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25A-185 (60) i a y O ° a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.Nb. 3�.3 22 23 2 Alterations NORTHAMPTON, MASS. Leeeni hep- 19 / I Additions ' APPLICATION FOR PERMIT TO ALTER Rcpair Garage 1. Location �� TJI/ S L �/Z l G N� /n P roll/ /d�'D Lot No. 2. Owner's name 191 no (I d �,O/n2u 17 1� Address �f�Zh r'U 1)W 1 VIC /U6rR171'"IP7' 3. Builders name HATNAGIi y(Qn-VrV6f70yU �D�tO Address Y/ A&V 110 1�e"1101V it Pt '"-17 Mass.Construction Supervisor's License No. Expiration Date / a 4. Addition 5. Alteration 4 4-1 j I 1—r Co 0 fn U-- 6. New Porch 7. Is existing building to be demolished? 4)rn 8. Repair after the fire -00 9. Garage of-1 a No.of cars Size 10. Method of heating /U%R- 11. Distance to lot lines /J./,,-I 12. Type of roof At 13. Siding house 14. Estimated cost:- � 0�O The undersign certifies that the above statements are true to the best of his, knowledge d belief. Signature of responsible appicant Remarks `/ •o�Oi g a Vii# of �d�x#E�ttnt �n r� � �n;� 'DEPARTMENT OF BUILDDNG INSPECTIONS [�!- ' !q�'g 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKERS' qO .N NTENSATION YNSURACE AFFIDAVIT I, l�l A RI A A . . Co sir Cr O o?� ©l?ario-s- (licenset-lpermittee) with a principal place of business/residence at: Owl l Pe rr lb LL D 0 GLl 1eoxi9m ron NA (phone# Jf/3)-SZ 7`023 (str ecucity/stalrhip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: ME ,5a Y5 C, 02 9 07 13 l 2000 (Insurance Company) (Policy Number) PTiration 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) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insimnce Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (aauh addidc"shod tfaeo=uuyto iaehs&u&ocmauca pest l=ng to all oodract ) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all.the work myself NOTE:plea«be aware that valo homcovmaa who employ persona to do=kac -.comtrudion er repair wMk on a dwelling of not more than thtw uaita in whiehthe homy owner raid«w ou the gt*uada VV=t nWA thetsto ato cot gtaerally c=kkmd to be emplbyera under&$wodeeft oompcosslien Ad(GL152,ss1(5)),aWUca6=by a hoauovic r fora!!cease er pennd may-ideme tba 1ega1 lotus ofasemploys uodwtbe WceWL Compematioe Act I underssanddu t a copy cf d a etatemmt.may be fftrvn ed to the Deput nect of Iodntriel AoeW=&o25"of hneueoos for tha *overage vai&atioa and that failure to secure covaago Hader soWat 2SA of MGL 152 can lad to tbd impositioa ttf aimiaal ptaa@ia ooatistsng of a Eoe bfup to SI„5W-00 and/or bgxiso® of tip to one year and eivil pen Wa in the form ofa Stop WalcQedrr acid a . lino of S1 «.day spied mt Foedeg tneaW uao caly / MaP#t Lot# thi L)� _ Srgnature of umittce ryas^ - -- --.- -- - -- �� r , 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. This coluam to be filled in by the Baildiag Department Required I Existing Proposed By Zoning Lot siz4\4 Frontag Setbacks - side L• R: L: R: - rear Building height Bldg Square footage %Open Space: Lot area minus bldg &Paved parking) # of -Parking Spaces f of Loading Docks Fill: vol-ume -& location) 13 . Certification: I hereby certify that the info ation contained herein is true and accurate to the best of my knowle e. ' AP ICANT's SIGNATURE Issuance of a 'an rmlt does not relieve an plioanrn burden to comply Witty 0ll ` zoning requirements an taln all reaquired permits from the Board of Health, Conservation Commission. Department of Publio Works and other applionble permit granting authorities. FILE # 9 S 3 2 g egg s File No. .. ZON-NG PERMIT APPLICATION 010 . 2 J PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: H CI A`yu k)a o ddress: Telephone: Owner of Property: CII,���¢ /l:l Address: 1� �fC+.UJiV6c� ( �f✓�� Telephone: Status of Applicant: Owner (/Contract Purchaser Lessee Other(explain): �ob Location: --).ql _ Parcel Id: Zoning Map# ( /4 Parcel# f' District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) + Existing Use of Structure/Property L C/C-) 774-t escription of Proposed Us /V11ork/5ject/Occupation: (Use additional sheets if necessary): All 0 VCS, i,\ u T I✓l j u 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 * ued 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) rit , r File#BP-2000-0616 APPLICANT/CONTACT PERSON HATHAWAY CONSTRUCTION CORPORATION ADDRESS/PHONE 41 PERRY HILL RD (413)527-2324 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 Buildina Permit Filled out Fee Paid IV3190 = Tvpeof Construction: INTERIOR REN-EXTENDING A FILLER ROOM New Construction Non Structural interior renovations Addition to Existing Accessory Structure - Building Plans Included: Owner/Statement or License 002563 3 sets of Plans/Plot Plan I T F 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 Conse on Commission Signature of Building fFicial 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. 1 45 WDUSTRIAL DR BP-2000-0616 GIS#: COMMONWEALTH OF MASSACHUSETTS 'Qa .Block:25A- 185 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0616 Project# JS-2000-1094 Est.Cost: $65000.00 Fee: $325.00 PERMISSION IS HEREBY GRANTED TO. Const. Class: Contractor: License: Use Group: HATHAWAY CONSTRUCTION CORPORATION 002563 Lot Size(sa. ft.): 950914.80 Owner: COCA COLA COMPANY THE zon : GI Applicant. CONSTRUCTION CORPORATION AT. 45 INDUSTRIAL DR Applicant Address: Phone: Insurance: 41 PERRY HILL RD (413) 527-2324 Workers Compensation WESTHAMPTON 01027 ISSUED ON.12/29/99 0:00:00 TO PERFORM THE FOLLOWING WORK.INTERIOR REN - EXTENDING A FILLER ROOM 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: Buildin g 12/29/99 0:00:00 20320 $325.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo