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29-180 (4) .� v b m r co 3 z m Ln Z a z s cn O w a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 584-2459 Alterations NORTHAMPTON, MASS. SEPTEMBER 15, 19 98 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location 194 BROOKSIDE CIRCLE FLORENCE, MA Lot No. 2. Owner's name EDWARD MORIARTY Address 194 BROOKSIDE CIRCLE FLORENCE, MA 3. Builder's name ALL STAR INSU_ATION & SIDING CO., INC. Address 56 FRANKLIN STREET FASTWPTON, MA Mass.Construction Supervisor's License No. 101868 Expiration Date 6/00 4. Addition S. Alteration 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 INSTALLATION OF VINYL SIDING 14. Estimated cosL- $5,9W•00 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icant Remarks INSTALLATION OF VINYL SIDING l' ro9 - ,' Se , xzrxellnselta � - J DEPARTMENT OF BUILDDIG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass- 01060 WORZCER'S COMPENSA'T'ION IN URA_NCE A t l AVIT t ED LOSACANO, OWNER OF ALL STAR INaUTION & SIDING CO., INC. (1i c.�nsrc/p`-rmi Ccc�) ,,,nti1 a principa� plat of buanesJresidence at -- 56 FRANIU N STREET ECP WPTON, MA ---- — �,�'t o n e#) — 527-0044 .• (str'e°�/city/staLJzip) do hereby per if��, under the pains <u1d P.enaltzes of r,ei jzlf; qua[ (X) I �uu 2n culployer pro:'ic111i- ill(; fOfllowing vvol'iC ;i i,m my ef??ployees wor'irl oil ills job: rA (LI1Sl1.I`i..i'. C_O_TT•J-'�l�') (POLE'NLaI?'r.'i) ( ) I au 1 f l scic DrGI7:,C'Or mnnmd ccmtrc?ctOr OF }?GiIleOi,'nf'r `C'iC one) a--,1d hc•vc lllred ti]e JLiiI2C U:S i!S eaJ bc'.lov" :;t]0 llav- hcG RAlow � • Dal,) 0"'a!ne o[Collsaclor) (In In-nc� Compan}/Folic; Numc-:_r) (Exqu�do� Date) (,\-UTIC; 01 coilu .tier) - - - (�P.SllLn11C.^. Otlli> lid'/t'O�: f 1 1111!8)-- (j .l"p!C7]011 Datc) ( ) S am a sole proprietor and have no one v,,or4dng for rue. ( ) I am a home oNvlier performing aLl the work myself. NOTE_plc s be awi c tl=t wtnlo bcm:,.v vt>o cmpl°Y pa'.om co d�mxuitrnioct oa:ar rw.-ir ork on i d.cLling of not ss b than 1.6z'oo units in�'hictt ibe boc>oo�wncr redo a co tbo F}-ouac�ipputtcn- tbccc:o:.•c ooc gcoa,-Uy oon=idcmd to be c aployrrs under tbo�voe tis m Act(GL152s3'1(5))aWUcx600 by a bomcowrrr Cnr litr=e cc Pcr a may cvidcmc the kv,0-tL',of an c z:ploy c u,d d,W.,V-e,Conzpcm.i ioa A� I tsndcszi d tad Dopy of tu,mtcmmt m„y bo focwnrdod to tba Dopu—t oI In3i tri c An°d��O'B—of lawcn000 roc cb. C0`KrlRc V-Mcmlioo and that Giltrtn>4 c=urt co,.,,, o=dcr scdion 25 A-f MOL 152 can:Ind to tb'"boa of czimisiil pmaltin °O 9f x.fine of up Sn:S1 00.00 rndlcx ixv{cisomvcczt of up tA.00c yca'end avt7 p--,,;C3 foc>n 01 Stop WoikOi dcr.ind a • fino oCSIQ0:00'x diy igaitnit mc :` .. FoGdq-r ax 11!4a oaty PGLTAll2�it(mber _ - y� -3cfaQ'.f T,oL ^ t:.' Sigl�zc .: iFcr>;niticc 1 10, Do any signs exist on the property? YES V 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 cols to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage l Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paired parking.) of "Parking spaces f of Loading Docks Fill: -(vol-time--& location) 13 . Certification: I hereby certify that the information contained herein G, is true and accurate to the best of my knowl e. ed DATE: �—'� APPLICANT's SIGNATURE 0 NOTE: lasuanoe of a zoning permit does not relieve an appli is burden tvloomply mow oll zoning requirements and obtain all required permits from the Board of Health. Conservation Commisalon. Department of Publio Works and other applicable permit granting authoritlea. FILE # SEA 16 i-?% ' ���13�� File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: XL STAR INSULATION & SIDING CO., INC. Address: 56 FRANKLIN STREET EASTH*yTON, KA Telephone: 527-W 2. Owner of Property: 0M MORIARTY Address: 194 BROOKSIDE CIRCLE FLORENCE, INA Telephone: 584-2459 3. Status of Applicant: Owner Contract Purchaser Lessee X Other(explain): CONTRACTOR 4. Job Location: 194 BROOKSIDE CIRCLE Parcel ld: Zoning Map# d9 Parcel#�� District(s): IV A—" (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): INSTALLATION OF VINYL SIDING 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/Variance/Finding ever be issued for/on the site? NO DON'T KNOWS YES IF YES date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW Vll-� 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) Department: Reference No: BP-1999-0308 ................................... Building,Electrical & Mechanical Permits ......................................................................................... Fee Type: Receipt No: Vinyl siding REC-1999-000769 .P6�:.......................................................................... Paid. i.n.��l•I.0.n- al :........•. All Star Insulation & Siding Co Inc Thu Sep 17,1998 '��.... .............................................................. .. . ...... ...... ceived By ................ Check.No:................... Linda Lapointe 21.618 ......................................................................................... ...................................... DEPARTMENT'S COPY Amount: $20.00 ............. I)EPAR'I'MENT FILE COPY 194 BROOKSIDE CIR CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: 17 Sep, 1998 BP-1999-0308 $20.00 GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size: 4904 29 180 001 194 BROOKSIDE CIR URA 19950.48 Contractor: License Type: Insurance: All Star Insulation& Siding Co Inc HIC Workers Compensation Address: License No.: Insurance No.: 56 Franklin Street 101858 3BHO4252700 City: State: Zip Code: Phone: EASTHAMPTON MA 01027 (413) 527-0044 Proiect No: Category of Work: Const. Class: Cost Estimate: JS-1999-0636 vinyl siding $5,900.00 Description of Work: INSTALL VINYL SIDING GeoTIVISOD 1997 Des Lauriers&Associates,Inc. Signature: