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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location -��� ti l' rt I I c Lot No.
2. Owner's name i `,Cy(xj Address I6i r b S At/'�'
3. Builder's name ty—k— :l U Address -71 ffi f` ,11 AtO Sfi Qs-ld iv-z I-)
Mass.Construction Supervisor's License No. U 67 (�'7 Y Expiration Date_ 00
4. Addition f S CtA41
5. Alteration -
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- , V
O/,
The undersigned certifies that the above statements are true to the best of his,
knowledge and belief.
+ Sig aiurt of responsible app icani
Remarks
c
li
R e MAY 2 Q Clifp Of 3KOrillanlpton
g E ;31 A 17nccttn -
H (DEPARTMENT OF BUILDING INSPPCI-IONS —'
cD -
212 Main Street ' Municipal Building,
Northampton, Mass. 01060
WORIQ,IZ'S COM-PENSA TION INSURANCE AFFIDAVIT
(ll�tLSCrlhcrlm tree)
`ith a pi ncipal olac<° of business/residencc at.
M 0 pobo
(Sit�i/ci ty/st:�iJz�p)
do hereby certify, under the pains and penalties of penury, that
( ) I am an employer providing the fo for Iny
clllplovices wor�.ing on tills job
1..,
- (�%1 1 zlil 3 SOIe t7rOD;ietOr, S�'C:nel a! GOnis"dCtOr Or h0IT1.`°O�iTlf'` �C�il„e Or?e) �'_"]C7 cYe hlSeCl
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tl�e coat actors listeti below who haste the folloWIM2 woFkce s co=,�ensa*ion po!!cies:
(Nark of Cori :inc�rj-) (Insu,tancc Compan}ii'( uc
(N21ne of Contractor) (Insurancc CompanviPolicv (L non Daie)
- (Name of Contractor)--- (Insuranc: Compan y/policy Nucor ; - (Dxpimuou Date)
(Name of Contractor) (Iosuranc-- Compamy/PoLicy Nutnhrci) ifation Date)
(attach addi5«ssl z+x:ci i.FnccL:ury to incudv infocn�oa pertnin:n�to ell oo2rnGa:�)
(-<I am a sole propnetor and have no one working for me.
( ) I am a home owner performing ail the work myself.
NOTE:pl=se be awiir t1u1 wtnlo homczowncra who employ pcwui to do crosr,:c'uoo Cr rgau uori on a d--Umg of
not more th--n throe units in w- ich the botnoowncr rcrid=or oc the grouts ap�thctto art ooc gco rr Ily ox-mckmd to be
eaploytn under the woz-V i c=pc asst ca Act(GL152,z3 1(5)�npplir_ation by a bomco nc far t uecn3c«permit tc.y ev dmx tLe
Icgpl ctnhia of na cazployor Under da WOCk OC'a Coaapom.t;oa Act_
I undaiaAnd dszi a oopy of this cta�may bo focwn i d to rho Dcp tmaoa of lndzixri al At &ccia'.Offioo of Lo u—ooe for rho
coves-tg vaifi=ioo nad that f--Jurc to smut coves-&�under socuon 25A of MOL 152 can lead to the iztpos�Oc of crimmsl pcnaltin
eoaiut.ng of a fine of up to S 1X00.00-.dl-impriioarncst of up to one year and avil pmalua in dx focm of a Stop Wont order and a
rim of S 100-00 a day tpim l m
Foc u>.c only
(� lvbp, -- —Lot
-- -- —r�T lI-e
SI rt, of LlCt71SCtjpCrnuttcc
218 Bridge St. and 11 Eizabeth St. Mark Bibeau 527-5827
Arrow Welding 247-5305
g
r
_ Window Height
Y,
8 in
Fire Escape Heigh
Floor Height
181 in 168 in 197 in
60 in
8 in
Concrete Pad Height
Sidewalk Height
ARROW WELDING &AIR CONDITIONING Invoice
95 P4 PECT ST.
HATK1EL i MA 01038
j 47 /
�y 22� l l
71 Mor"m
eG �sn .
P.O.
QUANTITY DESCRIPTION
C( � n a,-�o t 5 r'•
<aL - 1t> �.c r,�(vwk _ t� • �a�c p,�.,c� ��,t>;ewA
S fuf+x�- IUS- 2b Pr+o ex"o 9uv mc� 436 AVJ
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2-2 W,hE o- LA-."k
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TOTAL
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10. Do any signs ebst on the property? YES
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 —1.tz= to be filled in
by the Building Department
Required I
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
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 knowledge. l
DAVE: / 1A,:j 2 , LZ A.PPLICANT's SIGNATURE
NOTE: Issun oe of zoning permit does not relieve an app oant's bu d n to oom With zoning lY all
g requirements and obtain all required permit the Board of Health. mpty Conservation With l
Commission, Department of Publio Works and other apps oable permit granting authorities.
FILE #
.. :., MAY 2 2000
I File No.
i
PERMIT APPLXMTION (510 . 2)
PIMASE TY
1 ;P�E OR PRINT ALL INFORMATION
1. Name of Applicant:_ t l�1'C
Address: r*� - % T�� Telephone: 7 i,-7
2. Owner of Property: C'UU t�
Address: l � ro r CS_ 6 i/r A +#-i Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
r-
4. Job Location: ! M CL C, Q
Parcel Id: Zoning Map# c;2�5C_ Parcel# Z2 o2- District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
S. Existing Use of Structure/Property /'5- r{
6. to won of roposed Use or roje t/Occupation: (Use addition I sheets if necessary):
A<+IT, t/' 7� wl h S� tz
7. Attached Plans: Sketch Plan _V--- 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 t""_ 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-2000-0960
APPLICANT/CONTACT PERSON Mark Bibeau
ADDRESS/PHONE 65 Barrett St (413)584-1752
PROPERTY LOCATION 218 BRIDGE ST
MAP 25C PARCEL 122 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_ypeof Construction: INSTALL FIRE ESCAPE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 068684
3 sets of Plans/Plot Plan
THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
j�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 Co s ' n Permit from CB Architecture Committee
&22 a
Signature of Building 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.
218 BRIDGE ST BP-2000-0960
GIs#: COMMONWEALTH OF MASSACHUSETTS
'4ap:Block: 25C- 122 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:ADDITION BUILDING PERMIT
Permit# BP-2000-0960
Project# JS-2000-1760
Est.Cost: $6500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Mark Bibeau 068684
Lot Size(sq. ft.): 3615.48 Owner: FOGEL BRUCE M&PAULINE G
Zoning:URB Applicant: Mark Bibeau
AT. 218 BRIDGE ST
Applicant Address: Phone: Insurance:
71 NORTHAMPTON ST (413) 527-5827
EASTHAMPTONMA01027 ISSUED ON.512/00 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL FIRE ESCAPE
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:
,Op%, Building 5/2/00 0:00:00 1515 $50.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo