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25A-185 (58) o tIn 7-57- C-1 < F- CAJ 7t 77 t5- Q APR 2 1 2000 UFPT OF BU qb Q _ © I I � I ":3 ;- Y vy 2 70 'C n � � m �,it G z = O .+ p ..► 7C -1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions 40 APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Locations `� r ► °� Lot No. 2. Owner's name 1 rl %► J �- Y L t� ii Address Q �7 Q�� 0�re t 4 t51P' 3. Builder's name LL✓t d 4 ' Address �e A.I < - Mass.Construction Supervisor's License No. �/ -7 3 Expiration Date 4. Addition t , 5. Alteration c G+ iti L ' C 2 �!/C 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- ` � a The undersign/cifi th he ve s ments are true to the best of his, her knowledge an r ignalure o responsible appicani Remarks t t" - Y �1 ! c'a h S , 1� !'l Ci C- e. r —C)11 Id fell tl .7 ��twr nT Fro "E Crif 3 Of �\To f llalltpfoil �� E �asexchnsrtts -_ w" - DEPARTMEIFr OF BUILDD,\TG INSPECTIONS — 212 Alain Street ' Municipal Building Northampton, Mass. 01060 wort ,1Z'S CONMENSATION INSUTZl�_NCE AFFU VIT (li ccnscr�permi tree) \,,,iti3 a principal place of business/residence at:e- 41 ' (strf-t/ci t r lswr-ln P) do hereby certify, under the pains imd penalties of perjury, that ( ) I am an empioyer providing tllc following worker's compensation coverage for Illy ens{ 'ces wortmig on this)ob 11-aLIJ,e-� U C>60, C1096 (Insurance Comp=jjv) (Pohc;Nu-mbcr) (I_;pirtion Datr_) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below wLo have the followug workers comoensa',,Ion policies: (Name Of ccm:—,-1ian ! (111R isnC Co111p3n}'iPGnc{ NUI1}Cr) _`:i>lr7]u0!? 1�a1C) (Name of Con;Taclor) (Insurance, Company/Police NwDbD-r) Date) (Name of Conn-actor) (Insuranc; Company[PoUcy Numbu) – (Expu-ouon Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (atta.c>4 add.itioml shcct if occcvey to-cludr inform-tioc Palau to ell ooa rnc' . ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plr_.ac be asrut thsl wb]o bomeowncn wbo cmplay pa-,cm to do •�cozss:ua oo cr repay work on i d,velli_g of dot morn than throo units in w-5 ch the bomoowner resides oc oc the gtound�appurtcu the cw arc ooe gvx:n1IV ooesiducd iv be employtrm under the worlcu'i oxnpc=zticn Act(GL152-"1(5)�a-W[im600 by a homeowner far a Uccn c or Permit mny cvide tLc Iegpl essau of an o:nployx under dsn Wockcea Cocopom.atioa Ao(_ t und7�kad thai a oopy of this c2ar®cnl may bo focw-nndnd to tbo DcpartmcaC of Ind1r.>;rial At &a&OMOO Of bcunnco for tba co /V7if cMtioa L•ilurc to taut covccngc under souioa 25A of?,((3L 152 cw Imd to tho impo:i -of trimiasl pcaawcs of a fine of I�D0.00 and/or impriso®cr11 oCup W ooc year end civil pmall a in the form oC a Stop Word Ordrs and a fim L00. a day s me i For dcp.,minuil uac only Pc=t Number ture14f L crmitlee 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. Thdx roim= to be filled in 2� the a�ld�ny �tmeat 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! # of Parking Spaces # of Loading Docks Fill: (vol-ume--& location) 13 . Certification: I hereby certify that the info ation tained herein is true and accurate to the best of my know DATE: 7' �� �' APPLICANT's SIGNATURE NOTE: Issunnoe of a zoning permit does not relieve an ppli nt's/ urd mply %A!R4 .4111 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 # •ep 0 21 � Fi 1 e No. 9�-3 >• of sir►NSl' G PERMIT APPLICATION (§10 . 2) —PEkASEE TYPE OR P=T ALL INFORMATION 1. Name of Applicant: Address: 7 "A a Telephone: L�� . 5 7" 2. Owner of Property: h c Y l � ► Cl ( _/' r Address: �jg h r LI �- i it ,�� /z Teleph one 1 rj �j f 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): L 12-k-1�a ZA-a 1 L c c:uL i--- 4. Job Location: Y-6 �l d- 1,4%4•'1 Ce i y 1%'d' 2. Parcel Id: Zoning Map# j0 Parcel# i5 District(s): 4 -L (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): P , r 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed fans 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'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? 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-2000-0923 APPLICANT/CONTACT PERSON Randal Roberts ADDRESS/PHONE 41 Hemenway Rd (413)367-9385 PROPERTY LOCATION 45 INDUSTRIAL DR MAP 25A PARCEL 185 ZONE GI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ Fee Paid /0&7T 7 Typeof Construction: EXPAND EXISTING MAINT OFFICE 12 X 10 New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 042573 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved 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 Comm Permit from CB Architecturp Committee Signature of Building Official Dat 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. 45 INDUSTRIAL DR BP-2000-0923 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A- 185 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0923 Proiect# JS-2000-1695 Est. Cost: $5000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Randal Roberts 042573 Lot Size(sa. ft.): 950914.80 Owner: COCA COLA COMPANY THE Zoning: G1 Applicant: Randal Roberts AT. 45 INDUSTRIAL DR Applicant Address: Phone: Insurance: 41 HemenwayRd (413) 367-9385 Workers Compensation LEVERETTMA01054 ISSUED ON.4125100 0:00:00 TO PERFORM THE FOLLOWING WORK.-EXPAND EXISTING MAINT OFFICE 12 X 10 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 Sienature: Fee Type: Receipt No: Date Paid: Check No: Amount: 3uilding 4/25/00 0:00:00 106261 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo