttr;4nra r'n, WrT_31S-499877_0499 _ /� Q
(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)
(N)-Tn(- of Contractor) ansuranc-, Co>_npan}•Policy Nuuat,--r) (Expiration Date)
(Name of Contractor) (Insurance Compam[Po licy Number) �zxparauon Date)
(attach additioml zhoet if neceaary to inctude infortzratioo per%mng w all ooatrndon)
( ) 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 awam that wtzilo homeowners who employ pasom to do maitamzacr,�ouuruaroo or repair work on a dwcUmv of
not mole thaw throe uuiu is which the homeowner raid=or oa Lbc vv rsis appurtenant thato arc oot gcocalty ooazidcrcd to be
employes under tho w%ka's ooarpansdion Act(GL152,ss 1(5)),appti=cm by a bor=row=er for a luau=cc permit may cvideacc the
legal ctatas of as employ«under tho Workees Compcoutwa A-
I undauAnd that a copy of this etilement may be fwwwi ed to the DWwuncaa of Induarnal Aoadeed a OTII of lnsuranos for the
co-mgt verification sad that failure to scarce oovcmp undo section 25 A of MOL 152 can lead to the imposition of ai urinal peasltics
oomisemg of a fine of up to S 1,500.00 andfoc imprison of up to one yar and civil pcmlti a in the form of a Stop Work Orda and a
fm of$100.00 a day agttimt tae.
For dcprztrMOW use onty
� Permit Number
L
Z//�lG Map# Lot#
Sienahrre cif T..ict n,% lPcrmi
m Do any signs exist on the property? YES
IF YES, describe size,type and location: 1—h
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 coin= to be filled in
by the Building Dapar—ut
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)
# pf -Parking Spaces
e (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 knowle ge .
DATE: / (nj APPLICANT's SIGNATURE j/ - CN
NOTE: lasuanoe of a zoning permit does not relieve an pplioan s buraeri to 6arnply with all
zoning requirements and obtain all required permits from the Board of Health, Conservtation
Commission, Department of Publio works and other applionble permit granting authoritios.
FILE #
+'a
r
FEB 4 20 File No., P6o7ao t
�nT :c Fa 'ZONING PERMIT APPLICATION
(§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_. Plby��AK-
Address:_ '() ' �i1� C 145 p r (J Telephone: 8b
2. Owner of Property:
Address: �b S� 4 �� Telephone: al-;l '31 OZ)
3. Status of Applicant: Owner Contract Purchaser Lessee
1/Other (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):
AQ
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 PermiWahance/Finding ever been issued for/on the site?
NO DON'T KNOW v 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 pnd/or Document#
9. Does the site contain a brook, body of water or wetlands? NQ 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)
36 KING ST BP-2000-0720
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-255 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0720
Project# JS-2000-1144
Est. Cost: $8000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Pioneer Contractors 017890
Lot Size(sq. ft.): 7261 4.52 Owner: STARNORTHAMPTON INC
Zoning-: CB Applicant: Pioneer Contractors
AT: 36 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586-5491 Workers
Compensation
NORTHAMPTONMA01061 ISSUED ON:2116100 0:00:00
TO PERFORM THE FOLLOWING WORK.REPLACE EXISTING BATH TUBS & WALL
SURROUNDS - RMS 403,404,407,410
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 si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 2/16/00 0:00:00 5658 $50.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner- Anthony Patillo