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Zoning
%Iiscellaneous Additions.Repairs.Alterations,etc. ;el.No. Alterations• -= __
NORTHAMPTON, MASS. �� 2 �_ -44�.. Additions
't
APPLICATION' FOR PERMIT TO ALTER Repair
Garage
1. Location ► (� `z, 5 acs-e_'� i uY e v� tot No.
2. Ownc:snamc ' ) hV JicW�V k FK��
3. Builder's name T 5 Yy C�1Z�'11 Address o)(- 0luGi
Mass.Consuvc6on Supervisor's license No._ '3 b Expiration Date (� I U )o 2
4. Addition A —
5. Alteration
6. New Porch
7. Is existing building to be cli*40
8. Repair after the tut
9. Garage n &\ No.of cars Site
10. 4fe11od of hca,ingitk-�
11. Distance to lot lines
12. Type of rocf exk t
13. Sidinghoux l C —
14. Estimated cost:-
37 The undenigntd certifies that the above smerxr,ts a;e tvc m .he tc�. of hi=
knowledge lief.
Remark;
Nov 08 99 01: 27p p, 4
Z
i iba of 'Wart4alitptnn
2 8 Li( :saac{lasttia
DE P 7MENT OF BUILDWG INSPEMO*IS
}EPT OF RUIN,
. '` Ire �� 921 Main Street ' M micipal Building
J Northampton, Maas. 01060 '+
WORKER`S COMPENSATION INSURANCE AFFIDAVIT
D�� �A \J , T�- &� �(Akn Tee- R�
(lic scclpermixcc) Ccryt j-frZJ CS4-,'? 1+1 c,
with a principal place of business/r at:
V�N S !r ► 1 (phone#)
do hereby cerey,under,the pains and penalties of perjury, that:
I am as employer providing the following workce s compensation coverage for my
employees working on this job: ]
I i aq �1U, �vl y\ 1 / I
(insurance Company) (Policy N ) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed be'_ow who have the following worker's compensation policies:
(Nance of Cortuaaur) (lnsu_*nnce Co=z razy/Policy Nu=-Icr) (Expiration Date)
(Name o`Contractor) (insurance con parry/policy Number) (Expiration Date)
(Name of Contractor) (Inswnnca Coopaz•/foticy Number; (Exp,iratioa Dace)
(Name of coatractor) aasu=n Compazy!POlicy Number) (FViraaon Dal )
(aaach additional tbee(irnbe- /m iodude;dorm.0a Peros ,>a.0 oo¢andon)
( ) I am a sole proprietor and have no one working far me.
{ ) I am a home owner performing all the work myself.
.4M.pi=+r be&van d&!*bile hewco wo wbo employ p==to do ;•"••,•^•_eeos,,,a;on er m •yak on.dwetlia=w
not mot.than dw"uoiu cc on t%.V..=sppvttea %b a%w&m me Sma,,Ff-*,!C aid ttt ba
boy,=under tbs wmkee`t oumpoosdion Act(GLI52p)(S)),ama—rim M a bomeoaoar fac a lkx=oc p-a may evidaKe the
legal asap otao ampleyrr nad.rtbe woAret't Cempnaatioa Ad.
I;vooctxa=tsar a copy of tbit oa_.aal may bo fonatdod ka dW Dopttmeet ofln.dw aw Aoede 05a
amvosevenficx5mandthSB tto$ aneowoai4ouadw%%d=25A"0L152emkadto*4c onf o bfearr—ae5rs t fopr er tbtla a
es .
oomirta>a of a fine of up to$1_*m.00 soda it Vrbccmcat of tip to we Tar tad oral pCoaWea io the fo=nt a Stop Wwkorft tad a
fma c13 D&OU a dry tytian mt
Fard.pta�mtsfa!ttM mly
pe.mut Plumber
T —Lot 4 -
: - Sigaatitiae of eanittee
Nov oH yy ai: zsp
P• �
1 C. Dc any signs exist on the property? YES NO y
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: _
ii. ALL INFORMA'T'ION MUST BE COMPLETED, or, PERMIT CAN BE DENIED DUE TO
LACK OF
INFORT IOA.
o bs 1i:2 sd ;L--N V a'- IL--72 1' S Ui br khO fti.1 Sd--sg
D.-PA.=emeat
Required I
Existing Proposed By Zoning j
Lot size
Frontage
i
Setbacks frnnt �t c
- side L• R: L: R:
- rear
Building height tt
Bldg Square footage �� t
%Open Space: j
(Lot area mums bldg 0 l
spared pa:k_`_ng)
# of Parking Spaces ti
f of Loading Docks
Fill:
(volume -& location)
23 . Certification: I hereby certify that the informaticn contained herein
is Cruz and accurate to the best of my know dq�- /
DATE: VV APPLICANT'S SIGNATURE C
NOTE: levuan a of W soning permit doee not relieve an appiloanrfl burden to oornply svHb a..il
soning requirernente and obtain All required permits from the BoVrd of Health, Gonw,"' ftVan
Commlealon, Deportment of Pubilo Works and other applicable permit granting authornlez.
FILE. #
Nov 09 99 01: 26p p. 1
File xc. dJd , ozo,/o
zON:rNG PERMIT APPLI CATxON (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
CSy l✓�
1. Name of Applicant: v1� �t �n
Address:Co �JdX- Z DSO , �W�vlx-t�� r %etephone: q�� °1 �J t G( �o c��3
2. Owner of Property: � ��C�1/�Ul�-r O( i a�A4?
Address:f�- rt Ztk �� t"�U�`(Telephone: `t,I 77 a14 05-02-
0bL
3. Status of Appli ant: Owner Contract Purchaser
Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# -`7 District(s):
(TO E FIL:.ED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Usefflork/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: `) _Sketch Plan Site Plan Ergineere6Surveyed P,an:
Arsivers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Fas a Special PerrnitVa Han cerinding ever been issued forlon the sate?
NO DON'T KNVX U YES IF YES,date issued:
IF YES: Was the permit reccrded at the Registry of Deeds?
NO DON'T KNOW`_ YES
IF YES: enter Book Page and/or Document##
9. Does the sae contain a brook.body of water or wetlands? NO DCN'T KNOV: _ YES _
IF YES,has a permit been or need to he obtained from the Conservation Commis ilcn?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-1201
APPLICANT/CONTACT PERSON Teagno Construction Inc
ADDRESS/PHONE P O Box 2054 (413)549-0803
PROPERTY LOCATION 76 HIGH ST
MAP 17C PARCEL 157 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
Typeof Construction: INTERIOR RENOVATIONS I ST 2ND&ATTI
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 034716
3 sets of Plans/Plot Plan
V F LOWING 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 Commis Permit from CB Architecture ommittee
c,
2 c�aca
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.
76 HIGH ST BP-2000-1201
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C- 157 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-1201
Project# JS-2000-2093
Est.Cost: $35000.00
Fee: $175.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Teagno Construction Inc 034716
Lot Size(ssq.ft.): 13590.72 Owner: BIDWELL JOHN&KRIS HOLLOWAY
Zoning:URB Applicant. Construction Inc
AT. 76 HIGH ST
Applicant Address: Phone: Insurance:
P O Box 2054 (413) 549-0803 Workers
Compensation
AMHERSTMA01004-2054 ISSUED ON:717100 0:00:00
TO PERFORM THE FOLLOWING WORK.-INTERIOR RENOVATIONS 1 ST,2ND & ATTIC
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
r",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:
r, Building 7/7/00 0:00:00 3010 $175.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
s c �X-
76 HIGH ST BP-2000-1201
GIS•#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C- 157 CITY OF NORTHAMPTON
Lot:-001
' Permit Building
Category' Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-1201
Project# JS-2000-2093
Est. Cost: $35000.00
Fee:$175.061 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
I se Group: Teagno Construction Inc 034716
Lot size(sq. ft.): 13590.72 Owner: BIDWELL JOHN&KRIS HOLLOWAY
Zonin :URB AMlicant. Teagno Construction Inc
AT. 76 HIGH ST
Applicant Address: Phone: Insurance:
P O Box 2054 (413) 549-0803 Workers
Compensation
AMHERSTMA01004-2054 ISSUED ON:7/7/00 0:00:00
TO PERFORM THE FOLLOWING WORK:INTERIOR RENOVATIONS 1 ST,2ND & ATTIC
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough:, j$j/twa F'G�!' Rough:�A /"` House# Foundation:
Final: Final: r""`j'
Rough Frame:
2 °
See- !'>hc
U.�i'�F
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
1 Smoke: Final:
* CIR�ARY OCCUPANCY — EXPIRES 11/5/00
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
lee,I-le
Certificate of Occupancy i nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building
7/7/00 0:00:00 3010 $175.00
•
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo