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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
l i Garage
1. Location r-3� 1v\ �C — uh�^ �G`�� �� Lot No.
2. Owner's name t Y r�'aC1S -L�c- ` Addy 4,
. Builder's name MvY` IS Rv�I Address 14Z �r''�r1C C �� ��`` YV
Mass.Construction Supervisor's License N&7'2109 5'3 3 Expiration Date 41 /to 01
4. Addition p
5. Alteration u\-eJ�r—vU ly`e zs ' 7��Q�- y�(1w• e�1J 3 1��(3�Z� S r� `��
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 i
12. Type of roof G J'Dm rY\er\A kY\1<c,- °i— c\
13. Siding house
14. Estimated cost:- v LrZR:),db
The undersigned certifies that the above statements are true to the best of his.
Howled a an bell .
Signature of responsible app icant
emarks
'•
1 Ga :c, y
R o o Of clufllalllpfolt
r' � '` ,� �Za�anchncrfle
w `2 DEPARTMEtJT OP BUILDING INSPECI-101'S —;
212 Train Street ' Municipal Building
c-F° r ^` Northampton, Mass. 01060
�'O RTC,R'S C O T EN S A TI O N M S URA_N CE A I'Irm it vrr
(llccus:rJpermittcc) - A ---
V"Ith a principal place of business/residence al:
142 I�l�.•- eve l� �`m ,e,� �� (� hone:-) 413�3� 237$
stmt/c /staic�zip) ----
do hereby cerdi ;, under tf:c pains and penalties of perjury,
�Q I am an employer providing the iollo\vimc worker's comocnsa�jon cover^e or Inv
eluployccs wor�ang on tills job
,,-\C g� Z -5 l r o 3 �
(La=v ncc Comc,Jiv) (Pclic-, N. mgr) (�;piraor Dzfc)
( ) I am a sole propnetor, general contractor or homeow-Dcr (c cie oae) 2-1d have hired
the contractors listed below wLo have the follo%vi_ng workers com3enS2I7on pckles:
(Name of C0:).t: CiOr) (Insuranc.; ComoanyiPoiic, Num'---) Datc)
(Name of C0nI7aC10r) (JIS-lra-ncc ComoaaviPolicy Date)
(Name of Connactor) (Insurance Compan)•/Polin N11mber) (Expiraon Datc)
(Name of Contractor) (Lasuranc-- Compw),/Pohcy Numbs) 'E -pir-adon Datc)
(enaGi]iddiLocal cxci do<�.ry t4 a>c!ti infoct-v.:ioo pertninins to.11«xis-.�o-�)
( ) I am a sole proprietor and have no one worLing for me
( ) I am a home ONvIler performing all the work myself.
NOTE:ply be nn xrc[y ut^Jc hcaroum-3"try aMP(oy pc�oni w w r-. c�, Cori:oo.d..cll_;of
aot—tin t1ru=t-i'j in ranch the bocz»a -D'Feud-,oc oa the(Jou i zppurL nom-tbc-G.LT e Gc 211,e om:d--td to be
ctploycn Uzd--the t«kda Oc -6ca Act(GL151-s 1(5)�-ppticalicm by a homeoaccr fer e l,eza:<a perm t nuy-7&moe the
1<PJ—of cn—2ploye un&,d--Woricol.compooa..t Amt
I undcrrt_.od tfa,2 a Dopy of thi.ctitcmcm—y bo fora•�vciod to tbo pc,par�,c�of lndirsriJ Mode as1 Offioo of tra�for tho
eov—&,c vmfic alioo aid Uu L•iltnc to eoauc 00%'c�undrr soeUoa 25 A of MG I S2 c n lad to the�-T�oa of e u=m I pcadbcs
000iu:v fi of a Floc of up to S 1_50.00 and/or of up to ouc yea r j ca,i1 pm,1'jo Lo tx form of a Stop Work Ordcr and a
F 00.00 a d_y tptimt ate
For d�1n��,l u.c only
( 1 Pc-ruut Number _
Si9naturc of LicrnscrAPcnIIAtcc �F�e
e
10. Do any signs ebst 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 Np v
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
rh%x poi— 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
&paged parking)
# of -Parking spaces
t 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 kno Iedg
DATE: 6 1 13 1 dZ) APPLICANT's SIGNATU
NOTE: issuance of a zoning permit does not relieve an appiioant's burden to oomply wltb-all
zoning requirements and obtain all required permits from the Board of Health, Conservption
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
`3�
N �0� '°'� Fi 1 e No. lot l
TG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: )4"2 f-�°'`'nc-c Ic :!5+ !s' \ Ij Telephone:
2. Owner of Property: y 0-t � -r\ C
Address: 60 S -F�A 1 ',^Telephone: 4 3 4' O-6 CYO
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s): _
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
5. Existing Use of Structure/Property &% A
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
31o,(S?lb s -4
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 y 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 y 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)
4.
138 NORTH KING ST-TABLE&VINE BP-2000-1123
G1S#: COMMONWEALTH OF MASSACHUSETTS
tap:Block: 18D-001 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-1123
Proiect# JS-2000-2002
Est.Cost: $110000.00
Fee: $550.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group: MORRIS ROOFING & SHEET METAL 069583
Lot Size(sa.ft.): 532738.80 Owner: D'AMOUR PAUL H&GERALD E&
Zoning:HB Applicant: MORRIS ROOFING & SHEET METAL
AT: 138 NORTH KING ST - TABLE & VINE
Applicant Address: Phone: Insurance:
P O BOX 90178 (413) 734-2318 Workers
Compensation
SPRINGFIELDMA01139 ISSUED ON.6114100 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 36,000 SO FT RUBBER ROOF
OST 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:
Building 6/14/00 0:00:00 10348 $550.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo