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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location ✓ Lot No.
2. Owner's name��D,. � '�i�oc/� Address SsI+,
3. Builder's name rt rOs-��`TT Addressy
Mass.Construction Supervisor's License No. 0612yS0 Expiration Date
4. Addition
5. 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
14. EstimatedcoSL- COLpie CLIe j$"db
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks
�trPT
8 - JUN I F '998 'ixstxebnsrlla
;CEP IRTMENT OF BUILDDIG INSPECTIONS
Iv�i iU f A b ,
-- Li Main Street Municipal Building
Northampton, Mass. 01060
WORICER'S COMPENSATION INS(IFZANCE l , A.VIT
r ✓ �� l a�,a 7
(li censeeJperm�(tee}
vndi a principal plact of busioessJresidence a_t:
� � �� /t����1��,®��✓ /�/.� �1��'�Cl (hone#) ,.5��"�"�>;'/
., (m�.t/city/stn-triziP)
do hereby certify, under the pains and p,eualties of perjury, that:
( ) I am ao employer providing the following work 's compensaLmn coverage For my
employees wot-karlg on this job:
(Lnsl=' ov Company) — (Policy NuQib--U) --- (1✓YpimLon Date)
( ) I -m a sole proprietor, general contractor or homeowner (crcie one) and have hired
the contractors listed below who have the following compensation policies:
--- ---- -- --
C�:arsc Nuc2's�r) (E�p r�tioo Lato)
( ane cf coil
cr .ctor) (ins�tl,tnce Collir�ar.}IPo!ic1 Nuntcr) (api :anti Date)
(Name of Contractor) jaslu-,Mc,� Compare)-IPoI c-y Numb'r) (Expitadoo Dale)
(Name of Contractor) Co III pany[Policy Nrilnrrs) (LKptranon Datc)
(.uddt u�i cc l i k t if ac iry to L ,ui in_boa pct asE to all rc.ra or )
(v�I afn a sole proprietor and have no one working for me.
( ) I am a home owner performing aH the work myself.
NOTE:plcasc be avn that wtrylo hcmcAwnc �,bo cmplaf PcrToII to n s oo'.or rtp�work on d d.vclling oC
not mocro than LE-00 Uarb is tr}iich itx baIIXosDCr rCACI r OO L hO II O �p w DOS � 11mitS to be
employers under tba wocieu`s axi�ensaiien Act(GLI52Fs I(S)�aPFlirabon by a homeow�far s Gcxnx a permii maY evidcooe the
legal ctnhi�of en cmp(oyec undcc tho Wocirc�a Comper�,.iioa.�cc_
1 undcr:tand th,t a Dopy olttiu catcmmt may bo forzravdod to tbo t?cpnrhncoi of Inc�dsrric:^mdm�OISoo of Irinui000 fa Ihn
coverage crMcadoa and that 6Aur c to rmuc covccngo Undo s.octioa 25A of MoL 152 eau 11 d to tb0 boa of criminal pcmalfica
comutiug of x;&nc oCup Io S IlT00.00 and/or mpriso oCup tn.00c yzar end aVa pcazllia in the form of a Stop Work Orda.and a
firm 6(510.66-s day igiuut m�
Pcrmtt
#
Signalizrc of L.i /perinati cc
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:
I1. 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
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkingi
# of Parking Spaces
f fof Loading Docks
Fill:
vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
_1
is true and accurate to the best of my knowledge.
DA E: ,!�- APPLICANT'S SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to oomply wit"_all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
6 110
9
File No. 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L::�:l LrJr'' '?—r
Address: � ���� �� Telephone:
2. Owner of Property:
Address: I1 413-7'1 Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: .5 1k --
Parcel Id: Zoning Map#L, 7, 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):
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 Fifes.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOV%' 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)
i
FILE # 9 6
)�)N i 1998
PLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION: �� /%rcGGC
MAP J� PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM Vrf.T.FD OUT
Fee PAid
Iffidiffin2 Permit Filled wit
"2
A rreggnry ,Strj►CtnrP
THE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased on information presented
Denied as presented:
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
I/
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
Well Water Potability-Bd Health
_Permit from Conservation mission
Signature of Building imgOTor Date .
NOTE:Issuance of to zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authoritles.
l�
s
Department: Reference No: BP-1998-0062
..................................
Building, Electrical & Mechanical Permits
...................................................•.....................................
Fee Type: Receipt No:
Roofing REC-1998-000066
.........................................................................................
......................................
Paid By: Paid in Full On:
Ed Corbett Jr Tue Jun 16,1998
.........................................................................................
......................................
Received By: Check No:
Linda Lapointe 2767
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: $20.00
...........................
DEPARTMENT FILE COPY 807 RYAN RD
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:
16 Jun, 1998 BP-1998-006J 963679 $20.00
GIS#: Map Block: Lot: Address: Zonin Use Group: Lot Size:
6979 35 163 001 807 RYAN RD SR 46 173.6
Contractor: License Type: Insurance:
Ed Corbett Jr CSL
Address: License No.: Insurance No.:
4 Reed Street 067450
City: State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 584-6571
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1998-0062 roofing $1,500.00
Description of Work:
shingle over 1 layer
GeoTMS40 1997 Des Lauriers&Associates.Inc. C:ffnat..rs.-