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Zoning /
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `° _ $y c1 t Alterations '✓
NORTHAMPTON, MASS. 1` 1t-L 19-94— Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1.
a Lot No.
2. Owner's name Address I\ko
3. Builder's name +Ci Address 114\ A AA GdD�
Mass.Construction Supervisor's License No. D n&q() Expiration Date f iG 1G5"
4. Addition
5. Alteration n2221P 5
6. New Porch /VA
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage JJ �y No.of cars Size
10. Method of heating ,
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cosL-
The undersi ed certifies that the above statements are we to the best of his, ht
knowledg d bel"ef.
Signor e of responsible app icanl
Remarks
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Q Nov I L i 1zsanchnsilli
DEPARTMENT OF BUILDDZC INSPECTIONS
GO
212 Main Street ' Municipal Building
Northampton, Macs. 01060
WORZCER'S COjYTENSA`Z'ION rNSURANCE AXI t AVrr
i P10 id rTnoc/o UVRI.
(Ll'p rnrl I tcc)
vnf a principal place of buaness/resideoce at:
P.O. Box 1145 Northampton, MA. 01061_(phooey ) 413-586-5491
(sr,�Uci h•/sr.�1rJzi p)
do hereby cer-tiF),, tioder the pz,ns and pen:ldes of pupir)', �h'i
(X) I Em an employer providiig the followu)g v:or,:er's c0tn0e0s2uoo cove:-toe for My
employees worl�ng oo this)ob.
Liberty Mutual TnSl.iranrP co. jAlp T_-31-S 1-998 2-02—�V
(Insurance �
Coay) (PoLrcy Numlxr) iraaou Date)
( ) I am a sole proprietor, general woo-ac-tor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Namc of Conamctor) Q - -c-- Coropauy/PoUc/Numbcr) (F;cpim6o❑ Datc)
(N-)Mc of CooTactor) (Insure Compa-U)'Roky Numcrr) (Expiraoo❑Dalc)
(Name of Contractor) (lnsw-any Compa-M,/Polic/Natr'J) (Ex-pLaoo❑ Darc)
(H'ane of Contractor) (Laau-mc°Company/Poky Numtk�i) (E)cpira6o❑ Date)
(c.aic'J�dc!iticm.l cif if ncoa.iry to*�"'&iarcrm.:i oo pc" to .1J
O I am a sole proprietor and have no one worL�ng for me.
O I am a-home owner perfor-raing all Lhe�vork myself.
NOTE:plc be aorzrc taxi v bilo bca or.bo=play pc%O-.i to& �car:nxtioa'c rcp'ir or
Co(Mc"th_n throo units in which the `C'.-01'DCI rc do or oo the Qounds rppkirtc vct tl c--to� OCK Ecxrally coc- c to b<
employm under tbo v oeScrt`t pc tim l cx(G Ll 52 n I(��applsaboo by�bomcowocr for a liccnx a perms—y--16—L-
Icgal rut'.of m cep toy-<uo d<-r tho Al f-'
I under t d cast a copy of t"2lrtmcci—y b.,f,--ddd to Lb-0 d 1."�rJ OfS—of ln�.avo.ror d-
coyccLgc vccific:tioc and that fZdurc to crosrc co�,r V tay.a Yoe oo 25A of 1.1OL 132 cw 1cu to tbo-impo Ci a of criminal pca:! cs
000autiug orxbnc bruP to S1-300.60 roNct cnprisocma ofuP to ooc year and aQ pmlUO in the r«m ora Stop Work D a d z
gm o(5100.00 L day Lgx nst.mc.
Signed ! �' "� 1997 For dcpatMc.W� Oary
permil Numbcr
Map! Lot 9
S bjxc of iocD' C cemi
David A. ClaxtOWPioneer Contr,;rtnrR
10. Do any signs east on the property? YES X NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NOS_
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 filSed z
by the Rmi2dlmg Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- 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:
(volume & location)
13 . Certification: I hereby certify that the information cont 'ned herei.
is true and accurate to the best of my knowl ge. /?
{--�
DATE: i� l APPLICANT's SIGNATURE
NOTE: lasunnoo of a zoning permit does not relieve an applioan `s burden to mply with
zoning requirements and obtain all required permits from the Board of Health, Conserve
Commisalon, Department of Publlo Works and other applicable permit granting nuthoritie
FILE if
i+
Nov
Fi1e No. C
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Pioneer contractors
Address: P.O. Box 1145, Northampton, [IA. Telephone: 586-5491
2. Owner of Property: The liotel Northampton
Address: 36 King St. , Northampton Telephone: 584-3100
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): Contractor
4. Street Address: King St. . Northampton---lams. 308 & 310
Parcel Id: Zoning Map# W109 Parcel# -,>VS7j District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Hotel
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Re-build two (2) bathrooms w/new plumbing fixtures, electrical wiring & finishes
7. Attached Plans: X 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 Permit/Vadance/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),
r . FILE # U U 1 J / I
APPLICANT/CONTACT PERSON: Zc �(/
ADDRESS/PHONE: � � ` 2 fZ_
PROPERTY LOCATION: r
MAPS /� PARCEL: �SS ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNG FORM VR,T ED OUT
/
Arressory Structure A", 6 /1 ,-3 V
L
/U
G/ 7 0
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
0 Approved as presented/based on information presented
V Denied as presented: _
S'� Gyp 3 . 3 wwe.t-
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-Bd of Health Yell Water Potability-Bd Health
Permit from Conservation C i on
G
Signature of Building Inspector Date
NOTE: lssuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authoritles.