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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location -77 -,yr�-�
Lot No.
2. Owner's name 2- LC-7�
Address -J:7,
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3. Builder's name
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Address— (�-,-- -
Mass.Construction Supervisor's License No. :00 Ove--,7// Expiration Date
4. Addition
5. Alteration
6. New Porch P. j ;co,
7. Is existing building to be demolished? A,10
8. Repair after the fire
9. Garage No.of cars Size z-
10. Method of heating 01�/''t3f t-t,)477�4---
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated COSL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appicam
Remarks
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Df'PA:�Th� NI OF 73UILDI7ZG INSPECTIONS
212 Mava Street ' Municipal Building _
Northampton, Mess- 01060
W0RICER'S COi"ENISATION I-NSIMANCE AFFIDAVIT
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the cone actors listed belovv ,vino havr 'lie toll o„rl
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(Name of Corinctor) (Inair<ncti Com-lan i-Pol:c), Numb-�I) 'H.piralion Date)
(I laII1C of Comm-clor) (InSZIr i11G^ COLi1D<_ }"/F'OI;C'i'11Il1L�f) ( ?:T11 2tion D tC)
(e Bach:ditticc:al s::c_i LFrcccs.r�in i:h}t�.,tc:^fonni'ict�rct���in�+._nil cc�i:r�.�r.)
J(i� I am a sole proprietor P-.ad Have no olle G�,or} ink for me.(c tt- f'm1 r,��
O I am a home oviller pelfo;-min- all the �ork mysehr.
NOTE:plcm- be aw-.ttc th,,t kilo hoaroµnm +'s cs.^play p.;Tor-T to do mn M. Corr oo cr repair work on a d«clliaa of
not-c"thr_n(lace ant's m which the ba-- o,timcr rnidn of oa the x±s zppeutc . l lhcrctD arc oo(gcocr-Any oec3iciczcd to be
employers I, the%mii 's C,=;x= cc A,I(GL152,r.1(5)�,r-ppLca6cn by a homeowner for a Besse oc perm t may evid—the
legil ctnhra of an emPloyoe under tho Wo&i 's C,o�o Ace
I undcrxtsmd di-i a oopy of thu ctxt-mom m.y bo fo,Iudod to tho Dcpertmcad of I�dwt ial A464o i Offioa of Imucinoo for the
coverage vcri cation and that failure to accztrc covcznbo uudcr scctiou 2 5 A of MG 152 can lad to the imposition of criminal Pcn&Wcs
000aistimg of a fmc of up to S 1,500.00-N-irr�al of up to one yr-w and ci vil pamitics in the form of a Stop Work Ocdcr and a
firm of SI00.00 a day against tno.
JFor dcparttwa1 taco only
Pcrmit Number
?///g{' Ma Lot#
SignaW £Liccasc&Pcrmittcc
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THIS PLAT NOT FOR RECORDING PURPOSES 8K. 18Z"i,Pc,334
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CARo� �f N ST,
'TO: 50URCE 6NE h409TC.A4t SPRVICES CORP.4 40MM01iWeAI.TN LAND TITLE INS.00.
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHMENTS
AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER
REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY
NUMBER 2 So 1 G 7
DATED: 4 14 - 97 NOTE
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES
SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY.
MORTGAGE LOAN INSPECTION PLAT
Z` NORTH AMP TCNJ MASS.
J.- oWNEiZ
U16ARGQ SR.
834605 A D D I S O N S . J'EA N G. COTE
Richard J. LaBarge,Sr.,Registered Professional Land Surveyor
110)Ong Street,Northampton, Massachusetts 01060
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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 NOZ/
IF YES,describe size,type and location:_
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be ff22ed in
by the Bni2ding Department
Required
Existing Proposed By Zoning
Lot size �'����
Frontage
�ZS
Setbacks - -' ' ' �- p
4
- side (14, L: 3 J R: L: R:
- rear ��
V13 1 2 11001, Fi I e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
d4r, /14 Cr
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1. Name of Applicant:
Address. —Telephone:
2. Owner of Property:
Telephone:Address: Al 3 2_4 fig'
3. Status of Applicant: Owner Contract Purchaser Lessee
✓ Other(explain):
4. Job Location:
Parcel Id: Zoning Map# 102C. Parcel# District(s): _z1(4_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupatiop: (Use additional sheets if necessary):
V-1") 1-z'
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A4-1 ZA-hr� �4o-,rr
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? 60 1.
NO DON'T KNOW y YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW vol� YES
IF YES: enter Book- e,4 Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO V DON'T KNOW YES
IF YES,has a permit been or nepd to be obtained from the Conservation Commission?
Needs to be obtained IVIIA— Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
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File#BP-1999-0175
APPLICANT/CONTACT PERSON Lawrence O'Connor
ADDRESS/PHONE 62 Lilly St (413)584-3636
PROPERTY LOCATION 42 CAROLYN ST
MAP 12C PARCEL 070 ZONE URA
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT �,/
Fee Paid
Building Permit Filled out
Fee Paid -?b O
Type of Construction:
New Construction
Non Structur interior renovations-
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan ./
THE F pKbWING 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 Commissio
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.
Department: Reference No: BP-.1.99.9-.017.5
....... . .... ......
... ...... ..
Building,Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
....Building Renovation o.n REC-1999-000354
............... .
................................. .
PaidBy: . ....................................
! aiin Full On:
Lawrence O'Connor
................................................................................... Wed Aug 12,1998
.. . ...... ......
Received By: .Check. . .No:...................
Linda Lapointe
670
......................................
DEPARTMENT'S COPY Amount: $40.00
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DEPARTMENT HLE COPY 42 CAROLYN ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Trackins!No.: Fee:
BP-1999-0175 $40.00
GIS Mai) Block: Lot: Address: Zoning: Use Group: Lot Size:
859 12C 070 001 42 CAROLYN ST URA 11630.52
Contractor: License Type: Insurance:
Lawrence O'Connor CSL
Address: License No.: Insurance No.:
62 Lilly St 006711
Liyu State: Zip Code: Phone:
FLORENCE MA 01062 (413) 584-3636
Pro iect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0302 alteration-addition $9,500.00
Description of Work:
12' x 16' deck&remodel interior
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature:
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City of Northampton
Building Department '
� °t Office of the Building Inspector
Permit No: BP-1999-0175 Date issued 12-Aug-1998 Fee$40.00
Ma) 12C Block 070 Lot 001 Zone URA Section 116 G Yes 0 No
-uUI'LDING PER-,[-WIT
This certifies that Lawrence O'Connor CSL006711 �pEL O N t,11-1
has permission to &remodel interior L Inspection on site-Foundations Over❑
at 42 CAROLYN ST
provided that the person accepting this permit shall in every respect Inspection of Plumbing-Rough Over❑
r conform to the terms of the application oil file in this office,and to the
provisions of the Statues and the Ordinances relating to the construction Inspection of Plumbing-Finish„ Over❑ SO
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above r.:oted is an immediate revocation Gas Inspection Over 0
of this permit,Expires six months from;date of issuance,if not started.
Inspection of Wiring Servi%e _ Over❑
Inspection of Wiring Rotlgyh Over❑
Note: A certificate of occupancy will be issued by this office upon return
of this card by the Plumbing,Wiring and'Building Inspectors. Inspection of Wiring-Finish Over❑
Building Inspection-Rough Over 0
*Plumbing and Electrical Inspections required before
Building Inspections Insulation Inspection Over 0
Building Inspection Finish 6K Z d 7 Lou i5 Over 0
Q 5
-Y
-. - Smoke Detector's (fire Departmeniy"
1 .'~ '
This card utust be posted on site visible from public wa
- f ..
Certificate of Occupancy - �� �'A-°
Building Commissioner