Loading...
25C-161 (2) I-- �ov7�1s�T� a - - — ------- -- vx l ai(►o�,� QOnrt � ' —moo Vpbh1 n N B-�A z- �Tnr/i W V — o -ava� —fioorr ` 003 Qao_ g-"Sxo-Z 'y ' 1 of - -/O/z OOD t j GuisET_ - � i � a CrxGa x I L{LL J I \ I L-o 1 � t ' N f v 2-LXL-$ (f4 t► W4DQ _Ftoort_- a i i Cl Cl J � 0 3-bX 5/-ia IL Z-� /D -4X�1-1a I '"0111 TIR 'I �a o z o° c- © z m a y o on ;a o tv a � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Garage I. Location Lot No. 2. Owners name Address 3. Builder's name Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition S. 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- The undersigned certifies that the above statements are we to the best of his knowledge and belief. Signature of responsible appicant Remarks Grit of 'Nart11amptoll ^ z � � � �� �assactlnsftta t k NOV 2 3 TMENT OF BUILDING INSPECTIONS J _ 2121 Main Street ' Municipal Building i)EPT OF «<'""'"�'�V;77 " I Northampton, Mass. 01060 y ,� WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licensec/permittee) with a principal place of business/residence at: (phone#) (streeUcity/statr/ap) 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: (Insurance Company) (Policy Number) (Expiration Dale) 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) (Insurance Company/Policy Number) (F-xpimtion Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shed if neecssuy to iochWe infonnaaon pertaining to all ooatmc ors) (ti I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ pemm to do �.,t ms____M__Y cvoshuctioa or repair work on a dwelling of not more than three units in which the homeowner resides of on the grouncls appurtenant tbWdo are not generally oomickred to be employers under the vmrkces compensation Art(GL152,ss 1(5)�application by a homeowner for a license of permit TORY evidence the legal status of an employer under the Worker's C,ompematioa Act I understand that a copy of this datcmeat may be forwarded to the Departrnco2 of Industrial Aocidec&Oboe of Insurxooe for the coverage verification and that failure to seam coverage under section 25A of MOIL 152 can lead to the iTrrpositioa of criminal penalties comisting of a fine of up to S1,5OO.t0 and/or imptisourneat of up to one year and civil penalties in the form of a Stop Work.Order and a fins of S 100.00 a day against ma For dcputmczW use only Permit Number J&p# Lot# Date Signature of Licensee/Permittee /0/2 2-�-X5-2 Z-�XS-Z Z-rox5-2- -- iI r 12 QQrr ac004Yi 106 v - 1n — -- 1 'ZI C4 2-(-YL-$) V i MUD LLJ N ®;• d w ,w 0 g—9>e 1-7 o—� w, n --- — �l—Il nam - - 10. 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 colts= to be filled is by the Building Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks - front - 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: volume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE NOTE: lasuanoe of an zoning permit does not relieve an applioant's burden to oomply witb ell zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applloable permit granting authorities. FILE if w l 0 2 31999 Fi 1 e No. DEPT flF BUILDING IRNSPECTM - -..--NOPT f PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: _ 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# ,, mac Parcel# /LO� District(s): (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): 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:__ �m 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 KNOV*' 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-2000-0538 APPLICANT/CONTACT PERSON Edward P Hamel ADDRESS/PHONE 155 Glendale Rd (413)527-6843 PROPERTY LOCATION 6 ORCHARD ST MAP 25C PARCEL 161 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 // (_ Tvueof Construction: REMODEL 1 ST FLR-CEILINGS,2ND FLR INSULATION,SHEETROCK&WIRING- FIRE DAMAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 020695 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 ission Signatur uilding 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. ' y 6 ORCHARD ST BP-2000-0538 G1S#: COMMONWEALTH OF MASSACHUSETTS 4an:Block:25C- 161 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0538 Project# JS-2000-0935 Est.Cost:$32000.00 Fee:$160.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Edward.P Hamel 020695 Lot Size(sq.ft.): 9016.92 Owner: COFFEY DONALD P& Zoning:URB Applicant. Edward P Hamel AT. 6 ORCHARD ST Applicant Address: Phone: Insurance: 155 Glendale Rd (413) 527-6843 SOUTHAMPTON 01073 ISSUED ON.1211199 0:00:00 TO PERFORM THE FOLLOWING WORK.REMODEL 1 ST FLR - CEILINGS, 2ND FLR INSULATION, SHEETROCK & WIRING - FIRE DAMAGE 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: Building 12/1/99 0:00:00 $160.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo S. �K . �. .. -._... �._v.-�...,._......a..�,.,s,_.., �_._.-w.. �..r.. �--„'..^W+.-�....e.�.-..mow.-._....._.,.,. ..�..-+�.'*^^*"�"�+�..s....-'� -'�'” — _.....s���..y � i } .t £ � ++�� [ 1 �rt 3 ,� T.,r �>5e5�r i.. .., � ��' s ,ti:3 d n.e xs a' �2 „ST BP-2000-0538 COMMONWEALTH OF MASSACHUSETTS 25C- 161 CITY OF NORTHAMPTON Lot: -Ou 1 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0538 Project# JS-2000-0935 Est.Cost:$32000.00 Fee:$160.00 PERMISSION IS HEREBY GRANTED TO. Const.Class: Contractor. License: Use Group: Edward P Hamel 020695 Lot Size(sq.8.): 9016.92 Owner. COFFEY DONALD P& Zoning:URB Applicant. Edward P Hamel AT.- 6 ORCHARD ST Applicant Address: Phone: Insurance: 155 Glendale Rd (413) 527-6843 SOUTHAMPTON 01073 ISSUED ON.1211199 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMODEL 1ST FLR - CEILINGS, 2ND FLR INSULATION, SHEETROCK & WIRING - FIRE DAMAGE 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: Ro Rough:�141aU f1� House# Foundation: Final: ` Final: y�I du fpa—,.L (',-apt Rough Frame:CH 1�OG7 Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: ^' O Final-a/< ` 6•as r THIS PERMIT MAY BE REVOKED BY THE CITY rORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu anc si nature: Fee Tyae: Receipt No: Date Paid: Check No: Amount: Building 12/1/99 0:00:00 $160.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo DAN %XER Thos Structure Is Declared Unsafe For Human Occu p anc y or Use. It Is Unlawful For Person To Use Or Occupy This Building After 1,61 Any Unauthorized Person Removing This s' n WILL PROSECIJ E _ Address of Building Building Official Code „ �`�' ? Art. /��� Sec. Date 1C' `� Refer To Ordinance No.