17C-230 (3) MAY 71998
DEFT Of
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TOM RAREDON METALWORK
30 NORTH MAPLE STREET
NORTHAMPTON, MA 01060
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TOM RAREDON METALWORK
30 NORTH MAPLE STREET
NORTHAMPTON, MA 01060
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 57-5 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location Ham H t5r• Lot No.
2. Owner's name Im LL &WPUP Address V Pow UffLE wym o� HAI
3. Builder's name K.151��001":;;TW Address 42S 9. na 4HA Oaaa
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration REW At0 51. 0FttCr-7 IR G1(L-2 ( ghrLG
6. New Porch
7. Is existing building to be demolished? o
S. 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:-45�� 00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icanl
Remarks
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DEAARTMENT OF BUILDITIG INSPECTIONS
+t= BSPECTtt3tm" 21 Main Street ' Municipal Building
DEPt0 RTF "-;;; t�H C1Cp Northampton, Mass.p01060 y
WORKER'S COMPENSATION INSURA-NCE t MAVIT
l NF1 G. WOM 5 TE A i-
(li censerJpermi flee)
with a principal place of busine residence at:
'q6*r A)eRTH IRMe RA (Phone#)
' (stmt/city/ ap)
do hereby certify, under the pains and penalties of penury, that:
O I am an employer providing the following workers compensation coverage for my
employees working on this job:
Lni Cd. W (f 3 -doz42.r4 o2/z 9
(Insurance Company) (Policy Number) (Expiration Daze)
( ) 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) (Lnsurancc Company/Poricy Numbcr) (Expiration Date)
(Name of Contractor) O=urancc Company/Policy Number) (EafpLmiioa Date)
(Name of Contractor) (IIlMI=' C-� Compauy/Poticy Numtr�r) (Expimhon Date)
(Name of Contractor) (Ina=, ce Compauy/Policy Number) (Expiration Date)
(attach add tio¢a1 shot f ncaaary to include nfocrost oo patn ning to all ooc�ractor3)
( ) I am a sole proprietor and have no one working for me.
( ) 7 am a home owner performing all the work myself.
NOTE:please be aw=that while homeowocra wt�o,.play pcnom to do a1xinimInc, coontUctioo or rtpaa work on a dwelling of
not nxCo than throe units in which the botl»owncr r=dco or on the Vvuo,31 apputtcraat shade src not gcocrally ooaricicmd to be
—ploY—under the wo+xes oompe=4cn Ali(GL152Fs 1(5)),application by a homcow=far a liceax cc permit mny cvidcnce the
legal etshu of anomployoc candortho Woricoee Compmsatioa Act
I understand flit a copy of this c ten—t may be foccvivdod to tha Dcpart..d of ln&utrlyd A—&-&Office of Insurance for the
cov-nc ver6catioo and that falluro to secure ooverago under socam 25A of MaL 152 can Icad to tbo mVOsrtsoa of criminal Penalties
ooau3tEng of a fine'of up to 51,500.00 etsd/or impr soamcat of tip to onc year and civil pcasltics in the form of n Stop Worfc Oeder and a
fine of S 100.00 a dry t&&MSI mc.
A
For&Put=-'case ColY
Pcrmit Number
MAO----Lot#
>� i iornsCJPcrmittC" _
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 NO 41'
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thin column to be filled in
by the Building Ikpnrtment
Required
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
&paved parkingj
# 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.
DATE: f/7 �'� APPLICANT's SIGNATURE _
NOTE: la uanoe of a zoning permit does not relieve nn applioan s burden to oomply With 4&11
zoning requirements and obtain all required permits from the Board of Health, Conservtation
Commission, Department of Publio Works and other applionble permit granting authoritlea.
FILE #
.."""''- ... �..
Fp
LNO7 1'998' File No.- (a J 7 f 1
r 3', ,' - ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: V gl G- -Z-lCJ x4 S &: r¢%-,-
Address: �O rrJ V!2 77d /�� RA- Telephone: 9 6 4
/--t 0a Ae-,v c a
2. Owner of Property: !3/Lt A/2AJ aL 1-*-,,,
Address: 30 AAP-9 -Y ANMAI . ,5;7 Telephone:
3. Status of Applicant: Owner t/Contract Purchaser Lessee
Other(explain):
4. Job Location: 3 U J(,d2Ty yl/jiq-f�LLr �7`
Parcel ld: Zoning Map# / Parcel# o9 6) District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work1Project/Occupation: (Use additional sheets if necessary):
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 PermitiVadance/Finding ever been issued for/on the site?
NO DON'T KNOB:� C,--- 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_LZ— 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 # •� v s :1 U /-
I
[A-PPLICANT/C2NT AY 7 {998
kCT PERSON: 4 —Z J
DEPTSDQDI7:
N AhOP GN k�GI tJi:4G
PROPERTY LOCATION: Get _
MAP _ PARCEL: ZONE—,�
—�+ THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATA
Rnflffin2 Permit Filled nut
New Cnnstritrtinn
-Remndplin2 Interior
3 ,setq n Pint Plan
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THEF,P1ffbWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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 Approved of: iea?lt + Well Water Potability-Bd Health
Permit from Conservation ommission lzle
Signature of Building for -Da
NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all
_ zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, department of Public Works and other applionble permit granting authoritles.
City of Northampton REQUIRED INSPECTIONS
* i 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1560 Office of the Building Inspector
Zoning Form No.
963498 Date 5/8/98 Fee $40.00 Check IN,
4976
Page, 17C Parcel 230 ,Zone SI Section 127 ❑ Yes No
BUIULDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Neil Homstead before Building Inspections
has permission to construct partition walls Inspection on Site—Foundations
situated on 30 North Maple St - William Arnold Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 woodstoves
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON VHE PREMISES
Certificate of Occupancy �°4
Building Inspector