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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location � Lot l�osC-4 ,30 31 3 Z-
2. Owner's name ( rC Q Address S
3. Builder's name �f �' ;�C, '� Address �� L,rl to` t F�Paw-
Mass. CA/
Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire V 6
9. Garage �S l J !� f ' No.of cars Size
10. Method of heating
11. Distance to lot lines S C
12. Type of roof ---
13. Siding house ��
14, Estimated cost- `JG
The u rsigned certifies that the above statements are true to the best of his
knowlef d belief.
v�
Signature of responsible app,icant
C UC_ G 1U
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Remarks � � f
JAN-10-00 MOO 09:32 11M FAX NO, F,
AC-QROT. CERTIFICATE-OF LIABILITY INSURANCE uA1rt2(lAArEC Y)
01/19/
MQ ON
PRODUCER (41,3)586-0111 FAX (413)586--6481 THIS CER71FICATEIS ISO AS lW:TORU,
�cbber & Crirnel I Ins. Aycy. ONLY AND CONFERS NO RIGHTS LIPON714F CERIFIFICATE
8 North King HOLDER.THIS CERTIFICATE DOESNOT AMEND, EXTIEN D OR
ALTER THE COVERAGE APFORDED BY THE POLICIES 13E-OW, JI
P.O, Box 538 COMPANIES AFFORDING COVERAGE
Northampton, MAk I COMPANY Eas,tcrn Ca-Sualty
Attn: A
INWRED David J. heOn COMFANY
P 0 13cx 43 FEI
cOlvir'ANY
Fasthampto
C
cvMPANY
THIS IS TO CURT FY THAT THE POLL;ICS OF INSURANCE LISTED BELOW HAVL GLEN ISSUED TO THE INSURED NAMED ABOvE, FQ 714E '(�I,l�:Y RERIOC;
INDICAIT,.D,N07WI'l IISTANDING ANY REOUIREMENI', rEpm OR CONDITION OF ANY CONTRACT Or,OTHER DOCUMENT Wil H R"S'PFC1
Cr-'WIFIGAIC MAYBE ISSUED OR MAY'PERTAIN,THE IN3LJI`ZNqCE AFFORDED 3Y THE POLICIES OE5CRIBED HEREIN ISSWJECr Try ALL lil: TE4A,,13,
EXCLLI IONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAKE BEEN r-'kEDUCED BY PAID CLAIMS,
LTR TYPE OF INSURANCE POLICY NLMEER PQt,(QY9FFEC'RVE FOLiCYEXPIRA7iON
DATV(MMIDONY) DATE(MMIDIDI'a). L WIS
OENERAIL WAIIII-ITY GENERAL AG(;RCr.ATE
COMW`RCAL GCNFRAi.LMUL17Y CO3VP!CI'AG5
CLAIMS MADE OCCUR
PERSONAL&ADVmJ(JPV 5
O'ANLfl S A CON frZACTORS rrzOT EACH OCCORRENCC
FIRE DAMAGE(A,j ore f,,,) ti
WO LAP V,,y 0'e
AL170MOUIL.F.LIAMUTY
I ANY A00 COMOiNFO SINGLE LIMIT $
ALL OW14CO AU rO,9
SOCILY NJURY
Wll-DULW AUTO$ (Perpee"'*,) $
HIRFiD AUTOZ;
00r,'ILY INAjr'e
NON-OANED AUTOS (Pcr accidew)
rrzupERry DAW,(�E t
GARAGE LIARIkITY AL11*0 ONLY•EA AC
ANYAl)T0 O1 HLRI 714A NI AUI()0%),!
ZArlH ACCID J
FXCESS LIABILITY
1 UMDRELLAFORM ACICREGATE
07Hc:n TI JAN UMORWA FCKM
WORKER5 COMPENSATION AND
EMPLOYERS'LIABILITY ORY 1.11011S FR
A Et EACt I ACGlOUq T
1-HL,PROPRIETOR) WCP1000550A 04/19/1999 04/19/2000 1 C 0 1) 0
PARTNEIr)fEXC-7UTIV8 INGL ELCISEASE POUCYLVAIT
OFFICCAS ARE
64 01SEAXE,EA EMPUWE
OTHER
iAL
CANCELLATION
SHOVL.0 ANY OF TK A50'Wf OESCRf51lb?WC—ES DE CANCE4 Lpp DEFOF l)'Ht
EXPJRamoN DATE THEREOF,THE 15SUINC,COMPANY kY1LLENDNAV0A-,0 IVA-
-ity Of NorLh,- i)AY!;W;kiY'rEN NOTICE TO[Wr CP.KTINC4 le;-�OLUEH tAWD TO rq6 LEI-
C impton
Suildin,q Inspector D4T FAILURE TO NI/ML SKI-NOTICI:$HALL IMPO$E NO 06L GATION OR Lit 51L TY
312 Main Street OF ANY KIND UPON THr COMPANY,I*AGCNI 6 OR REPRFS ENTA'fNF5
Nor,zhimpton, MA 01060
Richard W(3bber/Vl,)5
LAcon 2r,-i w9fi)
cvAuORD CUR�L7!$Iif]CIPI dl
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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 MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE To
LACK OF INFORMATION.
This cols to be fizzed in
by the Bnizdiag Department
Required
Existing_ Proposed By Zoning
S'(Cc
Lot size 3,
Frontage
G'
Setbacks ---fmnt
b _
- side L: R: /,S L: R:
- rear '261
Building height
Bldg Square footage 5
%Open Space:
(Lot area minus bldg
&paced parking)
# of Parking Spaces
f 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 knows-edge.
1 ,
DATE: APPLICANT'S SIGNATURE
NOTE: Issunnoe of at zoning permit does not relieve an applicant's b, rden to oompty Witty all
zoning requirements and obtain all required permits from the Don" of Health, Conservation
Commission, Department of Public Works and other appiioabie permit granting authorities.
FILE #
File No
UTTT OF 0`! iiiSQFCTI
s.s.0
-- ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �` L` ir� �, L` -� �� f, o 1�j _
C' L�
Address: 1. iL C `%� I `J Telephone
2. Owner of Property: S ' t'
i (Address: (�- L �
3. Status of Applicant: Owner i Contract Purchaser Lessee
Other(explarn):
4. Job Location: o L
Parcel Id: Zoning Map# S C` Parcel# �� District(s):
(TO BE FILLED IN BY THE ILDING DEPARTMENT)
S. Existing Use of Structure/Property E X- I_S C*C P C-
7
ILCV��c � L
6. Desc * ti n of Proposed Use/Work/Project/Occupatio (Use 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 PermiWadance/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(r wetlands?P10 DON'T KNOW YES _
IF YES,has a permit been or need to be obtained from the Conservation Commission?
C
Needs to be obtained Obtained S�� t�Yt date issued :
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-0662
APPLICANT/CONTACT PERSON David McCutcheon
ADDRESS/PHONE P O Box 43 (413)529-9973
PROPERTY LOCATION NORTHERN AVE
MAP 25C PARCEL 031 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
T_vpeof Construction: DEMOLISH GARAGE-NO UTILITIES
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included•
Owner/Statement or License
3 sets of Plans/Plot Plan
ZTH O LLOWING 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 C ission
J,`
/ �Of7t)
Signature of Buildin ficial Da e
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.
NORTHERN AVE BP-2000-0662
GIS#: COMMONWEALTH OF MASSACHUSETTS
�ap:Block:25C-031 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: demolition BUILDING PERMIT
Permit# BP-2000-0662
Project# JS-2000-1209
Est.Cost: $500.00
Fee: $10.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 5009.40 Owner: David McCutcheon
Zoning:URB Applicant: David McCutcheon
AT. NORTHERN AVE
Applicant Address: Phone: Insurance:
ISSUED ON.1/14/00 0:00:00
TO PERFORM THE FOLLOWING WORK.DEMOLISH GARAGE - NO UTILITIES
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 si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 1/14/00 0:00:00 336 $10.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo