36-140 (2) � a
'v > o
O >
cY)
# Nyar � O o �
f � > cnO
Z E5 -3
Zoning
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. .?0 Alterations
ti NORTHAMPTON, MASS. furl F' 113; 19� Additions
• ' APPLa ICATION FOR PERMIT TO ALTER Repair
Garage _
1. Location o2�� 5'G c }` S'`�t e �_/ i r J-(f le,t'N n c le Lot No.
2. Owner's name S,, n c c-_t— Address � c �s,"�(� c f e
3. Builder's name )Cc�,4pc ��'s Address 60>�3`� L ee�Qs _ ✓2%c �/0� 3
Mass.Construction Supervisor's License No. G-� r 3 Expiration Date
4. Addition {
5. Alteration r—(f ms✓C f ��'� �GL 7' C��ff: �e_ 41L l � ALA014('l—
6. New Porch
7. Is existing building to be demolished? 1K,
S. Repair after the fires
9. Garage v 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 we to the best of his,
knowledge and belief.
Signature of responsible app icant
Remarks
Ti
nf 'Wnx#1jaill, t
JUN2 31999 ��=,trll:rsrttII r
i DEPARTMENT OF BUILDITIG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORICER'S�COMTENSATTON MSURA.NCE Ari iAVIT
(licensedpermittec)
with a principal place of business/residence at:
3 t( L�
(strt~tici ty/stalrla p)
do hereby certify, under the pains and penalties of ptuLify, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insuranec Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Nome of Contractor) (Insvranc�-- Comparry/PoGcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date)
(Name of Contractor) (Insurance Comparry/Pokcy Number) (Fx.-piratioa Dale)
(Name of Contractor) (Insurance Compmy/Policy Number) (Expiration Date)
(anach additional shcct ifnccc=ary to mc}udc information pertain;ng W all ooa rntton)
(✓) X am a sole proprietor and have no one working for me.
( ) Y am a home owner perforrning all the work myself.
NOTE:please be aware thrd wbi]o honrowDCr s wbo =play PaT mxmicniacS C=nAIC600 or rcpa.ir work on a dwelling of
not moco than throe ugits in Wb7c11 the bomoowncr rt=dcs oc oo tba Pounds apptrrtcaard thacto arc Dot gaxsally ooandcrcd to be
cmployrrs undo the woriccr"s oompcnutioa Act(GLi52,ss 1(5)�application by a bomcowna fca a Gcam cc permit may evidcooc 6:
lcgxl Frans o£an omployor under tha Wockcet compemat;cla AcL
I undcrOA,Ld that a copy orthia rhlcmmi Daay be focwwdW to tbo Dcyarcmoot of Industrial Aoodorrei Offioo of Imur■oos ror the
aovaige.vaifieatioa and that failure to&=we eovaav under soctioa 25A of MOL 152 can lad to tbd impoai d-of criminsl.pcaaltics
consisting of a•fix bf up to S 1,500.00 arwoc imp of tip to one ytw and civil pcad6cs iD the focm of a Stop Work Order and a :1
film 0(5100.00 a dry against mc:
l For dgmt nww uao only
(i'- �-✓� �C' v"Z � Permit Number
r/ hfap4 Lot#
Signature of Liccnscd ermittce T Wte
�A
r
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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cola= to be filled in
by the Enildiag 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 parking)
# of -Parking spaces
# of Loading Docks
Fill:
Avolume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: " 3Zr- APPLICANT's SIGNATURE /( C_
NOTE: Issuanoe of a zoning permit does not relieve an a pli anta burden to oomply witFt all
zoning requiremanta and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
JUN 2 319
File No. WX 1
w ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR�r P�RI lNT ALL INFORMATION
1. Name of Applicant: '
Address: -'b 3 l� L es . /�i /c S3--Telephone:
2. Owner of Property: ✓ 5 /n e= s
Address: a 5 la i&so o f_\ S 4 c Ci e F 0- Telephone:
3. Status of Applicant: Owner l _Contract Purchaser Lessee
Other(explain): p
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property V
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if nec ssary):
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.
S. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KN01%A 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
256 BROOKSIDE CIR BP-1999-1122
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36- 140 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:REPLACEMENT DOOR BUILDING PERMIT
Permit# BP-1999-1122
Project# JS-1999-1857
Est. Cost: $600.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Roger Clark 021310
Lot Size(ss . ft.): 15071.76 Owner: SINGER JILL R
Zoning:URA Applicant: Roger Clark
AT: 256 BROOKSIDE CIR
Applicant Address: Phone: Insurance:
P O Box 34 (413) 584-1170
LEEDS 01053 ISSUED ON.•6 12311999 0:00:00
TO PERFORM THE FOLLOWING WORK.-REPLACE SLIDING GLASS DOOR
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 6/23/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
°W T a
a ,,,s�-�.,.'"' «„ter ?,� >4. x �. � S,x s' I ;'' �
>n ,a' S �« a# $ro- ss " '"'i`Lz .z< *:
. & _0 PRO � , , ,_ �,i
Fa k M.r'`* '�' aaX`r`".,•s, ra �4s:+ z. sT as
i h � � �
.a" ;i,Ar' - S '��S�cg.-n.`t �',., s` "� * zi'�' aw. 3v
>� Jyw"y `. - r. ,m-;� ; �' *E1"e:^ -Sy t .� 4"`''c- ,-r .r 'z` rL Fa i, ", *
)'Xx� a.. -.€ t a ; `; -s"" `„ �; ;, ,x, * - �' �:S` ors' .� i
��`^q 'ice` r
_ a s;� ;i � "i. + '' , z a eu` r e m_gv%=R. . I €�'' _, r�?-
'a' S s x ;`"°'d`�"`"'a'a'' iv zs . s $t �a - s'� _ .�" '� a
w
r ,�;' 'a`iw X ,'% - La'sr^ �?.. . ? aR`a±a� rx" rt '4 * 'M1�4 ". �'
,:,,$, aS "` %a x 4,x s ;y, tw- '` -'1 -+tea zr��,. '"�. t "' k
t
esm-�, z,
I - x.>r,r i' `^sz x..rz�t 4-4,x s s d^ ,� sr4 �azw s`^rsy.s'' w�
- t..r. ,.,„,.� � 4 y. �>,w fir' ,- " - x. * € .. y ta-1111,
x F x :t s
i x .._, 1 a„s fi� r. rs° s c ,'�arz: - w,'a w• ,w r g r 3 i t, .
M :e '" .' r *. z d s,p.e s �, s f '� 'z' "w+ °E.F x"`+.�. t fi ".x"
�- - , _r r r"3 `4' , ''`-+ t'" � i. zR id r f"`� ¢s .:-, '"e 3 '`t'"w s..•.:�* .Tkv�> C.3` ;u 'tg � '.
$ S f -ds g `r,+; -� . i.f 2^ : h z a �a` cc' .#" -:* # d � " aq'F"k'3`. `a `�.a
�^,. .,s, s*#�,S.e '"te ,=a K +.�.ar a -C. 'F . r '{y„s. t'4' a ' �, t ,yt �" i'r`'Y t.b a S" 2}' x .e ,..*
'E ,wc#'zs f .:� , '- xr § E x'� 'vr ,.x r .: �, r�. yy + }}€ fit.
I'll> c `* e, "sa . ,;. .. a c t" ' �'^a'a sa s 7s` a� ,e p Vera ' a?. 8h- rr; €
x"y;y,r`, �"z.. 1` ;a -b4r ` *X �` i�+5`"' "'
�t'y S�s r
�,� x �, $s> `%rU ,.c ".rw.5' .fix' ``-t *� w, �i ,wrrw. ��:',=: `'�r °: €x Fes' s ':a,!+,z',a `"s
s?.ct x", &a` - e .0 : �k.,a„z,,s a ✓�t.s xta.ufi� .w� _ as .�»rs,*a �g.�'-: �. .,.u+ a - ax N
+:: S :� :., ." i may„�`+�a'�.`>u" - "�.s+ '4x�� °' .sas � " z '
;a 'x v s '+r3� ",E? f"`yF: "''ai +e`z" �„,:3€`�i�, ? a "C. ,e ,p '
* '. , ;� .
- '.' T' t+ %#`*' �'k hu.-s„a?+asn 'z ''`€,� ,, S '?.' a'< sza-� r � ,.r K e a ._ �r ,,, .MZt
4
_ t zt + '
c .�: f> b>a., a zg :#k +° 5¢} T''-.p,r�."" K� `;`.'k+`� # °a rt` s *' g ,r r.—.11 11 e a>t# a ,a'�'`-a ar4 �„a�„ tia'sa°w "+r Y z 4 kz a+ w�^.6 +' i'r�
r a' �. S, : `a' ate' �, ..„' ;°�' a " aka- s =r sus'` z X.1-`� �`11
to. e x. e$ �« e , .za'� 3 s`"w x5 # r
= ag � 3 x#Srt: ' "i' *'Y as ++. x - "k r '` '- �s,+ x I'll s r z s ' �
t r s,Y 'S x,'1.q "�' "`:. ��'+�^ c a r _ .v F .", a_,` x-- #ate
s rs' "'S"r � r` rny°
>•a X - k x ` "�' ' K v`°t' xW sro..9 ,1 1 .,
To ` c 74 a x * + °h +
t xi., - ,s `"..r„9 fi,.. ,� ,.,, ,.a-: .�r,-aim z r� .,f, .,m
f m :¢ # ,.f,_t y � „` " '" �3,syY, f J:� 'r W� a a az=a a '","� 5"'s,2':^ �;z r
z zs ,,. v y r 4 5 s'* ,_" X 3�..s+` us '� ". "iR " i
t C
,r . y� c r �' # , .rte." a t^r' ''" a¢ c k �: ',," '�;'{� a iA,
s - $' y a - *r.y+„�. , i ^' ".4' fix' + ` ^�gzya -"t "'"iu " yam, f dz '�?"�%
s v € *r ^r +' ,as t -"7�^ e. :a€3 .. 3' r,'zy#"`'b_'"*'°' zzc,n, y,,,'e .- .�;, 'r a°"a't'i " a""u4¢ag .o"Ili Z S # : 'ex I , 4 B' 4 .+d' `:w 5f � 4$� 3;k" ^'f'.tR .*:v A# �, k .L b, #5
`' c '!' ^ X 'e• c:=t,,,�n's" i ` t a° n„�, 4 -x O RM " .t ``rs t. pas.121 i
{ i '�s 4 a'„3a+sy^ .f`°s" j '3.^ � # '' t+ Za < ¢'>z° -x,. .
i - >e..t '..?Pk kyfi„Sk 42: r a g+s'e',,, Lt 'X2-1 x. €- s 111 i �...�,:vir '`
t1 e Y' 7r ,a?. i f r'` ;'s� ez„'� J 4 �t a x''t ' t 3 #, ` ' y`` air.A.3;
;c � x
t 'sc.. -a...�,�„k.. f-s s.:. - `ii�"za. ,£,,z; 'e`- z'r' "`:.'', ',�' a # Y�- " 's `
1-1 -'" x 7 { S, i �^z h,"za a`is'w` a° S 6:xg " �,,r "t t �,. � t,I
S } s, w } � f 4 ° 2»z�`-sr: t , :.?> "' r `.. *nw r `yz, .' '`� ; u �. S,Ai x r" r ° € ,
r i k 5 k' s a r,� t ti«k z-'' ,.R r-r 4'" ,�.^ .cHt tS(�'
s .'mss ` t r#ri'"r�;.3�'-.d;� t+s�rz.. z,' K 2? �, "x's+w ,v'�yx s ,. nw N.�r`s:MW m r v -
s ;s s , ;R, "53'4''�% a �4, s" Y:a`' �r. aq't,`s. ,`` 1, , "'>
s : r ,„ �, ,, *y w c';` r. �: .mss� w u t x t s, '*.� . gars vs
,. k ~t �i -*�^a;.�9 ssxs�.sU. * > .s, :k s+s^z. r ..��, k ,� ..,5., ' �' 'm ''� '.
s..#x w a,. ;gem' `' r{ R±.'a �,r�, �i, ^'.m4er'�a' qr"�,' � ,,� .:` .=:fit , 3
a r @ n�1.'�''- j s` " sa- Rt 'Fs^i-gnuau ,. ° . K t` s" •r° i., s �"e '' `' '- y 11 11
ak - r' a: '* "1'S 1 w'h,> x a e2's #. .",., za # �a ,�" z a +'�' �,' a�i� iA �,, .^ {
,` 'a �`a ^s,.' *�'� - t`+x ,z 5" .. .yi'�S' `F, t 'f`."-`">rv&'�' `r,'�t ':, ' � 'r..e` rs `"^,a s' "' "-
,_ a z wr ,i ,g ,�r' .,P!" a.,,� 1z5 +"'', `D .. ''S`a '+ ��,;'s",`�e y>., '+1 ti'x3 �11
3 ,� ,s -r lam, � 4; e. -'` e.4`'> v. �` .-�.f" ,,y -u 'K €�
s - ?' k z " �"fl ',, f»'.a-.�� - p.`"p+ y'q�„ 't`k ,> fir•- 2` + ',
i t z.-; 's`m ,'+`s' - .r'" ... ,}.�,7 Cz. 4""s*'"'x`f s vK. 'r4' ^ - es"`y'.r *-' ? .a.
# r• „g- ,w 3 a i zzS ;t, 1Z'*r w f s a at, hm c': x y
s v i t b- ',t 'k ?. r r Yr yx° r< ",. �' ;fit g *;_ h .ate i,x �_,£;,� �sr. ..>`z * ., a g d �
:S,s y ` y i¢ �s. ,, ;., '^-X {!%Y fi '-: 3'.
f it }r �; m 4 7 'S` y .,? s*z u- "' n' f,,c:C 't r '� �a s� ts. ' g' ..;°r'" r, S .�,
2 3` r" a Y` +:' r '�. x `- r ^$` t w�, x°�,'i .,.+' %%%%
�^-sf, $ i ,, Y m �_ �.,;-,t#.,Nt'a '� 3` 2' .& ros°�;°,d;rv> �?i"�y^`- rte. "* 4'a€r' -. ,' ,? ±>fi�yV+ a. 7-vs' -:+h''`am •'^
11 '9 reps.tx a z, x `i +, ,�.,. F �'.. s 4',^'' '" +, a ! a ,a ..;�,;'., `. _ a z•r ,:
r^ s». {F 3 r > ' dam. .c�� _x� � r `' fl x >� ,z� .?
w `r -,4't >� € r ' r . -:*t+3 ..as°^�' 'ate ° 42_ m .�>
P Yx2 �
si.rLa,_f ��`". ,r� ,�...«�-.2+ �<,�".. ms'=s��`d .'S.a r�sfi. _ " �u � `' �, ., ..
WOO
MM
'�,��-���-, ;>'fs- v:� � y�.. € ��i`, �'°�^y.,�, ^.s:.•xx.:.+, � s ` s se'µ`v s� ,,r"� � i yam` rn� � '��.x '
,��_, ,� �. `,��.��2 .�d,�>t�� � dA�,..�,*��s�``s' i� x•'�+r,J� x'?"��. � p m" :a �'a'�s�:�r'. ,�xe''"'� � ,.e'�"yx -a. =�
�4
5
"3
9
r"
� I
�+ x
A F1
7
99
�ss 5
i \" Y
�4
k4
..-01IN PI
zy
PAW
`+x� � �� � � r� Ci �ai ,'R m-qK,< "S9x�.1.• �i *����.p71i�i*+, a�4Yo�b�3�. z.YT�.
a
r
�-
f�,xs,.
s ,��t�� a�`{�,�'�`L-i,���.... 's�.�''_ "��a,.�:� ax;' s�- `�� c#"e tt�``:..:.�,�� „ ��*.'r3��. x y �`�^a�� ..r.: - m^°'�'��`M"" "��� a °x•;. .,e CIA'.
swan x, �� � �`�` �� � ''�.- �'�.�``' �'* €�,�� �� #� � ��ry� �'» ��xd �t - °s ��*-• '"mow
I .:x
� „�. "",._�.1'' ,,� ef „�i.-=.�:..rr �, '•�^ '"„��,”ro�' '*c a�� ��""�.�:`s���'x,`�'..z.d?� �' may' °�;'�; ,�m°���� s�a� �'''.v:- �y- � i� w. �
i �.
c
art � •. e>„�-., � � ,. ,. � 2 t�s� '�gs�x '� a,�� -�.,F�.��. .� ,,�.�"�, �i�" �. .,��_ � .� .fib s s'�s�a �a TO A
ti-
A110,�� .>�
Too-
aRY
+i,�
SAW i
=��c'�x -
fax, .a�+ati
� XWMM shout
a Oman,a i5
i,� ��L
AIN f.
MCA I
'^� c s" �Pwx ` '.,�aa�'s'x-x'�� i,?-.�'n���¢;•�,�. � „� ,7�'�:- x 5 �,tai - i Y �
�' „' fir~ .t'. :�°f""'t as x, z t -a - •:z °' .