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25C-071 (3) > a z � ° T � z - � 3 A 0 0 � rn > _ � o CV Z P.P. p .. Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. C, Alterations NORTHAMPTON, MASS. 4 ,f-�i�C-y\ 2-q 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair /� Garage 1. Location "l� �LIC-cJ� /"rVt�Yl() Lot No. 2. Owner's name � S C-l"U-4,A Address 3. Builder's name-ThacAer Sf• Assoc, nc-. Address 0 (�� 1`� So , D,?e Mass.Construction Supervisor's License No. ()L4-S' I.S 9 Expiration Date "( " 3- L 4. Addition 1 'Id S. Alteration e h g t� Z c-S�6 v- © 1'� oy\ a 'T S i 4 b U t 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 1 ,�// �- 11. Distance to lot lines SZ oy, Ea:S`� S� - 5e A 4,4L `0U -C.t 12. Type of roof ex $ S 1tiQ CiC. i'Z�+D !J t U1 S 13. Siding house 14. Estimated cost- 01 9 The un a tgned certifies that the abov tements are true to the best of his, her kno ge and beli Z, , nature ojresponsible appicant Remarks ° Y'C-- (" t�Y1'-0V//( akN Perlis I l Lj0 S1�r O'"'A . �,/,p�' CZr� L t OJA,) +UN) t'O r Y'C.�- CJ L �E119't - r t t t t —�l 5t y-vc,T U1 COM I-22N 4 J (,)i V be I` ".5Su t-e. J� yr- Cedar.- J��/I&L) t S t -1- Inert L K .'t 2 9 a ` • r �I� '"-�.. a ���' ;. �, —� . �: — .`—k 0 '09 a .., APR Z 91998 Gj4 of :Nart4Rjjtpt0ifi L, -,� �a5a ltC�nS[tI5 � �!EVT «--- DEPARTMENT OF IIUILDINO INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 t WORKER'S COMPENSATION INSURANCE ATITIDAVIT �4� �9i 453611c' (Ii a;nserlpermi ti ec) with a principal place of busines- lresidence at: e^ � r (stmt/city/statriziP) do (hereby certify, under the pains and penalties of pel3lrry, that: am an employer providing the following worrier's compens tion coverage for my employees wolfing on this job- I r2l ce Company) (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 followmi g worker's compensation policies: (Name of Contractor) (Lnsurancc Con1p3nyiPoiicy Number) (Expiration Date) (Nam(-, of Contractor) (in.,�urmce Compauyimlcy Number) (E,,piratoa Date) (Name of�o,Lrractor) (lnsztmncc Comparry/PoLicy Number} (Expiration Date) (Name of Contractor) (Insurance Company/Policy Numbti) (Expiradon Date) (attach Amitio¢i1 SJ'j if ncc—ury to ixhkic un 11u60o pertaicting to ell cxtradorl) ( ) I am a sole proprietor and have no one working for me_ ( ) 7 am a home owner performing all the work myself. NOTE_plcatc be awam die whilo homco,vncn wt)o employ pa-.o=to do si.ica n�-r'coasn oo or repair work ou a dwctling of not more than th-oo units in winch the hotpoowncr raidca or oo tho grotuxrl appurtcnanl tha do arc oo(gcDCrarly ooasidatd to be emPloYrra udder tha wm-kcr`s oompeasatioa Ad(GLI52,ss 1(5)},apptimdon by a homcoa'ncr far a gcrnse or permit may evrdeaee if- legal ctahta of an employor under tho Wo.&et CompamtL Act I undcrttsnd th,t a copy of this rtatcmcot u y bo forwnrdod to tho Dcynrtzoc of India ,-J Acodrnti'Ofhoo of I—a—Dco For tho oovcrxge vm5c a ioo and that failure to scout co ocrago uxxic-r section 25A of MOL 152 can lmd to tbo iu2p01ifi0a of criminal penalties cocnisting of n fine up to S 1,500.00 atWor imprisoumcrtt of up to om year and avt7 pcnallia in the form of a Stop Work Order and a firm of 5100 a dty agtiwl ay-- For dcputmcattl—0a1Y Permit Number �r4 Lot# Signature of Li crmit*_cc -�— _ 1& 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. This column to be filled in by the Building Department 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; ,pf Parking Spaces # of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the inf oration contalmnd herein is true and accurate to the best of my kno edge. DATE: "7 L-2ql�e APPLICANT's SIGNATURE NOTE: lanuanoa of a zoning permit does not relieve an appiioan s b en to comply witty all zoning requirements and obtain all required permits from the Boa of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # APR 2 919,% File No. 7 1 Z6NING PERMIT APPLICATION (§10 . 2) ... ° PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ��. e Telephone: Address'. �� � 2. Owner of Pro V� e P rty �CY1DG � Address: /yL'� Telephone: 733 7P 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): C, 4. Job Location: —( tA (�Q, Parcel Id: Zoning Map# � �� Parcel#� District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMEN 5, Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary): u Z S'tLa`r U i C�- ke—o C-Vuz. 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 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) mmomw 4 4 FILE # 1 b f ACA9NT/CONTAC PERSON: /� F DRESSIPHON PROPERTY LOCATION: i2_ MAP PARCEL: THIS SECTION FOR-OFFICIAL USE ONLY: PERWr APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Additinn Tnrlwieti- r ✓/ THE frOLLOWING ACTION HAS BEEN TAKEN ON THIS APE LICATION- too' Approved as presentedfbased 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 .ot T -6i th'° f,7` Well Water Potability-Bd Health Permit from Conservation mmission Signature o uil g r Dat NOTE:tasuanoe of a zoning permit does not relieve an applioant'a burden to oomply with all zoning require,menta and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applioable permit granting authorttles. City of Northampton REQUIRED INSPECTIONS e 1. Footin s and Walls . BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1524 Office of the Building Inspector Zoning Fonn No. 963464 Date 5/1/98 Fee" "Check# 5629 Page, 25c Parcel 71 ,Zone UR8 Section 127 CJ Yes 0 No BUI]LDINGPERMIT I *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thayer St Associates Inc before Building Inspections i has permission to rebuild 2 story porch (same size) Inspection on Site—Foundations situated on 42-44 Day Avenue - Eva Schocken Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the tenors of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this pemlit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs and woodstoves Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON PREMISES Certificate of Occupancy Building Inspector