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35-156 (4) Sii3SnHO`dSSdW — A31a`dH — 133US 113ssna ScZ S2JO.UAHnS 4NVI 3dNOISS3JOdd a32MS1032J '0N1 S31V[:DOSSV (INV NOiV3 1 G-lOd 'H pNHn 866 L `6Z 3Nnr ,0C=„ L :31`dOS zHKI o d3ZI '8 VHi�JVH r 3 I lt/a NV21 803 038Vd38d S113 s n H:DVSSdW ` N OI WdHi�J O N NI (IN`d1 30 NVId NOUVO0-1 1N3W3AMJdV41 a3SWO0 Jd GV08 N O-A ,9Z'69 ,09'0 L jvoi� M- I 'A J'W J Z-b = ,Z'02 soap posodoad N W O N 00 P) cD O Od S� 9661 i XINO S3SOdd(ld llWd3d ONI(Pin8 X103 NV d SIHl F-- v ^ 0 00 v 'o O m N M \ n j1—O d N p C N Qc (� m o m U 0 W J Z W m (/) O LW Q 0 W U v O � � O _I Q O -i - p � d o � Q '_' 3 V / J W Q 0 �- F- Z N v� : aZ . C Z� C7 0Z �� Q Z Z x � � �" �� 0 W Q CL 04 m UZ Z N J N vM Nx �\ 00 / n O WQ J = _ N� (/) - W Z W Z O= Ln n W H zw Q W ° w \O O CL T o ^ z L)a- � NN Z m to U pW 0 W\ < CD m � � m Q C� U) Z N O .�N ZO Q X N � a c U) Q g U 3 �+ anima < z � � a W n o c cy Lv '�t (,() :3: N N R J J O = O x C- N Q Q J Z Cl. = N a r It O N N\ Q J N oil X Q \ p C1411 04 W O 0� D U W 0 v? O m -PAQ X� W 0 W J s, J G O 8" "sono tube" — 4'deep co (6 on center) x r L m 000 Q'r O N c J v (D v G o H c LLJ �i, �G, N O U O E r L X o 0 C7 JO � x N r Z 9 a0 cD W Q 0 c r O i z0 QL- 0 L� 0) s M W Ln O x IM1 W > ? a 0 x ..l m M i Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �� 1G`^ Lot No. 2. Owner's name R Address cf) c��' r i S c 3. Builder's name A tj;-_�A L`- Address S Mass.Construction Supervisor's License No. C q �y Expiration Date ► Z 0 3 2 0o t 4. Addition V'4 PA 5. Alteration N� 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire N f\ 9. Garage N K No.of cars Size 10. Method of heating r C c�. ��r ie 1.u� 1 r�e1tt-r 11. Distance to lot lines 12. Type of roof A'-Pk0J'1' \ 13. Siding house �f i r','1\ 14. Estimated cosL- � The undersigned certifies that the above statements are true to the best of his, her edge and belief. Signature of responsible app lcant Remarks oQ CtpTG 6 �i�l 1998 GrZ� Of � .�asat:chusrtta <M l ,,, ---0rPARTMENT OF BUILDrNG INSPECTIONS „ 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licensed pmnittee) with a principal place of business/residence at: g SQ"Y-iS4 1�. r. TWV YY N 01o35(phone#) se4-9's7 � (street/crty statelap) do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following worker's compensation coverage for my employees worlang on this job: (Insurance Company) (Policy Number) (Expiration Date) am a sole proprieto general contractor or homeowner(circle one) and have hired the contr or sted below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attadt additional shod if necessary to inelode information pwig;ning to all ooarado[s) 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 aware that while homeowners who employ persona to do maiMmaace coasiruclion or repair work on a dwelling of not more than throe units in which the honmwnerr resides or on the grounds appurtenant thereto are not generally co=dacd to be employers under the worker's oompc=s4on Ad(GL152,ss 1(5)),application by a homeowner for a Uc=e or permit may evideaoe rho legal Flatus of an employer under the Worker's Compensation Art I understand taut a copy of this uatement may be forwarded to the Department of Industrial Aecidaw&Oi£oe of InOMRaoe for the coverage verification and that failure to Secure coverage under section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to$1,500.00 andfor imprisonment of up to one year and civil penalties in the form of a Stop Work order and a fina of S 100.00 a day against me. Foe iewrtmmtal use mlY C ' Permit Number C C Maly# Lot# 3 Signature of LicenseelPerrnittee 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: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thf= aolua to be filled in by the Banding Department Required Existing Proposed By Zoning Lot size Z©/X412> Frontage ) o Setbacks - side L: R:30 L: 7� R: 6 C9 0 - rear 1 -70 Building height Bldg Square footage %Open Space: (Lot area minus bldg cl 4 ' &paved parking) 111111 l (° # pf -Parking spaces f %f Loading Docks NA Fill: volume--& location) N A, 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: + " �l � � APPLICANT's SIGNATURE ��,. t" NOTE: Issuanoa of a zoning permit does not relieve an a iloanre burden to oom wit PP P.IY h,,+pll zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other appiloable permit granting authorities. FILE # a 1 11998 File No. 6 -qq-c ► ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: —�R"C'A\ E • 1zcr Address: 8 Sor,r► 5e 07r "OA\e Telephone: SS6 2. Owner of Property: m ka z'T N k T�, Address: _Telephone: S&O — 3 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 8c7hya� Parcel Id: Zoning Map#—,3LS Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property ����`�,� �We,��►'�� 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): S Ose. I "k 8' X 10' 1P-LK -�a r 1�L1 r*-o,r of 6u 5 e- 7. Attached Plans: Sketch Plan _�i _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 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) FILE `.JUL `998 APPLICANT/CONTACT PERSON: /,(,2 � ADDRESS/PHONE:/ PROPERTY LOCATION: ! MAP— �_j 6 PARCEL: _ 45' ZONE THIS SECTION FOR.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FU.I,En OI1T Fee Paid Fee Paid a o - �✓ C) cxlzy Arrectnry —trurtnr I �U" ✓ TPA LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM Approved as presented/based 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_ Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: r Curb Cut from DPW y. _Tt ✓, Water Availability Sewer Availability e ��rat B 'of Health Well Water Potability-Bd Health Permit from Conse on Co lion —9/4,4 Signature of Bull ector D to NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applicable permit granting authorities. 6 Department: Reference No: BP-1999-0004 ................................... Building,Electrical &Mechanical Permits -------------------------------------- Fee Type: Receipt No: Building-Renovation REC-1999-000010 ... -•................................................................................... Paid By: Paid..........in.......FuII.....On:................ Randall Izer Wed Ju101,1998 .....................•-•--•---.......---•--...................•--•------•----............ ................................ Received By: Check No: Linda Lapointe 1101 ..............................----...-•-•----..............................•---•---...... ...................................... DEPARTMENT'S COPY Amount: $40.00 ........................... DEPARTMENT FILE COPY 808 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: BP-1999-0004 $40.00 GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size: 6972 35 156 001 808 RYAN RD SR 20734.56 Contractor: License Type: Insurance: Randall Izer CSL Address: License No.: Insurance No.: 8 Sunrise Drive 071890 City: State: Zip Code: Phone: HADLEY NIA 01035 (413) 584-7599 Project No: Category of Work: Const. Class: Cost Estimate: JS-1999-0011 $500.00 Description of Work. construct 8'x 10' attached deck GeoTMS40 1997 Des Lauriers&Associates.Inc. C�anufi.rn•