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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 413—52 7—51 41 Alterations
NORTHAMPTON, MASS. 1 —28' 191 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 52 Laurel Street Lot No.
2. Owner's name Loius & MaryAnne Foster Address 52 Laurel Street,Northampton
. Builder's name Thomas C McCarthy Gen.ContrctrsAdd.ess 157 Ferry St.rear, Easthamp on,1 a.
Mass.Construction Supervisor's License No. 053221 Expiration Date
05/23/99
4. Addition
5. Alteration Remoldel the kitchen, installing new cabs,insulation, flooring,upd.ating.
6. New Porch
7. Is existing building to be demolished? No
8. Repair after the fire Mainly kitchen renovations plus carpeting, elec . ,painting,paneling
9. Garage No.of cars Size
10. Methodofheating Baseboard hot water & electric baseboard
11. Distance to lot lines
12. Type of roof existing-not touching-gable & shed
13. Siding house existing-not touching-is vinyl-not touching-is vinyl
14. Estimated cost- $a 16, 500. 00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of Wsponsible appicanr
Remarks
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ARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
Thomas C.McCarthy
(Iicensee/permittee}
with a principal place of business/residence at:
1 5 7 Ferry S t. rear Easthampton (phone#) 41 3-527-5141
(street/ci ty/state/a p)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following workers compensation coverage for my
employees working on this job:
UND MNGR-Select Travelers 009C26213785 TW-' 02/10/99
(In=ane 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 Company/Policy Number) (Expiration Date)
(Name of Contractor) (lasu.rance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional slid ifneccraary to include information prstn'�to all o a rac on)
( ) 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 wro employ persons to do maadmancz,mnstr on or repair work on a dwelling of
not more than throe units in winch the homoowncr resides or oa the grounds appurteawA tbweto are not generally 000sidacd to be
employers under the avarice's compensation Act(GL152,3 1(5)},application by a homeowner for a license or permit may evidence the
legal sinters of an employer under tin Workeez Compensation Act
I understand that a copy of this rutcment may be forwarded to tho Dep utn of Ii>d-1 al Aceidmnl Offioo of Imtuanco for the
coverage verification and that failure to secure mverago under xenon 25A of MGL 152 can lead to the imposition of—MW W penalties
oernisfiag of a fine of up to S 1,500.00 and/or impri mcnt of up to one year and civil pcmalties in tie form of a Stop Work Omer and a
fins of 5100.00 a day tgninst ma
Signed this y _day of Vie_ _� j 1990 For d�tW,= l use Only
Permit Number
Ip#_ Lot#
Signature of LicenseeRern`rittee
10. Do any signs exist on the property? YES_ _ NO X
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES---_ NO X
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This columm to be fillad in
by the Building De.partmcnt
I (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 parkingi
# of -Parking Spaces
# �of Loading Docks
Fill:
-(volume--& location)
13 . Certification: I hereby cert.ify 'Ithat the information contained herein
is true and accurate to the best of my knowledge.
.1
DATE: - _2 G J� APPLICANT's SIGNATURE
NOTE. lieuanoe of a zoning permit does not relieve an applioant's burden to comply With 4111
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other mpplionble permit granting authorities.
FILE #
JAN 2 8 1998 ,
File No. ,3
i'b3
bkING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Thomas C. McCarthy General Con tractors , Inc.
Address: 157 Ferry St. ,rear,Fasthampton Telephone: 413-527-5141
2. Owner of Property: Louis & Mary-Ann Carey Foster
Address: 52 haurel Street Telephone: 413-586-462.3
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other(explain): Contractor
4. Job Location:
Same-fire restoration
Parcel Id: Zoning Map# ...-k) Parcel# 'f District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 1 family home
6. Description of Proposed Use/Work/Project/Occupation- (Use additional sheets if necessary):
Mainly water &. smoke damage to the titchen, replace damaged walls
floors , cabinets , priming painting misc trim. Install 3 vinyl
replacement windows , install 1 -610 slider, install headers for all
ours and windows In kitctien area, misc . TramI kit.
7. Attached Plans: Sketch Plan X 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 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 X 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)
i
2 a FILE #
7-51
?IA I�4TACT PERSON: 7�
AUIJMt 5/PH9NE: J5--2 J � _cr►ti._
- 0,
LIZ
G6�;z�Q lf�/ / �
MAP PARCEL: ZONE .
THIS SECTION FOR..OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FITLED 0111 iZ
Fee pflifi
Fee Pgid
3 Sets Pint Plan
T IE,f,OLLOWING 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 Approval-Bd of Health Well Water Potability-Bd Health
—Permit from Conservation mission
Z/181
Signature of Building for Dafe
NOTE:Issuanoe of a zoning permit does not relieve an applioant'o burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applioable permit granting authorltles.
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City of Northampton REQUIRED INSPECTIONS
ti
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 1254 Office of the Building Inspector
Zoning Form No. 963186 Date 1/28/98 Fee$66.00 Check#7414&7415
Page, 38 Parcel 7 ,Zone URB Section 127 ❑ Yes ❑ No
BUI]LDINGPERMI r I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Thomas McCarthy before Building Inspections
has permission to repair fire damage kitchen Inspection on Site—Foundations
situated on 52 Laurel Street - Louis /Mary Ann Carey Foster 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS A ON P ISES
Certificate of Occupancy
Building Inspector
2
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