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35-276 (3)
Gd T Sy y.. , c- m TRW N F... �„ y Z d p _ > ^ _ O Z Y r,�y S Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.C2 I Alterations NORTHAMPTON, MASS._ / ��/ 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair G GT s 3 Garage —. 1. Location O © L l)b .172 y/' Lot No. 2. Owner's name —bl?S^� (C=am// Sk i Address 4-% S i 3. Builder's name �l-�Y-� .i � �i -�5�� i Address �w iX-1 Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New RQEeh e-, (2tlt ��r _� ©r l -L3 I D 7. Is existing building to be demolished? S. 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. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, h knowledge and belief. si na ure of responsible app,ican! Remarks Grit# of oz#l�ttui tort z $ � � �assact�ttsctta ...`� S a MAY 2 Q 1999 � ARTMENT OF BUILDING INSPECTIONS INSPECT m ` „ iS 12 Main Street • Municipal Building ,. Northampton, MA 01060 Applicant Information Name— Q- ame_Q b lt-�'J (14_. 2[e>- Iljstv ------------- Location U (-.S o a -/YW-b _—G�� C it y 1L6?L-2 P? ------------------ am a homeowner performing all work myself O 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on tth'isjob. Company Name �� Address City-- T jrL;�---------- Phone# %7 '501 Insurance Co. Policy#—0 b ,1 S- Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of IYIGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00andlor one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby c My under the pairs and penalties of perjury that the information provided above is true and correct. Signature c _ '—' Date �"L'1�5 a Print Name ! , 2 l L Y(f --SIN Phone Official Use Only Do not write in this area to be completed by city or town official City or Town Permit/License O B-Unc Dept Lzensix�I3oaxd Check if immediate response is required Contact Person Phone ❑Sekcb m'Dept. C]Heakh Dept. ' ril , 1 � ; I : a,; I j I- I , 1 I 1 I : i ! I I I i i ! 1 i I ' I i Ir I � 1 „ s I � �(1 I , U I I , I ZVI rl AIO TO ' i r A �, 01 IJ s 2�� OF ` N. JFTLAND � _ 2�6 _ ._ � iia of REFUI,AiION ,1A1- :� —- \ V - - 280 -- - AREA \� _ BUFFER ZONE i 274 40,30 40. �y )E SETS A�K, SIDES -TRACK �F �• \ `l -Cl 27 28 N 278 NfF - \ PROPOSED HpO� JAMES F. B _ __ _ 282 p0 PG GARAGE 4 & ��/ NQ, PATRICIA A. BO Yd Fs: 27rg_ 00 TAX MAP 35 LOT 278 4 BOOK 4822�PACE 216 SIOEg do + - W N W6-51 BITUtY1IN0 S n 0 � GARAGE \ F� i 0 SlAB- VPAVE M � 2$,5' T 7�, Nlb � 0 .. 0 �' PAVFD PT CC DRIVEWAY) -- - � 0 0 / -- h N 4 %1181 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. Thi.a —.Lu= to be filled in by the Building Department Required Existing Proposed By Zoning Lot size C 1Y '7 o Frontage Setbacks t i o 3U - side L: q2 R: `I 2- L: 60 R: 50 Z �y - rear v i�•o � y� Building height Bldg Square footage 1-1-13 212 F %Open Space: (Lot area minus bldg &Paired parking! # of -Parking Spaces # of Loading Docks L Fill: -(vol=ume--& location) U v 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: 5i �� %• APPLICANT'S SIGNATURE ` n L-- NOTE: 1 as u ona a of a zoning permit does not relieve an Sapp -oanve u den to oompty Wit4'all zoning requirements and obtain all required permits fro he Boa of Health. Conaervtation Commission. Department of Publio Works and other applionble permit granting authorities. FILE # MAY 2 4 199,9 qDEFT OF g(f i,�t � ��-..._,� File No -� Et h S Z011TING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Z�-1+Y� H Z f ei-7 t ,j SI c( Address: <<v Telephone: ? o y 2. Owner of Property: 3 l 14 . 2 / Address: Telephone: 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: v -.j Parcel Id: Zoning Map# Parcel#� ' - District(s):E (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property RES!DEmCE (,AND ey C�> S7Y�comer z�.J , 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 7. Attached Plans: Sketch Plan ;.-C 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 KNOAl YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES ,c 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 f 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#BP-1999-0991 APPLICANT/CONTACT PERSON John Zieminski ADDRESS/PHONE 16 Dwight St (413)247-9014 PROPERTY LOCATION 80 WOODLAND DR MAP 35 PARCEL 276 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvueof Construction:_CONSTRUCT 12'X 16 DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 017889 3 sets of Plans/Plot Plan T THE""LL ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: _ -l.' r''"s✓ ff_ ,S U ��sUP•— ICY '/Cf�j1.//Os'f 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 Board of Health Well Water Potability Board of Health Permit from Conservati ommission Signanhlof Building Offte-idf Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. It d WOODLAND DR BP-1999-0991 GIS#: COMMONWEALTH OF MASSACHUSETTS MU:Block:35-276 CITY OF NORTHAMPTON Lot:-002 Permit: Building Category:Deck Addition BUILDING PERMIT Permit# BP-1999-0991 Proiect# JS-1999-0705 Est.Cost: $2000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin John Zieminski 017889 Lot Size(sq. ft.): Owner: James Boyle Zoning: SR Applicant: John Zieminski AT: 80 WOODLAND DR Applicant Address: Phone: Insurance: 16 Dwijht St (413) 247-9014 Workers Compensation HATFIELD 01038 ISSUED ON:512711999 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12' X 16' DECK - DECK MUST BE 50' FROM REPLICATION AREA PER CONS COM FOR HOUSE y 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 Si1inature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5/27/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo