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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 52-1 —3`�bo 5 Alterations
NORTHAMPTON, MASS. 64= Aijb ij'51 30 1999 Additions
. Repair
' APPLICATION FOR PERMIT TO ALTER
Garage
1. Location s--A tA o vt-N yt ST• - tAo mw*w f rco-A Lot No.
2. Owners name BR U C-5. 'tAeL ► Address 541 4a1-T fr S?. p 4oRTtk-PrtMetvt�
3. Builder's name (11-ST. COO Address Z£3 8 041ST Ge-6 VD RP" ff SVf lh—�
Mass.Construction Supervisor's License No. O 4 0 7 t �j Expiration Date
4. Addition NC)
5. Alteration tf E ADPz. tax l Srl►�(s k�teldr�.►.I Cl�bi�2 s , CCU ti r1�s r �1.�C.LO�tL k'�T��
6. New Porch 1-A(-
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage A6 No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house V
14. Estimated cost-
The undersigned certifies that the above statements are we to the best of his.
knowledge d bel'
Signature of resp Bible,app.icant
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass.' 01060 '
WORKER'S C01ITENSATTON INSURANCE AFFIDAVIT
(1i permittee}
with a principal place of business/residence at:
(phone#) _2-7 , 3
(st=Vcity/s=dziP)
do hereby certify, under the pains and penalties of penury, that:
(V am an employer providing the following worker's compensation coverage for my
employees working on this job:
W tkk L-W �s • Co . J u zap
(Insurance Company) (Policy Number) (Expiry on Dare)
( ) 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 Comparry/Policy Number) (Fxpimtion Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compauy/Policy Number) (Ex ..iradon Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml whoa ifne==ry to include iafwmitioa patainiag to all ood mdco)
( ) 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 agate that wbilo bomeowmers who cmplay persom to do—;,d— eoostrvuion'or repair work oo a dwelling cf
not more than throe units is which the bom owner reside+or on the gtvunds N u U=d thacto am tot 80-4 aoa&kcred to be
employee unda tbo vodka`s oomprnadicn Act(GL152,ss 1(5)),application by a homcovnw far a liccnx or permit may—id—the
legsl data of an employer under the Workees Compemation Ad
I undawAnd that a copy of this statemcma may be forwarded to the Doparumccd of lndust id ADddw&Offioo of raxu'mm for dr
oovmp verification sad that failure to sw=covango under secdoa 25A of MOL 152 an lad to tba impoai -of aimioal P-dd-
oom,64 of a-fine vfup to S1,500.00 andlor imprison of up to one y=and av0 penalties in the form of a Stop Work Order and a y
find of$100.00 a day against ma
For'depathVid mh!
Peru ikNumbdr
Si"pfj tc6nSeelpe'am1tteq
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 MAST 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
No C p't► (:r € To Em S i ry<T
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parka-ng)
# of -Parking Spaces
f of Loading Docks
Fill:
(vo1-ume--& 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: Issuanoe of a zoning permit does not relieve an applioanYs burden to oomply wlt4 ,all
zoning requirements and obtain all required permits from the Board of Health, Conservotion
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
AUO 3 0 19go )
Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: ZS5 CAt 1-f-L,4" %V WEST Telephone: '�(b ° S'Z"t • 3� ` S
2. Owner of Property: -bIZyC& kkkC.Alll.6-y-4
Address: $$1 V-ka�2 bk S-7 . Telephone: 5'8 (o ^ 19`1 9
3. Status of Applicant: Owner f Contract Purchaser Lessee
Other(explain): ,� \
4. Job Location: 5q NOP—Tk-� ��• } o(ZT�-A-w�PTa
Parcel Id: Zoning Map#" Parcel#=_l District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Tw D 1-Ayl-
6. Description of Proposed Use/VVork/Project/Occupabon: (Use additional sheets if necessary):
y P UR Ar-b%- k1-X1Sr1yAIzr tc�T��rf.r.� c �-IB i r; r s 1 C_Esv-►.�T ct-�s
Ar ry
dart. t-VL Z s,�lt�Pr ST a�t�a It •
7. Attached Plans: v----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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW V' 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-2000-0234
APPLICANT/CONTACT PERSON Sackrey Construction
ADDRESS/PHONE 288 Chesterfield Rd. (413)527-3465
PROPERTY LOCATION 59 NORTH ST
MAP 25C PARCEL 198 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiniz Permit Filled out
Fee Paid 17 -
Typeof Construction: GRADE KITCHEN CABINETS COUNTERS&FLOOR ENCLOSE 2ND FLR PORCH
FOR BREAKFAST NOOK
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildinp,Plans Included•
Owner/Statement or License 040714
3 sets of Plans/Plot Plan
THE LLOWING 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 Co in
Signature of Building Officia 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.
59 NORTH ST BP-2000-0234
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:25C- 198 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildina
Category:renovation BUILDING PERMIT
Permit# BP-2000-0234
Project# JS-2000-0372
Est.Cost: $15000.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Sackrey Construction 040714
Lot Size(sq.ft.): 5967.72 Owner: MCMILLAN BRUCE
Zoning:URC Applicant: Sackrey Construction
AT.*.59 NORTH ST
Applicant Address: Phone: Insurance:
288 Chesterfield Rd. (413) 527-3465 Workers Compensation
WESTHAMPTON 01027 ISSUED ON:0910911999 0:00:00
TO PERFORM THE FOLLOWING WORK:UPGRADE KITCHEN CABINETS,COUNTERS & FLOOR,
ENCLOSE 2ND FLR PORCH FOR BREAKFAST NOOK
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 Occul2ancy Si2nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 09/09/1999 0:00:00 $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo