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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7c) S b V ey-q-y N Lot No.
2. Owner's name 1DP--4p� 4:\M T-AV L0'(Z Address Sty c
3. Builders name "T;, 1 - Address '�)(-o S'E( 4%c-E 6F�tiTfs
Mass.Construction Supervisor's License No. 05 + 109 Expiration Date 1 I
4. Addition
5. Alteration �� 1 )1 L,0 Ov►► w� Nr W 4Zcklty`
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 tDl L H-Lo
11. Distance to lot lines tNc
12. Type of roof t
13. Siding house A,
14. Estimated cost- 8 0o !
The undersigned certifies that the above statcments are we to the best of his,
knowledge and belief.
Signature of responsible appoicant
Remarks '-- L t F►, CL�,d�L �j i?l L,C� c1 t� S�{� i� 1. 1 tJta
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O4ttIJVfArO, SEP 1 3 mo
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9 6 DEPTOFBr11�' ` s JAI&saacllnsrlle _
NOR-_
°� MFNT OP IMILDITZC IIJSP['_CI'IOIJS
212 Main Street ' Municipal Building 'a
Northampton, Mass. 01060
�YO1Z1C1?It-'S ('OMI'IsNSA'ITON RMIRA-NCY, AFFI-DAvric
--- (licer>_scc/pernliltec)
with a prulcipal place of business/residence at:
Vo ihoneft �'CI —i2�L�
(strt-et/c�ty/stalcJzip)
do liereby certify, under the pains and pcnaltles of pe'ljuly, that:
(,�/l am as employer providing the following wurkc."s compensation coverage for lily
employees working on tlll,i job:
LL ,AM�tE.Mc+er L N5 - CO C-7 e S( f301
ru1-"' Cotnpauy) (Policy Ntunbcr (Expiration Date))
Tania sole proleictor t eueral contractor Or 110MCOtivner (circle one) and have hued
the contractors listed below who have the following worker's compensation policies:
L- Ir Ce(0-) -mow S. CO. OO ILd-cZ 88 89
umtion Date
(Nome of Contractor) (Insvtancc Conlpany/I'olic}'Number) (,`ixll )
��Gwtor24tS ��'Mg�uvt l.�c� �,T�cac, v�nv-ryro���vzZ7-7- SS
(Name of Contractor) (Insurance Comp my/Policy mtler)� (Expiration Date)
(Name of Contra(.tor) (111SUI-a lc°. Company/Police N111111 er) (Expiration Date)
(Name of Contractor) (Insutancc;Company/Policy 1Jnuiber) (Iq_xpiration Date)
(.112al uLlidio d v>xt ifrm—,,ry to i,,A,,1 k info,uuri«r putaining to ell—f—ton)
O I ani it sole props ictol and have no one wol kilig for uie.
O I am a home owner performing all the wont myself.
Noll::plcnsc be tyam 11111 x0lilo b«txowncn utxu crutploy t>crtoui to&ln.icricuncc,cnostru oo«rcpa r work all a dwelling of
not morn than throo units in«dricfi tht luoav ;-acr m3idc-3 o:oG 0--guv uyiu apputtcnant III-do arc oo(gner
eally comitrcrcd to be
or
caTloym undo tho wkra'i cocrycnsilion Ad(GL152_ss t(5)�rppliea6on by s hotncowns Car a Gcuve oe permit may evtdc-oae lb,
legit&talus of m emt)loyor undor Ow Woc"'s comtx stiou Axt
I undcntuud that a wpy of thil rl.la t¢t.y Lo(orvrnrdxt to tlw Dcl—t-1 of 1-h-trial Aocidwl&Off o0 of Ir>R for 111.
eovcnge verification and that failure to eec urc oovcrnga under section 25A of 1.iflt.152 nn lad to tbd intpontsoa of aiminal pcn&Wcs ,
oomisting of a fin,of tip to S 1,500.00 and/or i aprisocusscrtt of tip to rnr_)-car and ci,il l.16cs is d1,form of a Stop Work order and a
fine
o(5100.00 a diy apfsintt err_
F«-dcpuliun><sl u ao oat y
11amlt Number
Mapa9
--------------------- - -
Signature of LicclixclPcrTUittcc --
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.
Thin column to bs filled in
by the Building Departrent
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R: .�
- rear
Building height
u
Bldg Square footage
—_ X11Q z
%Open Space:
(Lot area minus bldg
&peved parking)
# of Parking Spaces
# Hof 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: �i -1f APPLICANT's SIGNATURE
NOTE: Isauano of a zoning permit does not relieve an applioanYs burden to oompiy with all
zoning require ants and obtain ail required permits from the Board of Health. Conservation
Commisaion, Department of Publio Works and other applioable permit granting authorities.
FILE #
p 13019 �� File NO.-
,l
DEPT _ ���" .BONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �j l� �-
Address: �� �S t55 Or t-rw - Telephone: Z'-�-
2. Owner of Property: T)prr--�, - T11NA4�{R- c/
Address: 0 SOV IJ We2l Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): tz
4. Job Location: _ -7o 5 o� �-2���� l✓V�'�-L
Parcel ld: Zoning Map# Parcel# District(s): J
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Ci tt�icot� T y�-V �lil3 �,t f'36
6. Description of Proposed Use/Work/Project/ ccupation: (Us additional sheets if necessary):
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/V iance/Finding ever been issued for/on the site?
NO ✓/DON'T KNOW 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? NOON'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-2000-0269
APPLICANT/CONTACT PERSON Robert Walker
ADDRESS/PHONE 36 Service Center (413)584-1224
PROPERTY LOCATION 70 SOVEREIGN WAY
MAP 36 PARCEL 291 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 6
Typeof Construction: FINISH BASEMENT/RECREATION ROOM W/NEW BATHROOM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 034783
3 sets of Plans/Plot Plan
THE tPk6OWING 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 Commi n
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.
70 SOVEREIGN WAY BP-2000-0269
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-291 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2000-0269
Project# JS-2000-0439
Est.Cost: $38000.00
Fee: $190.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Robert Walker 034783
Lot Size(sq ft.): 63946.08 Owner: TAYLOR DANA G&TERRYLYNN
Zoning: SR Applicant: Robert Walker
AT• 70 SOVEREIGN WAY
Applicant Address: Phone: Insurance:
36 Service Center (413) 584-1224 Workers Compensation
NORTHAMPTON 01060 ISSUED ON:0911611999 0:00:00
TO PERFORM THE FOLLOWING WORK.-FINISH BASEMENT/RECREATION ROOM W/NEW
BATHROOM
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:
r
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 09/16/1999 0:00:00 $190.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
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70 SOVEREIGN WAY BP-2000-0269
COMMONWEALTH OF MASSACHUSETTS'
36-291 CITY OF NORTHAMPTI ON
' r
Pert: Building
Category:renovation BUILDING ILDINV 1
Permit# BP-2000-02
Pro ect# ,Z,2000-0439
Est.CgW$3W�00
fee:5190.00 PERMISSION IS HEREBY GRANTED TO:
C�mst1ass: Contractor: Licensed
Use Crroun: Robert Walker 034783
Lot ft(a^ft.): 63946.08 Owner.'--TAYLOR DANA G&TERRYLYNN
in' :SR Annlican Qhert Walker
A 7070-&OVEREiGh W,
Applicant Address: T Phone: - InWance
36 Service Center (413) 584-1224 Workers Comes� on
NORTHAMPTON 01060 ISSUED QN:o9/IG/1999 a.00 00
TO PERFORM THE FOLLOWING WORK.-FINISH BASEMENT/RECREATION ROOM W/NEIN r r
BATHROOM
POST THIS CARD SD IT IS VISIBLE FROM THE SIRREEfi
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meters
Footings:
BZ--*f Rough 10 House## Foundation:
/ r�fl
Final:� ,�� .� I► Fina1:fz/tf/f�l� �'��
Rough Frame;0
Gas Fire Department Fireplace/Chinwey:
Rough: Oil: Insulation. (ok, 10_7-A' ,
Final Smoke: Final: e1 K 1;2 -I'jQ
THIS'PERMIT MAY BE REVOKED BY THE CITY NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
i atnre:
Fee' re: Rectiot Date Paid: Check No: Amount:
, ate
Building 09/16/1999 0:00:00 1$190.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patilto r