23A-017 (7) � z
M
�o
OZ m
c O O
s
Z
cn O
m ::E
1y�4` .r Ct1
o
,,f✓�p I �
Zoning �,
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Z$ Alterations X
a rNORTHAMPTON, MASS. !t j kv Sr '® 19-ET Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location to ek&L S -f-ar Lot No.
2. Owner's name Ea 4 OVA r2 t✓P—gr Address 16 Wk- ST-i , A A�D fA /t PM AJ
3. Builder's name We-/em P y WV EP—s l 1W.
I� Address 1115 110 USTPA2 Die.. AJ MD Allen 4
Mass.Construction Supervisor's License No. ff+G �a ��3(a Expiration Date
4. Addition 3
5. Alteration ft-,a b0 A16- WIN sTVND POEA iNM.1.�J . 'AA- ;k SK�� 6't�ts Coif.
6. New Porch
7. Is existing building to be demolished? N Q
8. Repair after the fire
9. Garage V Lk No.of cars Size
10. Method of heating >>� '/c' t
11. Distance to lot lines tim W a* VE7 d o AJE W t It� �s71�G pbd j- t Nr or
12. Type of roof Ake
13. Siding house NOL-
14. Estimated cost- 4"W+,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app.icant
Remarks CO&if V� fl tS� �� {�� �- .5 ` t."T►Q'��PCI� - ! I �a �`.Cn
L� t
(_kia of 'W=fljan plan .
f 1%99B ..ter- iSfacll rtftltd
V
DEPARTMENT OF BUILDWO INSPECTIONS
.,jdp k '�` � 212 Main Street a Municipal Building '
NHt' Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE A.J1FMAVIT
Wright Builders , Inc.
(li�vsalper-mitl�)
with a principal place of business residence at:
115 Industrial Drive, Northampton 413-586-8287
(phone r)
(str�tic�b/stab/a p)
do hereby ccr-t fy, under the pains and peaalties of peglury, tha.l:
I am an employer providing the following Nvor':er's compensation cove mge for my .
employees worltdng on this job.
Travelers Insurance Company UB346R2936 3-1-99
(InSU=Ce Corap2ny) (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:
(Name of Contractor) Qnsluanc_-Compauy/Pobcy Number) (Expiration Date)
(Name of Contrzctor) (Insuran=Company/Policy Number) (Expimdon Dzte)
(Name of Contractor) (Insurance Company/Policy Numbe-r) (a-pimdoa Dale)
(Name of Contractor) (Lnuranct Company/Policy Number) (Expirddoa Date)
(etISeh ad&6om1 sb*=t ifnocca.uy to meluda iafoc .Q pernimag to all oortj_C M)
( ) I am a sole proprietor and have no one worldng for me.
( ) I am a-home owner performing all the work myself.
NOTE:please be&ante tint viixilo boaxxwrocn wbo em,toy pazotss to do�;atT•am coa=uetioa•cr repair work an a dwelling of
not mat thzn tbmo u=U is which for bomoow=r=d=a on the gvttads Tpurk=at tbacto ate tax gixeralYy ma to be
employ=under tbo%4mdC r`s.oeaPeazcim Act(GL152,sa I(5)),apptiadca by a homeowner for a Go==cc permh may evidence the
Iegsl stern,Oran employer undertho Wo&i 'Coorp.='Liom Act
I uadCrtUmd&xt a copy Of thu mtemxrt racy be forwardad to the Depwu*ca atloAa trial Aoeidmb'Offiou OC lawraoos rot the
coverage vcriSc stioa and that Cailare to wmire covrrago under sactioa 25A of MOL 152 en lmd to tbd impOZi -of aimmil pc- -
000 u=&or,sme bf up'to S 1.5oo.00 zn&or kmprcommcat orup to am year and ava penalties in the foFm oCa slop Work Order Lad a
lino 005100.00 t day aguina me,
Signed this 23 day of 1997 For dep.rttamtalu.ocaly
Permit Number
Map;Y Lot>y
Signahae of Lic=Sz&P=niU-
J
�i
i r
ii
PW
C2)- 2,
� 1 -
U�
e
bo
S i
DEFT OF U`
2�� oc
j 20
CD 2, Y Ow��►.
Nj
by
MAY-01—`'S
11 :80 AM
P.ez
c
a
Au6 l 8 ;998 CITY OF NCR TON
DEPT of su° BUILDING PERMIT C1 ECKLZST
Ail I&? Family Projects The following ite=ms are to be
considered MINIMUM
information to be Submitted with ALL permit applications
A Scaled drawinlgs& details shah be submitted with each application proposing
construction, rccvnstructit)n,addition, alteration,or repair 'nic building;official
may wtlive the mquimmcnts for filing plans when work is of a rilinor nature.[ I
B. Scaled drawi112. & details shall indicate & describe all prcpored work, including lucatioll,
size, grade of materials&equipment to be•used.
C. PLo'r PLAN, Pl%)iCTiy address;inap &tot iiunibcr, zoning district CK: overlays (such as
wcthwds) [ ]
Show well:uld septic focatiows(if applicable) [ I
Location of lot lint.'$,dimensions of lot, f-rontagc t ]
Location&dimensions of public casenncats,public utility case=ments, railroad rig=ht of ways
tend established zoning setback requirements.
Locations&dimensions of primary anti accessory buildings&structures I J
D. FLOOR PLANS, floor plan of each floor and ilitcrmediate levuls including basements,
crawlspaces,tcrraccs,porches garages, carports,and decks,showing cxistiug;condition and
proposed co nstructiun.K
Dinlicilsic>cls,locatiumi &inatcauls of toondations, fovtings, columns & piers {including
CGt11ft7rCing!,\Vllt'.CL Cyt]Cltre�� [ ]
Directiou,dimensions,spacuig&gr,adc of all tranung (flours, roofs, walls,partitions) ( )
Location ot'ali vialls,partitions, windows,stairs&doors t j
Loc atioll&description of all electrical equipment and alarm.devices ( )
Locatioo &tylx of all heating and air conditioning(H1/AQ equipment. ( ]
HVAC schuaiatics(where required check with building inspector)[ I
EXTERIOR ELEVATIONS,Front, rear&side elevations including Foundationand finish
grades. [ )
Uxatiorn&dimensions of windows&doors. [ ]
Description of exterior cladding or siding material. ( ]
Show exterior stair locations&dimensions. [ ]
Show chinmey and vent locations[ ]
DETAILS& SEMONS,Sections through exterior walls showing details of construction)
from footing to the highest paint of the building_(<
Sections through fireplaces&chinnneys (show cicaralnees)
Location&details of any roof trusses,glue-Ialry or eingirwcred Iumber {include connection
details and Massachusetts professionals stamp on specification sheet] [ ]
Exterior envelope energy requirement! :Uo-of walls,roof-ceiling&floors..OR.R value of
walls/roof/floor,also percent of window area to wall arcs.j J
CITY OF NORTHAMPTON TEL No .1-413-586-3726 Sep 19,96 14 :50 No .006 P .01
10. Do any signs e:dst on the property? YES No
IF YES,describe size,type and location: '"k
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO
LACK OF INFORMATION. 1. ,
A N�1N t�a� .fig �F �oN� �lfi3h'IV �ci5ri�1Er ��t"P��� 0RM04 TA g b 2t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks frant
-side L: R: L• R:
-rear
Building height
Bldg Square footage
%Open Space:
:(Lot area m1nus bldg
i &paved park-.ng) '
sp* 4Parking Spaces
of Loading Docks
Fill:
Avol-ume--& location)
13. Certification: I hereby' certify that the information ' tamed herei-n
Is true and accurate to the-.best of my knovle I
DA1'Et x1le APPLICANT'S SIGNATURE
NOTEt ary64 of a xoning permit does not relieve an a ptroante burden to oomply.wtttar,ail�[-
x9ning requirements and obtain will required permits from the Bowrd of Heatth,..tToi+esrvation..:
Commission, Department of Pulbllo Works and other applloable permit graenting.iwthorltios::
• 1
,
CITY OF _NORTHAMPTON TEL No .1-413-586-3726 Sep 19,96 14 :48 No .005 P.01
AW 1
8 ON
UL.
� File No. 6_
D6 OF SUI
�lol�ri+�l�rdfot+ �oiusoEw� ING PERMIT APPL CAI TXON 1
(§ 0. Z)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: II P-I C(� 5-12 i GPIEF'S , JAK, I
Address: I Il� I N bU gT-pt Ai/ b1pe N i Telephone: �p b /J is
2. Owner of Property: P � � r
Address: 16 PA-6-4 St. IV e'V/{ /1 Aj Telephone: b • CJ ��
3. Status of Applicant: Owner Contract Purchaser Lessee
__X__C4er(explain):_
4. Job Location: 10 �te � W-t 1 I
Parcel Id: Zoning Map# Parcel#_ 7 District(s): d°
(TO BE FILLED IN BY THE BUILDING DEPARTM�tENT)
S. Existing Use of Structure/Property S J N 6 f�M 1'Lj U YJ t=WA)
6. Description of Proposed Use/Work/Project/Occupatlon: (Use additional sheets if necessary):
J2�E o0 riN G- tc I'STAJ fr $ANN S7V b10 "0 a i�sTA�t�'NC- '
S &7' Wl-r�6A E)(is-ING (—A LAIs
T. 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 DON-r 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#
S. 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)
File#BP-1999-0206
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 115 Industrial Drive (413,)586-8287
PROPERTY LOCATION 10 PARK ST
MAP 23A PARCEL 017 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building,Permit Filled out
Fee Paid
Type of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE F9j.LOWING 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 Commissi
Signature of ilding 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.
Department: Reference No: BP-1999-0206
...................................
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000403
.........................................................................................
Paid By: Paid..i.n.Fla{{..On:
Wright Builders Tue Aug 18 1.998
............... .........................................................................
.. . ..•••• ••••..
Received By: .Ch.eck.No:...................
.Linda Lapointe 21,17
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: $40.00
---------------------------
-------
DEPARTMENT FILE COPY 10 PARK ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0206 $40.00
GIS #: Man Block: Lot: Address: Zoning: Use Group: Lot Size:
2756 23A 017 001 10 PARK ST URB 33497.64
Contractor: License Type: Insurance:
Wright Builders CSL Workers Compensation
Address: License No.: Insurance No.:
115 Industrial Drive 068185 UB346R2936
Li!li State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 586-8287
Pro 0ect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0345 Non structural interior renovati $4,399.00
Description of Work:
BARN ROOF & INSTALL SKYLIGHTS
GeoTIVIS@ 1997 Des Lauriers&Associates,Inc. Signature: