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36-191 (2) • - I a � z 3 c a oUl) s S I I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. ,5 I Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location °" Co QLott,No. 2. Owner's name— -. ,.l Address �,)y r 3. Builder's name /'; 0 Fo Address Mass.Construction Supervisor's Liceise No. ( ,-,;?I SY 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. Estimated cost:- � � ° The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of responsible app icant Remarks C itz of 'Nort4alltpton - s w � 6 �assachusctfs " DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 'IVtSPECTOR_,. Northarnpton, MA 01060 ©f Applicant Information r Name f — -- a Location 4�6 -- -- -- ---- "u 0 lam a homeowner performing all work myself I am a sole proprietor and have no one working in any capacity ❑ lam an employer providing workers' compensation for my employees working on this job. Company Name------------- ------ — Address City------------------- Phone#-- ----- Insurance Co.------------__— Policy#------ --_ Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of tvlGL 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 DR for coverage verification. I do hereby certi under the pairs and penalties of perjury that the information provide bove is true and correct. Signature Date J Print Name �n �f''`t' Phone 0 �� Official Use Only Do notwrite in this area to be completed by city or town official City or Town Permit/Licenser ❑ BuUrv_Dept ❑Li=eruing Board Check if immediate response is required El S--kctxx='Dept. Contact Person Phone# E] Heakh Dept. 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. This col== to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking', # pf Parking spaces # of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: , APPLICANT's SIGNATURE (NOTE: Iss nn a of a zoning permit does not relieve an amp ioant' urden to oomply with'all Czoning requirements and obtain all required permits from the and of Health, Conservation ommission, Department of Publio Works and other applioable permit granting authorities. FILE # I ' MAY 51999 File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: n _ " Address: pr y: /021 /-r4, 2ZOL s' Telephone: 2. Owner of Property: _57/,,V��„ Address: zliS" ;�/cT3 � '� Telephone: � '7-�..�/7 3. Status of Applicant: Owner /.Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# �T Parcel# 9 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): _ J J 'x"25 /N" -,✓"..-. h !. Zzwle-�� , C /f /� 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 Spec 1 Permit/Variance/Finding ever been issued for/on the site? NO ,// DON'T KNO V 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 Y 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) 824 BURTS PIT RD BP-1999-0923 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36- 191 CITY OF NORTHAMPTON Lot:-001 Permit: Buildina Category:roofing BUILDING PERMIT Permit# BP-1999-0923 Project# JS-1999-1582 Est.Cost: $4000.00 Fee: $20.00 PERMISSION IS HEREBY GRANTED TO Const. Class: Contractor: License: Use Group: Craig Marney 057159 Lot Size(sg.ft.): 118483.20 Owner: CALLAHAN STEPHEN A&DIANA F Zoning: SR Applicant: Craig Marney AT.• 824 BURTS PIT RD Applicant Address: Phone: Insurance: P O Box 128 (413) 586-5512 LEEDS 01053 ISSUED ON.'515/1999 o:oo:oo TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF 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 5/5/1999 0:00:00 $20.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo