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// Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �b �Q Alterations
NORTHAMPTON, MASS. " 19_L Additions
APPLICATION FOR PERMIT TO ALTER Repair_
Garage
1 Ir�b I' -t' /x-21 " I
1. Location �-�t,, V � 1 ���1 ��C-r irl /Q"�P�D!v n� /Lot No.
2. Owners name O�t "I OF bb ly 6 9�f�41 0'A N Address CTJ ffA�-, ►V 0 t�-:W,4 it P b�_
3. Builder's name �Q-� � L7U JLbC4S 1 INC. Address AT" Q4 A-M 1-V V
Mass.Construction S upervisor's License No. d f' 5 1 53(o Expiration Date (7
4. Addition +
5. Alteration P-El p A)e= NAAOQR 2- MIS , Vv�— f bL-1jWAT-1-- Off) Ce Ce'(-4'P C-,
6. New Porch A I
7. Is existing building to be demolished? A d
8. Repair after the fire_ AID
9. Garage f No.of cars Size
10. Method of heating (
11. Distance to lot lines_ W., MEW yjog=� -f,o F:�5 N Nt W iM N UX l M/* Fy o-U`pl pti
12. Type of roof *A l/k or P Lb 6
13. Siding house (�
14. Estimated cost:-
The undersigned certifies tha bove statements are we to the best of hi-
knowledge belief.
Sigaature of responsible oppliCMV
Remarks
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WRIGHT BUILDERSJNC.
48 Bates St.
Northampton, MA 01060
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a{ :s 2 1999 (RiR of 'Wnriljant� tan .
Be � 4 �assacparallt .
A•-
<. DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 y
WORT ER'S COMPENSATION INSURA-NCE AF MAVIT
Wright Builders , Inc.
(licrnscdpermittrr)
with a principal place of business/resideoce at:
115 Industrial Drive, Northampton 413-586-8287
(phone;r)
(sn-�.t/ci t}•/stalrJa p) .
do hereby certify, under the pains and penalties of perjury, daai:
I am an employer providing the following rror'k er's compensation cove-age for my .
employees,worLng on this job:
Travelers Insurance Company UB346R2936 3-1-99
(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) Qmszuan=Cornpary/Policy Numbs) (Expiration Date)
(Name of Count-tor) (Insumc-- CompazyNoUcy Number) (Expira000 Date)
(Name of Conm actor) (lnsuran=Company/Policy Numbu) (Ex-pLmdon Dale)
(Name of Contractor) (Lnsuranc=Company/Poticy Number) (E)piration Date)
(math a6ditiom1 cboc(if ne—AXy to iaclirdc iafbr=n tioo't6=jno to mil!ccdr,C n)
( ) I am a sole proprietor and have no one working for me.
( ) I am ahome owner perforraing all the work myself.
NOTE:plcax be await tbzt wbila bomcowncra wbo cmploy pert:oas to do mzi*+t,,,•om coasrucdon'or rcpait worst on a dwelling of
not more tbaa th ma units is which the bomaow=r=dcs oc oa the vvaods:ppattcau3 thacto am not geomtty oomTkkmd to be
emPlaym under tbo—kcr's o p=dim Act(GL152,ss 1(5)�apptimdoo by a homeowner for a Gormo cc permQ may cvidmca the
legsl staau of as employer uodertho Wortrda Comgoosatioa Aet:
I uod=*•^d dul a copy of thu catemaei may be forww%W to tbo Departmcat ofIndaaaial An6daa2a OM—of L-mwwc*for the
aaovcrage vcrifiestion mad that failure to acaue covcmv uadcr soctioa 25A o(MGL 152 can lead to tbd imposition ef--maid pcaalba
oomi=n&of a-5ne brup to Sl,5oo.00 waoc ixupruoament ofup to one year and civil p m.1lics in the foam of a Slop Wont.Qrd-mad a
fim 0(3100.00 a day against me—
Signed this 23 day of i. 199 7 For dCP=rt=C&.&1 tr.a Oty
I" Permit Numbs
lvfapnl Lot II
Signature of Liastsc%JPctmittcc
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 MIDST BE COMPLETED, or PERMIT CAN BE D X.TED DUE TO
LACK OF INFORMATION. It U_., ,4 W 61 e—r_ P
bwe Uvf-r�hN E�<l Sll (r r-wT('C 1N_r b�
N /?'L�tr-• Thx3 �ai� to be fii�a in
by t_Sa Bui 2,:Ung D._partmen t
I lRe quired
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 parkingf
# _of 'Parking Spaces
prof Loading Docks
Fill:
':(voliime--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: z 9 APPLICANT's SIGNAT[7RE , �t
NOTE: 1 sua oe of a zoning permit does
not relieve an a plioanYs burden to comply wit .$1
zoning requirements and obtain ail required ' tm
Commlaelon. Department of Public Works and other -Ppli the Board t Health. mutho. itio .
pplioable permit granting authorities,
FILE #
t FFR 2 41999
File N CM fT'�
pT of
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR P=T ALL INFORMATION
1. Name of Applicant: VV Cw rl -/ l ubegs> i c— p
Address: b � STS, N A'R`1 TI &WJb NTelephone:
2. Owner of Property: Ctr� IV d `y Q
Address: tT 81-4-! Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other�j(explain): k' c�-� -7-
4. Job Location: 1 � �(-O y� `� r (- � I
Parcel Id: Zoning Map# Parcel# 5-/' District(s):
(TO 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):
D ,' (%�lV�-.
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 KNO:^:__X__ 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)
File#BP-1999-0725
APPLICANT/CONTACT PERSON Wright Builders
ADDRESS/PHONE 48 Bates St (413)586-8287
PROPERTY LOCATION 91 GROVE ST-SHELTER
MAP 38 PARCEL 048 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled ou
Fee Paid
Typeof Construction: REPAIR/REMODEL 2 BATHS FURNACE&DRYWALL OFFICE CEILING
New Construction
Non Structural interior renovations
Addition to Existiniz
Accessory Structure
Building Plans Included:
Owner/Statement or License 068185
3 sets of Plans/Plot Plan
THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased 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 C ssion
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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91 GROVE ST BP-1999-0725
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38-048 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-1999-0725
Project# JS-1999-1327
Est.Cost:$8990.00
Fee: $0.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: 2 Contractor: License:
Use Group: I Wright Builders 068185
Lot Size(sa.ft.): 65340.00 Owner: NORTHAMPTON STATE HOSPITAL
Zoning:URB Applicant. Wright Builders
AT: 91 GROVE ST
Applicant Address: Phone: Insurance:
48 Bates St (413) 586-8287
NORTHAMPTON 01060 ISSUED ON.212611999 o:oo:oo
TO PERFORM THE FOLLOWING WORK:REPAIR/REMODEL 2 BATHS, FURNACE & DRYWALL
OFFICE CEILING
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 Framer
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation;
Final: Smoke: Final: b K 7-15- 11'„
THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of i nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 2/26/1999 0:00:00 $0.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo