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36-260 (6) l . f /J! l �e' C�loo�tmnsuc�� d��Ztu� BOARD OF BUILDING REGULATIONS, License: CONSTRUCTION SUPERVISOR Number: CS 061355 Birthdate: 12/26/1957 Expires: 12/26/2000 Tr.no: 6029 " J Restricted To: 00 HENRY E WHITLOC:K 399 WARREN WEIGHT RDA BELCHERTOWN, MA 01007 " - Adm mi nis strator ::r., t::, ., ,,:.>:. �,..�'.>s..-,l:a.,,..+.:.�.. :.,.>.�.:i.,.,..,•ti„>t..tt.;:.±. l i.Y:,,..r:i.�t+:�i�tftr,a Y,.f.>cst>i sc,...�.,,+....:.....,.5.. ..t.,::.��,iii?iA3�1�t$. .tis?,xti,>>i rpeg+.+�+,t>sbt��. ,.s->.+iK.,n,, ,. k 9 1 !j 99 { v � t � o t � i G , € ,,ji - q i r_ a 3 0 0y E. z pm E. c = N z 70 g o m ..�23 zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. L1311 19 Additions 12 Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location 161 r 1 W'1' �GI��- Lot No. 2. Owners name l � U t Sc Address 3. Builders name 1"f lr LA,4-11b t.k Address Mass.Construction Supervisor's License No. Expiration Date ) 4. Addition 5. Alteration ~ l�- 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating .r 11. Distance to lot lines 12. Type of roof / 13. Siding house / 14. Estimated cost:- / � D The undersigned certifies that the above statcmcnts are true to the best of his, knowledge and belief. Signature of responsible app,icant Remarks (, j �, t sr:c ttrcltr t WE —PIF BUILDD$G INSPEGnONS fit fT -! 'If•^ Str et ' Municipal Building a ton, Masi. 01060 WORI,CER'S COMPENSATION INSURANCE AF MA.'VTT Ce . Naas«,perm;acc, with a principal place of business/residence at: I -ITI � (s rmucity/=w2ip) do hereby certify, under the pains and penalties of pe u-y, that: ( ) I am an employer providing the following worker's compensation coverage for my employees woriring on this job: (Insurance Company) (Policy Number) (Expiration Date) (� I din Q� e or, general contractor or homeowner(circle one) and have hired the contractolow•who have t he following worker's compensation policies' (Name of Contractor) ansuran=Comparry/Poticy Number) (Expimtion Date) (Name of Contrzetor) (Insurance Compa.ny/Poficy Number) (Expiration Date) (Name of Contractor) (Insurance Compaay/PoUcy Numbu) (F--piradon Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (an"di additioml:boot ifnoocaary to mc]udc infocmafloo perbinin;to arl ooersdoan) I am a sole proprietor and have no one working forme. ( ) I am a home owner performing all the work myself. 7 NOTE:plasa be awe=that Whilo hcmoowncn wbo employ pczom to doe.Rw .Oct a=-- tioo•or repair—rk on a d..ctring of not morn than throe=!U is wfiich the hoav awoct rcidc=cc oo the t v m6'+purtcauat tbactu ale not cmc a11y 000;&d to be employ=under the%ockc es compcasdraa Ace(GL157,=IM).applirstioo by a ho¢toocva r fora Gcca c cc per=d maY cvid the lepi dams of as employee under the Workees Compemaiioa Ad 1 uodcrataod that a copy of tWx calommt may be forw*rded to the DcpmumA oflnd.iatrid A.;&.&Oise+of I--fa the oav &--Vai5CMdoe sad that fatllum to o*o=covmv tmdcc son on 23A o(1(oL 132 can tad to the imposition o(aimiaat pmalea • :i oomisang of a$ae bft+p to S1,S00A0 eod�or ampcoo®ocnt o w ooe year and cito7 paRtGd is dx form OCR Stop Work Ordcc and a .. find o(S100.00 a nay ttga ICA toe Fora vMt—talnusooty Permit Humber t f Ivf2P4 Lot 0 �--- ` - Sigaabno LigmscJ-PCrn ittoe ` '•__� .,_c-sue..._. . .. � _.. .. ....m.:��u.awn.�..R.e:..:......b.a�'_�u_+:.+�.��. 4 J a �� �, � � � � � . 6 � � �-� I f � �T` fj � i r � � fi i � i t 0 a �. � `� � i► „MA.. � "�... f 1 -- - - - -�- \. 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_,:::L' IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. TzLi: roim= to be fizz in by the lh-I&.ag 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: (vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE NOTE: issuanoe of a zoning permit does not relieve an applioant's burden to oomply Wit;,.�ll zoning requirements and obtain all required permits from the Board of Health. Conser-vtation Commission. Department of Publio Works and other applionble permit granting authorities. FILE # x }i AUG 1 31999 .. File No.�" D�JI(pJ ZOk N6 PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: � Wklh-OCR Address: J / A1�L� Telephone: �1 � �°2 >3 2. Owner of Property: (���f✓ ��LjnC `2 Address: Telephoner j 3. Status of Applicant: Owner Contract Purchaser/ Lessee Other(explain): coh44f-0— / 4. Job Location: Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Vd 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): -tZ =� � ti 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. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO_ V _ DON'T KNOW YES_ IF YES,date issued: IF YES: Was the permit recorded at theme Registry of Deeds? NO DON'T KNOW V YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NC 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#BP-2000-0165 APPLICANT/CONTACT PERSON HENRY WHITLOCK ADDRESS/PHONE 181 NORTH ST (413)253-2235 PROPERTY LOCATION 151 MAPLE RIDGE RD MAP 36 PARCEL 260 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 4 _,�-- Typeof Construction: FINISH 12 X 50 ROOM IN BASEMENT FOR PLAYROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 061355 3 sets 9f Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased 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 Co s ' n Signature o lding 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. e 1 151 MAPLE RIDGE RD BP-2000-0165 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-Block:36-260 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0165 Project# JS-2000-0267 Est.Cost: $10000.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HENRY WHITLOCK 061355 Lot Size(sq.ft.): 51400.80 Owner: OSOFSKY JAMES R&SUZY S Zoninpz: SR Applicant., HENRY WHITLOCK AT: 151 MAPLE RIDGE RD Applicant Address: Phone: Insurance: 181 NORTH ST (413) 253-2235 BELCHERTOWN 01007 ISSUED ON.8116/1999 mom TO PERFORM THE FOLLOWING WORK.-FINISH 12 X 50 ROOM IN BASEMENT FOR PLAYROOM 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 Tyne: Receipt No: Date Paid: Check No: Amount: Building 8/16/1999 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo s a. u t x „y 151 MAPS RMOE R a -2�' t fJ -�i 65 + zS#: . OMMONWEALTH OF IV OWSET�S .36-260 My OF NORT11AAMMN a Penh Est..Cod•$1Oi�i!b.00 + PERMISSION IS HEREBY GRANTED T4: ” Comet: Contractor License: HE WHITLOCK Q61355 tt j 514flt3 8C3_ w tr of� Y 7 R&SUZY S .4? li #t' MENRY W1-tITL©CK .. 1 fs't tVIAPU Rll?CP Rb Af Eh US -$ L413);53-L235 } BEL -OWN 61t 7 ;(�N.� lat 19S►9(1:Ud:6lt TOPE � ` � �' LLOWING O. FINISH 12 X 50 ROOM IN L3ASEMENT FOR PLAYROOM U MLE.T bs r r or o �4l ing II3. '.1rY, Inspector of Baudin Underground: er►xlce; Meters Footiov: Ram: ROM* ' !' ae# Foundation: - Finals raw*. Rough Frames Em I » nt Fireplace/Chimney. �: Flnal; 6 + . THIS PEST M.Y.W CV M BY THE CITY ORTHAMPTON U N 11:3 net "N . Anow t B 9/1611999 0.00:00 $50.00' 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo