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36-185 (6) O IIVVJJ 7777 � 3 ,,,,, a Zpm > d M z8 X7 p Z > -� m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No �' 3-�' ��'�y Alterations NORTHAMPTON, MASS. ^�''y '+''+6�✓ /C', 19-1a Additions APPLICATION FOR PERMIT TO ALTER Repair _ Garage 1. Location �� "� 17i� �� • � c4^ft.n^ce d �� . Lot No. 2. Owner's name Wz-.,qJ y Nei A,' F-V rc ksoeJ Address 3. Builder's name-ST6 UF1,L) /"1 zu I ra Address j 9"7 Pt,1q ,-v 10 S� 1� �v, ;�j�' 1-"q<<'i373 Mass.Construction Supervisor's License No. 09-- J -7C& Expiration Date cry 4. Addition S. Alteration AAA -S i peu +`=eve;�^ 7'� Fre✓n�" WK-1 'iLe�w 7 Acwje4 Gn-,rnq- t- 6. r 4c.(,tr, S t•6 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of headng 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 knowledge and belief. Signor re responsible oppiconi Remarks `� t-�� c �� F X 5- I rtr f- 1 fi v,. f _� ��>>-�r - � �.,� �- �,� . �Y�i �' 3 d �1�,-, -� � �> `�C, ��L: t ! zY-� ,dl�-, x NOV 9 1999 LIS . t z s 'R 1 v A r ( � �t{AMp � �a34 AChriStll4 NOV m DEPAf TMENT OP BUILDING INSPECTIONS 212"Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVrr h-u c wA wt I Z c4 (Pek (li censec/peTmi ttee} with a principal place of business/residence at: � '7 PL ,, LSE,6, Fl, 1-U �1'�1 (phone#) qQ ? (st=t/city/statrhip) 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 working on this job: (Insurance Company) (Policy Number) (Expiration Date) f�l) I am a sole proprietor,feneral contractor r homeowner(circle one) and have hired the contractors listed below w o ve the following worker's compensation policies: ,STF UE IU' �lizi��y1 bcAr �d.� ( l l��✓ l.i i l i t (Name of Contractor) (insurance Co /Policy Nu/mbcr) (Expiration Date) L it CL4 icy ap i�CIC✓e�' �pc, � �UQ 'V�07V� 1©00 f� (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) �cCS o°d © C (Name of Contractor) -� (Insurance Compare/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (atIarh ad&tioml sheet ifnecensry to include iafarmstion pertaining to all ooa and n) ( ) I am a sole proprietor and have no one working for me.. ( ) I am a home owner performing aU the work myself. NOTE:please be aware that while homeowners who employ patam to do m irdm,mcm c=sbuction'or rtPair work on a dwelling of aot moco than throe units is which the homeowner reside cc on th.o grounds app Ateasnt the cto arc Oct generally 000 6aed to be employers under the wmira ooa9casatioa Act(GL I52-m 1(5)),application by a homeowner for a liccwc or permit may cvidcme the legal clad-of an employer under the Workcez Compensation Act. I undcound that a.copy of this staled may too forwarded to tho Dcperwxcd of Industrial Aazdm&Office of iawrwoe for the coverage verification and that failure to swm oovaage undo section 25A of MOL 152 can lead to the i-Pos cn of criminal penalties ootabding of a fine of up to$1,300.00 and/or impriwmmerd of up to one year and civil Pcmltia in the form of a stop Wodc Order and a ' firm 0f3100.00'*Y against tea For -tinmtal use-WY Permit Number /r /��9 { Lot# UlLe Signatum ofLiccnsee/P illy 10. Do any signs ebst 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. This colvmm to be filled in by the Bailding 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 azrea minus bldg &Paved parkingf # of "Parking spaces f of Loading Docks Fill: (vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 111161117 1 APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioant's buraev to oomply witla,.�ll zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # - . NOV k ' '"uv 91999 y ' File (§10 . 2) ==="I�,= P====~T ��PP=XCAT1== PLEASE TYPE OR PR-1YT ALL ZNFORMAZXON ` 1. Name of Applicant: Address |eohone 2. Owner of Property: CA-,'5 Address:—&'48 Z-AiKf Telephone: 3. Status of Applicant Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning KUop District(s): (TO OE FILLED |NBY THE BUILDING DEPARTMENT) S. Existing Use ofStructure/Property O. Description of Proposed Use/VVork/Projeotk]ocupaUun: (Use additional sheets ifnocemmon): ^�j \ ` --1- 7. Attached Plans: Sketch Plan Site Plan EngineevedXSumeyedP|ana Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitA/ahenne/Finding ever been issued for/on the site? NO DON'T KNOVV YES lF YES,date issued: XFYES: Was the permit recorded at the Registry ofDeeds? NO DON'T KNOVV YE IF YES: enter Book Page and/or Document Q. Does the site contain o brook, body of water orwetlands? NO DON'T KNOW YE IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs tobm obtained Obtained— .date issued: {FORM CONTINUES ON OTHER SIDE) File#BP-2000-0504 APPLICANT/CONTACT PERSON STEVEN MIZULA ADDRESS/PHONE 127 PLAIN RD (413)665-7027 PROPERTY LOCATION 898 BURTS PIT RD MAP 36 PARCEL 185 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 lypeof Construction: CONSTRUCT EXIT DOOR BETWEEN HOUSE&GARAGE W/STEPS&REPLACE KITCHEN WINDOW New Construction Non Structural interior renovations Addition to Existin¢ Accessory Structure Building Plans Included: Owner/Statement or License 024706 3 sets of Plans/Plot Plan THE;F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation C� iission Signature of Building Official 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. 898 BURTS PIT RD BP-2000-0504 GIs#: COMMONWEALTH OF MASSACHUSETTS MaQBlock: 36- 185 CITY OF NORTHAMPTON Lot:-001 Permit: Building CategLry:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0504 Project# JS-2000-0868 Est.Cost: $3469.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEVEN MIZULA 024706 Lot Size(sq. ft.): 31232.52 Owner: REYMOND WENDELIN&HEIDI ERIKSON Zoning: SR Applicant. STEVEN MIZULA AT. 898 BURTS PIT RD Applicant Address: Phone: Insurance: 127 PLAIN RD (413) 665-7027 SOUTH DEERFIELD 01373 ISSUED ON.11115199 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT EXIT DOOR BETWEEN HOUSE & GARAGE W/STEPS & REPLACE KITCHEN WINDOW 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 11/15/99 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo