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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Verona/Garfield Avenue Lot No.
— Owner's name City of Northampton Address 210 Main Street
3. Builder'snamc P_ A _ Mnsr•hPtti & Sons Inc Address 104 Rice Rd. , Templeton, MA 014_68
Mass.Construction Supervisor's License No. DCPO 98-1437 Expiration Date
4. Addition
5. Alteration
b. New Porch
7, Is existing building to be demolished.) Yes
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
I3. Siding house
14. Estimated cost:- P 5A F E 9 ff 0 7 �`�
P
The undersigned cenifies that the above statcments are true to the best of his, h,
knowledge and belief,
signature of respons:bte app'tcant
Remarks
4
TttAAfP
+�O
DEPARTMENT OF BUIL.DfNG INSPEMIONS
222 Main Street ' Municipal Building
Northampton, Mass. 01060
WOR=R'S COiYZPENSATION MURANCE A=T A.VIT
Franklin A. Moschetti_ , President of F.A. Moschetti & Sons, Inc.
(lia.�n�eripe:�n_itteej
with a principal place of business/residence at:
104 Rice Templeton, MA 01468 (phone#) 978-939-8645
-- (st�rci/city/state.�ap)
do hereby certify, under the pairs and penalties of perjury, that:
(g) I am an employer providing the follolvving worker's compensation coverage for my
employees working on this job:
CNA WCB157241520 01-01-99
(Insuranez Company) (Policy Number) (Expindon Date)
( ) I am a sole proprietor, general contractor or homeowner(circle on(-,) and have hired
the contractors listed below who have the follovving worker's winpensr.tion policies:
(Name of Contractors Nmnt_-r) _ rE,irF it oa Date)
(T LAIC of CoLtmcto-� i,lIlSll(?ri(C (;07I'1_i2%1'I'�O�i�'?111�r;j {LXp_—,,uoQ Da—fe)
(Name of Conaactor), ('.aaxancc C ompaxyi^Poucy Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyfPo!icy Number) (E)miration Date)
(adach addrdoml shed if ntomss y to*chide mi`brmiaoa pcea ning to all cvaraclora)
( ) 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 whilo hoa=wnm AbG avploy pczzru to do^ rrdcn_*mnt OM5=Lion or repair Work cv a dwelling of
not moce thaw three Urtei ir.%vi rch the h_mco%a r zidn or oa etse vvlox zp�thexaa era ooc&=sera.ly comidercd to be
emploYrrs under the«veKcrt iea Act(GL 152,sa1(5)} appU=,i=by a homoow=for a lieczme or permit may wide=the
legal data o£aa ee ploy«uad�rthe lVorlca'a Coe ms.tion Act
I undasiaad that a copy of tEs rtatemmt mty be forwarded to the Dcpartaoms of Industrial Aodd atf Office of rsuraoce for the
coveztge verificatioa aad thst failttts to aettut co�t7ngo trader sectioa 25A of MC1L ISZ can iced to the'iml�siioa a°a'imin.,l ptaaliie�
of a fine of Up to$1,500.00 ztwor irm,uisoamrnf of up to one year anti civil pcmitia is the form of a Stop W orlc Ord"and a
fire of 5100.001 day tgainst rat
For dgaalma�tai tuo xitY
Permit Ntimber
K_ V Maps -I of#
Stgna43.rtr ofLiccnscell'ermitiee e
CITY OF NORTHAMPTON MASSACHUSETTS 01060
ti Wastewater Treatment Facility
+� 33 Hockanum Road
GEORGE R. BREHM
Superintendent
JOHN CARVER
Deputy Superintendent
587-1092
July 21 , 1993
Tc.) Whom It rl
of I i.?I"trt;:�h1[iC.:t ! r) i vt' --don tloe-s not disconnect. Sevier
Service on rjT'ivatF
I'11 1 V
GeotZ e Eirehri
Su��?rirrt:�ndt'nt.
Massachusetts E1
, • A,vas saimpaV
July 24, 1998 �gg8
Frank Moschetti
104 Rice Road
Templeton, MA 01468
Dear Mr. Moschetti:
This is to confirm that Massachusetts Electric Company has disconnected all electric
service to the building at:
39 Verona Street
Florence, Massachusetts
Meter#s 035830831 and 080498154.
Sincerely,
At e• Atf L
Peter C. Bernard
Supervisor of Engineering Services
PCBPJmI
SM HaydenvfIIe Road
P0.Box 60040
Northampton,MA 01060.00 0
Telephone;415482.7200
CITY OF NORTHAMPTON, MASSACHUSETTS
DEPARTMENT Of- PUBLIC WORKS
125 Locust Strect
` Northampton, MA 01060
-
413-587-1570
Sanwel B. BrIndiS, P.E. Fex 413-587.15M
Director,City Engineer 8 i�
Guilford S. Mooring, P.E. ' 2
Assistant Director of Public Works
July 21, 1998
Anthony Patillo, Building Inspector
Municipal Office Annex
212 Main Street
Nlorlhampton, NIA, 01.060
Dear Mr. Patillo:
The domestic water service at 39 Verona Street has bean shut off;11, the property line and the water
meter removed from the premises.
Please contact me if you have any questions.
Sincerely,
Charles Borowski.
Superintendent of Water
CB/lmb
cc: Sari]BrInAis
George Andrikidis
A:1LMB1Watcr\39 Verot)a Street
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 pre pertp 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.
nlis —1—
by the Building Depaxtsnent
i lRequired I
Existing Proposed ( By Zoning
Lot size I
Frontage
1
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking]
# of Parking Spaces
# "bf Loading Docks
Fill:
-4v01-izme& location)
13 . Certification: I hereby certify that the information contained herein
Gj is true and accurate to the best of my knowledge.
DATE: - APPLICANT's' SIGNATURE
NOTE: issuanoe of a zoning permit does nat relieve an appiioaihYs burden to oomp]y wlw.'vkl
zoning requirements and obtain all required permits from the Goa" of Health. Conservatic
Commission. Dep,mrtment of Publio Works and other applioabie permit granting authorities.
FXLE if
b'. 4 • ° L L $ '1996 File No. -!
i
4NTNG PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: F.A. Moschetti & Sons, Inc.
104 Rice Road, Templeton, MA -01468 978-939-8645
Address: Telephone:
2. Owner of Property: City of Northampton
Address: 210 Main Street , Northampton, 01060 413-587-1266
nelephone:�
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): _
4. Job Location�Verona/Garfield Avenue
Parcel id: Zoning Map# Parcel# District(s):
(TOD IN BY THE BUILDING DEPARTME T)
5. Existing Use of Structure/Property
6. Description of Proposed UseNVork/Project/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 nepartrnent Files.
8. Has a Special PermitNariance/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__ YE5
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-1999-0126
APPLICANT/CONTACT PERSON F A Moschetti&Sons Inc
ADDRESS/PHONE 104 Rice Road (978)939-8645
PROPERTY LOCATION 39 VERONA ST
MAP 17D PARCEL 072 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ,/
Fee Paid
Building Permit Filled out
Fee Paid (o
Type of Construction:
New Construction r
Non Structural interior renovations
Addition to ExistingJ
AccessoKy Structure
Building Plans Included:
Owner/Occu ant Statement or License#
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
` Well Water Potability Board of Health
Permit from°Conservation C mission
Signature of Building Wicial Dat
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.
Reference No: BP-1999-0126
Department: .....-----•---••.........•••......
Building,Electrical & Mechanical Permits
Fee Type: Receipt No:
demolition REC-1999-000206
Paid Paid in Full 0 n
F A Moschetti& Sons Inc Tue Jul 28,1998
.........................................................................................
......................................
Received By: Check No:
Linda Lapointe 6669
.........................................................................................
......................................
DEPARTMENT'S COPY Amount: x;55.00
.........................
DEI)ARTMENT FILE COPY 39 VERONA ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
7_�?f ld BP-1999-0126 $55.00
GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size:
2023 17D 072 001 39 VERONA ST URB 6621.12
Contractor: License Type: Insurance:
F A Moschetti & Sons Inc Workers Compensation
Address: License No.: Insurance No.:
104 Rice Road WCB15724152
City: State: Zip Code: Phone:
Templeton MA 01468 (978) 939-8645
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0168 demolition
Description of Work:
Demo house & 2 acc structures
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: