17C-206 (3) • a > 2
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
Repair
• APPLICATION FOR PERMIT TO ALTER
Garage
I. Location (;:�r t ►�+�� _' `Q � Lot No.
2. Owners name (e v vi r) Address TD At ft -f• .
3. Builder's name P ' l C C.Q&PVS - Address20 &N 9161 b C�tlDi-
Mass.Construction Supervisor's License No iQ"io' Expiration Date
4. Addition
S. 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
14. Estimated cost- r/
The undersigned certifies that the above statcmcnts are true to the best of his,
knowledge and bnaz
_Ajav- Signature of responsible app,icant
Rem k ?(�Z�U �2�2.� ,. ?
1 ,'
1 �
'4�KAMPT
a� q Crzf� oaf Xart4aniptan r
B 6 iassachnsrtlo Electric,Pig rb 79i Gas f Sr
� �Iorihar� �lte , Pr,,n OtG=.�U
m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building 'o
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
with a principal place of business/reside�nJce at:
36a Ail W4 U' G{ Q 1��� (phone#) Y 1-/ ;)I
c (strtret/c1ty/sta&2iP)
do hereby certify, under the pains and penalties of pegury, that:
I am an employer providing the following worker's compensation coverage for my
mployees working on this job:
N16off"On — �a
(Insurance Company) (Policy Number) don 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 Company/Policy Number) (Expiration Date)
(Name of Coa=ctor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(anach additioml sheet ifneoessary to include information peetaining to all ooatredoors)
( ) 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 awaro that while bomcown=wbo employ pc son:to do m n,•,�aroswction'ar rcpaic work on a dwclliag of
not more than throe units is which the bomeowncr resides er oa the gtoua6 appurtenant tbertxo arc not gcacrally oo=dcrcd to be
employers under the worker's.compcasadon Act(GL152,m 1(5))�application by a homeowner for a 11ccose cc permit may cvidc the
legal rut, of an employer under the Workeez Compensation Ad
I understand that a oopy of this rutemmt may be forvewded to tbo Depert of Lxkutrial Accida&Off o0 of Imuraaoe for Na
coverage verification sad that failure to assn a coverngo under ser-doa 25A of MOL 152 can lad to the'impos—of criminal pea dd':'
con listing of a fine of up to S 1,500.00 andlor impxssoanxnt of tip to one year and civil pcoaltia is the form of a Stop Work Order sad a '
fine of 5100.00 a day against Mo.
{ For dcputwaW use only
; t Number
Lot#
Si efmitLce
ofLilP
08/23/99 10:41 ool
Au9=23-99 10:04 p.01
R `. ASSOCIATED BUILDING WRECKER. S, INC.
352 Albany St.,P.O.Box 2851
Springfield, MA 02101-2851
Ce1; (413)732-31791(800) 448-2822
Fax: (413) 734-6224
UTILITY CTJT-OFF VERIFICATION SHEET
DATE: FAX: '" �71
'ro: PH:
FROM: Melanie D. Newhouse
Please cut off all services at:
This building is to be demolished in its entirety. !'lease sign and fax this
form back tome confirming that this work has been completed ASAP. You
may fax this verification to lne (413) 734-6224.
Thank you.,
ASSOCIATED BU11,DING W ECKERS, INC.
fiVA
Melanie D. Newhouse
Demolition Coordinator
•rr.•a saa•aaa.a ea..■r..a..a...a a.•.a rr..■a rara.aaa.arra•r.r.aar..a.rar.a
SERVICES AT: HAVE BEEN CUT OFF.
PRINT NAME:
SIGNED I3Y:� � DATE:
culott�rr
199 10:36 PAGE-01
AUG-23-99 MON 9:52 Bay State Gas (Spfld) HIX NU. 413 fay Sefe r ul
Bay State Gas Company
August 23, 1999
Associated Building
352 Albany St
Springfield, Ila
01101
Dear Associated Building,
The address listed below has had the gas service(s)
disconnected and is now ready for demolition.
ADDRESS: 63-67 Clain St
TOWN : Florence
STA'G'E : Massachusetts
SinceLL
�4�
Jeffrey D. Mannheim
Senior Distribution Clerk
2025 Roosevelt Avenue P.O.Box 2025 Spnngheld,MA 011022025 413.781.9200 Fax.413.7&1.9222
FSB OPERATIONS 4135860241 08/23 199 09:12 NO.854 02/04
NESS
M— neme
NarWanftu Mp'et is
OnAte Swze Electric
- I?mdMIRC EIatrir,.
AUG 3 019N
July 28, 1999
Florence Savings Bank
Attn: Michael Brown
85 Main Street
Florence, MA 01062
Dear Mr, Brown:
This is to verify that Massachusetts Electric Company
has disconnected service and removed the following
meters: 79 757 2221 83 000 293, 83 000 290, 83 000 270,
and 83 000 290, at 65 Main Street, Florence, MA.
Sincerely,
Peter C. Bernard
Supervisor Engineering Services
PCB/mjb
Mas wbusetts Etectcic company
U8 ftdenviue Road
P.O.%x 60040
Northampton,MA 07.062-"
Telephone:800-T22$rol
FSB OPERATIONS
4135860241 08/23 `99 09:12 N 4 04/04
0.8
z 1Q� edi a Qr,cl COPY
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019% Y.
sP��.' �.,,. =+cP . .fir;•: ..:�-.� per.r/�"
:.��:�ttvt:,•1•,,- .:w"'• . .•� n-•,.dry �U�
L•h[ t s`!
t;`u i'+�:;:� ;f'�=•ant c �
M a 12-4 ❑pWN � RENT
COMMENTS' I,as a uw mt.understand that it is my moponwIl y to obtain my
larrdlord'r permissim prior M the Inewletlon data,Roslaent or
ptr�etptodatd r0pfe4err�tive I Is Yom of ape or afdon muse ee
prasaat for thv enure conrletttan prtoeaduro. ,
PAYMENT$
T'ho undersigned customer,or atRltorfaed aet egts w4 ca Amm the tnategetion of cable service and the numitomd oo Awml F4.dwmmMerlsyt channel l*Ws)
and/or remove unIVI. t hee64y aCagr�o it+at 1 have 11 heel and fs"o cM of me Agreement a»d 7a$W-IWy Nottcs eonraned In eno vfstaqOron maEarra(s u+
congidcrarion of ft instawiott of+stare sen4m i agree to woe by tno tortes and owwAions of the Aw"mom"oet foM on Lhe rowwaa aide. ,
t?ste CYitorlter �.
I ACKNOWLEDGE RECEIPT OF A PRIVACY NOTICE FNCLLOSgDDI P�
'-+ 19788485439 9e%
9LC-06--1999 16=33
r
RUC 24 99 10: 51p City of Northampton 413 587 1576 p. 1
Au9-Z'3-99 10:24 P.01
�� 3fl19�
ASSPCIATED BUILDING WRECKERS, INC.
352 Albany S:., P.O. Sax 2851
SpOngficid, MA 01141-2851
Tcl (413)732-31791(80())448-2922
Fax: (413J734-6224
UTILITY CUT-OFF VERIFICATION SHEET
DATE: Y 'Oj-�5 FA X
` o Od& PHC/3)
ka4"4aen
FItOM: Melanie D. Newhouse
M124,1L}'lea se cut off all scrvices at: j "
This building is to be demoltshcd in its entirety. Picase sign and fax this
form back to me contin»ing that this wort: has beca completed ASAP. YOU
171.1v fax this verification to me ( 413)734-6224.
Thank you,
ASSOCIA] ED BUILDING WRECKERS, INC.
I
Melanie D. Ncw110t15c
I)emolitinn Coordinator
r r•r e r r r r r\r r L r r as 0.9*r 6-0 moves r r r/r r• r r r r r r r r otr r r r r r r r r r r r r l r
SERVICES AT: GS 6-1 HAVE BEEN C'LlT of,- '.
PRINT NAME: �./ �,.
SIGNED BY: _ _ ATE:
AbbOU A1rill BUILMINU WKr,c..tz"
MELANIE NEWHOUSE
Demolition Coordinator � ��"?
P.O. BOX 2851LMBALLx2822.` '
352 ALBANY ST. (413) 732 -
SPRINGFIELD. MASS. 01101 FAX (413) 734.6224 ..
T
,
CODE ENFORCEMENT DEPARTMENT, BUILDING DTtIISION
REQiTIREMINT FOR DEMOLITION PERMTT
LOCATION: I./\/ ST DATE:
USE: 44C
TYPE OF CONSTRUCTION: 'A A J
OWNER: �� , �- ,a C c-As
ONVNER'S ADDRESS:
UTILITIES CLIT-OFF (To be signed by Authorized Rep. Of Utility- Company-)
DATE BY
BAYSTATE GAS
NNAIECO/NE UTIL.
WATER DEPT.
D.P.W. WAIVER
LABOR & INDUSTRY
BELL ATLANTIC
As required by, Massachusetts State Building Code, Article 1, Section 116.0, a
demolition permit will not be issued until release is obtained that the respective
services have been removed.
To be returned to the Building Department before the permit can be issued.
10. Do any signs ebst on the property? YES NO V1
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 aoltmzn to be filled in
by the Rmilding 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
&pared park-zngi
# of -Parking spaces
f 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 my knowledge.
DATE: APPLICANT's SIGNATUen--�2bgpplloant's
NOTE: lssuan e o a zoning permit does not reliev burden to oom wit 1 zonin Phi t g requirements and obtain all required permits f m the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
FILE #
1
0301999
k Fi 1 e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 66clled& & zave 044ykiol
Addressq V ,---.;-151 350—A (W-a elephonCY(5) 732"3 f 7�
2. Owner of Property: S T
Address:'1 Ih.S "� (�-3
t&W/06 � Telephone: ` '-cJ�l�7�� 7
3. Status of Applicant: Owner _ Contract Purchaser Lessee
Other(explain)- )ILI r-
4. Job Location: l J Y I�f� V► ��
Parcel Id: Zoning Map# Parcel# a(� District(s): (;
I
(T O BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
N611-h-ov\-
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- I/ _ YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW V/ 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)
File#BP-2000-0203
APPLICANT/CONTACT PERSON Associated Building Wreckers Inc
ADDRESS/PHONE P O Box 2851 (413)732-3179
PROPERTY LOCATION 65 MAIN ST `
MAP 17C PARCEL 206 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out °l
Fee Paid
Typeof Construction: DEMOLISH HOUSE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Buildin.g Plans Included:
Owner/Statement or License 019428
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 Con s ervtio
an ission
Signatur uilding 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.
r
65 MAIN ST BP-2000-0203
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-206 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:demolition BUILDING PERMIT
Permit# BP-2000-0203 '
Project# JS-2000-0330
Est.Cost:$11100.00
Fee:$35.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Associated Building Wreckers Inc 019428
Lot Size(sq.ft.): 6926.04 Owner: Florence Savings Bank
Zoning'.GB Applicant: Associated Building Wreckers Inc
A_T: 65 MAIN ST
Applicant Address: Phone: Insurance:
P O Box 2851 (413)732-3179 Workers Compensation
SPRINGFIELD 01101 ISSUED ON:9/1/1999 om:oo
TO PERFORM THE FOLLOWING WORK:DEMOLISH HOUSE
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 Occupancy Sip-nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 9/1/1999 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo