18D-035 (16) w
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
nn__ Garage
1. Location 4`/�� �o��� ^F Lot No.
2. Owners name A c U it-6,0 fet-J Address qZ— A co,,i -<e
3. Builder's na=121 �ZZ I C` Z Address `�73 U lL! a—
Mass.Construction Supervisor's License No. Expiration Date C'd l2l A22
.:H
4. Addition
5. Alteration 0(h /3 ' U,-kalrS 4P-y, TV arc-t'
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
0
14. Estimated cost
The undersigned certifies that the abo a statements are we to the best of his,
knowledge bel'
Si nature of responsible app icanl
Remarks
r Restricted To: 11 �
20594 ` .
to - No
1R - Masonry only
16 - 1 6 2 Family Homes
Failure to possess a current edition of the
Massachusetts State Buiilding Code
is cause for revocation of this licens
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FED
0,UARTNENT OF PUBLIC SAFETY
CONSTRUCTION SUPERVISOR LICENSE ",
Number, Expires: Birthditei
CS 999 11/2111962'
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Aestx�cted Ta:. 69
NICHAEL C BONAFINI
'� ,,,.a►YS `°. .• 213 WARE RO
BELCNERTOWN, NA 01001
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cm DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE +F' AVTT
(licenses;Jpermiuce}
with a principal place of blisiness/residen/ce at:
�3 Wcl X® rC3J�''�`
(strr_et/ci ty/stafdzi p)
do hereby certify, under the pains and penalties of penury, that:
O I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date) xW,-
I am(sole proprietor,, eneral contractor or homeowner (circle one) and have hired
th contractors ' e ow 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 Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioml shod ifnoaczu y to inchrde infm-maiioa pextnining to all oo.tr'cf3)
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 homeo"m=who employ pasom to do maR.t�c stru on or repair work on a dwelling of
not more than three units is which the homeowner r=dca or oo the grounds appurtenant thereto arc not gcnerR4 wandered to be
employers under the wvori ct elation Act(GL152,ss I(5))�applicadon by a homeowner for a license or permit may evidence the
legal slabs of an employer under the Workcet Compemaiiou Ad
I understand that a copy of thin rutemcnt may be forwruded to tho Depwt=co2 of Ind trial Arcidea&ofoo of Iaawzooa for the
coverage va ificatioo and that failure to secure coverage under s ctioa 25A of MGL 152 can lead to the imposition of criminal penal tics
oomisting of a fine of up to S1,300.00 and/or kgxisonmerd of up to one year and civil pem 6es in the form of a Stop Work Order and a
fuw of 5100.00 a day against the
For dcpartmeDt►t use only
permit Number
Mai{ Lot#
tgnahtre amicensee/Pe tree
t
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
IF YES,describe size,type and location:
11 . ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO
LACK OF INFORMATION.
Thin cola— to be filled in
by the Building D,.partment
Required
Existing Proposed By Zoning
I 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:
4 volume-& location)
13 . Certification: I hereby certify that the information contained herein
r� is true and accurate to the best of my knowledge.
DATE: - APPLICANT's SIGNATURE
NOTE: luouanoe of a zoning permit does not relieve an appiioant's burden to comply With 4xli
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
FFB 1 1999
File No. &W— 7 t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: e/
Address: 7-7-3 /e- j& e&��, Telephone: IV13 r rc3 VK
2. Owner of Property: fig !r 1-04&1 /�L�'� ° � v
Address: 'e'2 Telephone: 'rr S
3. Status of Applicant: Owner X7_Contract Purchaser Lessee
Other(explain):
4. Job Location: �� Lfle??l4`'�✓ ��
Parcel Id: Zoning Map#P Parcel# J District(s): C9-4
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property A'-10 ' A'
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
1301 131 P/C LffS / 3 --0 �c�� l� 1 .
lif ClL�tl� ��! ��+'�/ -.(/4�`�� C..�6 er?C'{r V � ✓ (� d7�N� Ci V / <C.,(�
7. Attached Plans: Sketch Plan _J/\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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW 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—k_ 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)
f
File#BP-1999-0666
APPLICANT/CONTACT PERSON MICHAEL BONAFINI
ADDRESS/PHONE 273 WARE RD (413)323-1044
PROPERTY LOCATION 48 DAMON RD
MAP 18D PARCEL 035 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid a0z .81 o
Typeof Construction: CONSTRUCT 2 INTERIOR 2ND FLR WALLS
New Construction
Non Structural interior renovations
Addition to Existing
Accessoa Structure
Building Plans Included:
Owner/Statement or License 065821
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 Conservation Commissio
Z 31//�
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.
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48 DAMON RD BP-1999-0666
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block U3 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: Non structural interior renovations BUILDING PERMIT
Permit# BP-1999-0666
Project# JS-1999-1242
Est. Cost: $1270.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: MICHAEL BONAFINI 065821
Lot Size(sq. ft.): 19994.04 Owner: KERRYMAN PARTNERSHIP
Zoning: GI Applicant: MICHAEL BONAFINI
AT. 48 DAMON RD
Applicant Address: Phone: Insurance:
273 WARE RD (413) 323-1044
BELCHERTOWN 01007 ISSUED ON:219199 0:00:00
TO PERFORM THE FOLLOWING WORK.CONSTRUCT 2 INTERIOR 2ND FLR WALLS
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 Sicnature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 2/9/99 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Building Commissioner-Anthony Patillo