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Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Zo V(1 C L �/ �.� Lot No.
2. Owner's name /'144 L i-MA R C 6- DA A1 1 L(--(- <--f 5 Address ZO ✓A C C '� 51— Al, I (4M/�
3. Builder's name /t/9 AAAAIV P,/4 ,.�5 k � Address 25"? c Ke St'�f rE�o ��{d iV,,lIj'0tk vim_
Mass.Construction Supervisor's License No.<S 3 yR Expiration Date 42-C)o j
4. Addition
5. Alteration /D l/V 6
6. New Porch
7. Is existing building to be demolished? /U C
8. Repair after the fire
9. Garage /mod No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof 5 i'A/4/ %
13. Siding house
14. Estimated cost- w
The undersigned certifies that the above statements are we to the best of his,
knowledge and belief.
Signature of responsible app,icant
Remarks
pT0
A:ss:citascll•
DEPARTMENT OF BUIIDWG INSPECTIONS
c SEr S 01998 _
212 Main Street ' Municipal Building
- Northampton, Mass.• 01060
° R'S COIIPENSATTON INSM ANCE AFIIAVIT
o . _M_
(li0=Scx--JpCrrnjtL=)
with a principal place of business/residence at:
< f ( U✓10 (AASh'tl�2C� M/f 0lcrfi(U(ph0neft)
3��5
3 7 C i-���'F R. �_�... Qi�,
(strc, i/ci ty/stalrJri p)
do hereby certify, under the pains and penalties of peg3ury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees worlang on this job-.
ansu=c-- Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general cone actor or homeowner(circle one) and have hued
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (lnmr-any Compauy/Policy Numbcr) (Expiration Date)
(Name of Connctot) jDs rangy Company/Poticr Number) (Expiration Dzte)
(Name of Contractor) (La=nom Compaay/PoGef Numhe-r) (E-\-piration Date)
(Name of Contractor) (Insuran= Company/Policy Numbs) (Expiration Datc)
(A-A 2mtio"1!1 a ifnoo 2-ry to mc}ucc is r� Fcrtai to.u oc tr.r r3)
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 a9ram that v".aio bomco+;acn vbo camp lay persom to do +• masrtxtioa'or trya�wo d+*Qwciliog of
not morn than tbrea units is which the bomooaner a cc on tbo vrouads tpputicauA tb,--ats not saocalty
amploycn undo tha wociccez.c=pcssrsioo Ad(GL152.n t(5)).apPU=6oa b-I a bomcowxr far a Gccax cc pcimd may cvidrmoc the
icpl daats*ran employoc uodor the werkceA compao satioa AcL
I uodcAaad that:a copy of this shtemml WAy be forw+udad to the DeQ.rtaamR all A f tea'oC ta�uc.00.fa dw
oov=mSc ircrific%doa sad that faihmo to toauc oovaa uadcr socdon 25A of AIoL 152 eta tad to ibe imposition of aimiaat t?ma :i
ooatisti%oCa tae otup to SI�A0t0O=&C i piWamout of tip to one ycx sad ein7 Pcmllia is the form oCa Stop WodcOtder and a .
fine of Sll7o.0o a dry agniasi taG .. .
For ube ball
Pcrmit.Ntunbcr
-- Si��. ..... t:txnit2.cc• - _... ..�-r-�=�;r�;le't�:r=�: . - .� - . ... .. -
10. Do any signs east 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 NC!
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —.Lw= to be filled in
by the Building Dapartmnnt
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# of -Parking spaces
# of Loading Docks
Fill:
{v01-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: G( ,�j U c' APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an appiioant's bu den to oomply Witlp_ell
zoning requirements and obtain all ro4uired permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
1
Ij
LP3 0199 9
L PT F 3lSi���!�`y SFFCTiAOX:, File No1v0i �i�r1 jt'tt,y viii i6 60
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /"SM�N
Address. 3?c 120, V,It AM5k PLK(z,/A4 Telephone: 2 6 r -3,
2. Owner of Property:_ VIA 9 C fi MA k C A 2A Al I E.-S
Address: a() VA.S�LV ( k Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: D,0 yAC-
Parcel Id: Zoning Map# C Parcel# District(s):
(TOD IN BY THE BUILDING DEPARTMENT
5. Existing Use of Structure/Property f-f U /4, (1
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
- y ► ti YL 5 ( D (/✓ &UTT- = S
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 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 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)
20 VALLEY ST BP-2000-0364
GIs#: COMMONWEALTH OF MASSACHUSETTS
MaQBlock: 32C-293 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:vinyl siding BUILDING PERMIT
Permit# BP-2000-0364
Project# JS-2000-0589
Est. Cost: $8000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: NORMAN ZALESKY 128482
Lot Size(sq.ft.): 6882.48 Owner: DANIELS MARC F&MARCIA A
Zoning:URC APP licant,• NORMAN ZALESKY
AT: 20 VALLEY ST
Applicant Address: Phone: Insurance:
37 CHESTERFIELD RD (413)268-3553
WILLIAMSBURG 01096-0535 ISSUED ON.0913011999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING
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 Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 09/30/1999 0:00:00 $25.00
212 Main Street,Phone(413)5874240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo