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Zoning
i eous loons, epalrs, teradons,etc. TeI No- Alterations
NORTHAMPTON, MASS. January 26, 19 98 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 102 HIGH STREET, Florence Lot No.
2. Owner's name LOIS DELISLE Address 102 HIGJ STREET, FLORENCE
3. Builder's name ALL STAR INSULATION & SIDING GO., INC. Address 56 FRANKLIN STREET, EASTWTON
Mass.Construction Supervisor's License No. 101858 Expiration Date
4. Addition
5. 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 INSTALLATION OF VINYL SIDING
14. Estimated cost:- $7,500.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of resp�Ilble appicant
Remarks
JAN 3 0 ;99� Cr�� oaf ��z#l�ttnt�rtnrr
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
R'ORRER'S COMPENSATION INSURANCE AFMAVIT
I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO., INC.
(li censerJpermi lice}
with a principal place of business/residence at:
56 FRANKLIN STREET, EASTHAMPTON, MA (phone#) 413-527-0044
(strceli ci ty/statrJzi p)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
THE TRAVELERS 3BH 042527 00 8-13-97 8-13-98
(Insurance Company) (Policy Number) (Expiration Date)
( ) 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 Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional shod if noceuary to include infonnaiioa pertaiaiag to aU ooab=ors)
( ) 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 while homeowners who employ pawns to do ms r__ _a,r. con=ucdon or repair work on a dwelling of
not mote than thrro uads in whicfr the bomoowoa•raided or oa the v un6 gTurtenaai thereto arc oot gcoavRy ooasidcrcd to be
employes under the worka'a mmpecssdion Art(GLI52,ss 1(5)�application by a homeowoct for a Besse oc permit may evidence tho
legal slat" of an omployer under the Workeez Cowpona&tioa Ace.
I understand that a copy of this Uatemeal may be forwnrded to tbo DoQeutmcnt of Industrial Acadca&Office of rrrwrsnee for the
coverage venficstion and that failure to segue coi, r go undo s t;=ce 25A of MGL 152 can Iced to tba imposition of criminal p:a cs
oomiszatg of a fmc of UP to S 1,500.00 arxi/or im� of uP to one year and civil pemlties is the form of a Stop Wont Orda and a
am of 5100.00 a day against Me-
1 For dep:rtm13ti1 use caly
G� r Permit Number
Cu�,. �� Map# Lot#
Lare
Signahue ofLi ermit3ce
10. Do any signs exist on the property? YES NO ✓ r
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 cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- 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
G is true and accurate to the best of my knowledge.
_a
DATE: APPLICANT's SIGNATURE
NOTE: issuanoe of at zoning permit does not relieve an applicant's burden to oomply With-all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other appliomble permit granting authorities.
FILE #
u L .SAW 3 01998
File No. �
Z'ON:�'NG PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ALL STAR INSULATION & SIDING CO., INC.
Address: 56 FRANKLIN STREET, EASTHAMPTON, MA 01027 Telephone: 413-527-0044
2. Owner of Property: LOIS DELISLE
Address: 102 HIGH STREET, FLORENCE, MA 01060 Telephone: 584-2385
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): CONTRACTOR
4. Job Location: 102 HIGH STREET, FLORENCE, MA
Parcel Id: Zoning Map# /7- Parcel# / f District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Wit?
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
INSTALLATION OF VINYL SIDING
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.
S. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW L. 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)
(� j o £
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� � _ FILE # �� tl
?CRCONTACT PERSON✓i L -y ��e'' rti1Z � ,
°RESS/PHONE:
PROPERTY LOCATION:
MAP 17C PARCEL: %�/ ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Pe PAid
Rnilding Permit Filled nnt
? C — ✓
Type of Constnic inn�_
Build n2 Plnn-z TrirInded-
0�nPr1Qrrulinnt ,';tnternPnt or
AL5 -76 T61
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v
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATIOM
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
�Se Ci6'Appiti a,-Bd,of Health Well Water Potability-Bd Health
!Permit from Conservation mmission
Signature of Building r r Date
NOTE:lasuanoe of a zoning permit does not relieve an applloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisaion, Department of Publio Works and other applionble permit granting authortties.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
�► , 2. Structural Components in Place*
3. Complete Building*
No. 1257 Office of the Building Inspector
Zoning Form No.
963190 Date 1/30/98 Fee $20.00 Check#20674
Page, 17C parcel 151 ,Zone URB Section 127 ❑ Yes EJ No
BUIULDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT All Star Insulation & Siding before Building Inspections
has permission to install vinyl siding Inspection on Site—Foundations
situated on 102 High St - Lois Delisle Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors(Fire Department)
and woWstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS P CE ON RE SES
�,.
Certificate of Occupancy
Building Inspector