38B-009 (15) 136 WEST ST BP-2000-0148
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-009 ;CITY OF NORTHAMPTON
Lot:-001
Permit Building
Cate o :Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0148
Project# J5-2000-0241
Est. Cost: $15000.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Gerry Shattuck 058422
Lot Size(sa ft.): 56540.88 Owner: NORTHAMPTON,PROPERTIES INC
zoning: SI APP licant• 43hatWrk
AT: 136 WEST ST
Applicant Address: Phone: Insurance:
40 Munroe St (413) 5841 6265
NORTHAMPTON 01060 ISSUED ON.81161199t 0:00:00
TO PERFORM THE FOLLOWING WORK:,iEMODEL SUIT #201 - INTERIOR INTERNET OFFICE
SPACE
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
Footiggs:
Rough: Rough: Hous# 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 Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 8/16/1999 0:00:00 $75.00
1
212 Main Street,Phone(413),587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2000-0148
APPLICANT/CONTACT PERSON Gerry Shattuck
ADDRESS/PHONE 40 Munroe St (413)584-6265
r
PROPERTY LOCATION 136 WEST ST
MAP 38B PARCEL 009 ZONE SI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATIQ3 CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled o
Fee Paid '
Typeof Construction: REMODEL SUIT#201 -INTERIOR WTERNET OFFICE SPACE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included: y
Owner/Statement or License 058422
3 sets_,9f Plans/Plot Plan
I
E 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 Dejeds 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 Availalbility Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conserva' Commission
Signa , e of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicont'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.
i
i.. AUS I 11999
File No
u
neo—'
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: qQ M1Vi Telephone: J�rl
2. Owner of Property: dy. w� � AL
+1_0
Ll
Address: /� ®10% Telephone:_ � 3 t
3. Status of Applicant: Owner V Contract Purchaser Lessee
Other(explain):
4. Job Location:
1
Parcel Id: Zoning Map#--- Parcel#i p-d District(s): y
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) ro
�wti�w dpi,.��n�.�l l _
5. Existing Use of Structure/Property (/� C 6-1
6. Description of Proposed Use/1Nork/Project/Occupapon: (Use additional s ets' necessary):
t��: Z
7. Attached Plans: _Sketch Plan i Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking th the Building Dept or Planning Department Files.
I
8. Has a Special Permit/Variance/Finding ever been i$sued 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 Paged and/or Document#
9. Does the site contain a brook, body of water or wetionds? NO 1\ DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtaine4 ,date issued:
(FORM CONTINUES ON OTHER SIDE)
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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size Z� �-q C �d Q7-6
� t �
Frontage ,g' PZ T
Setbacks
- side L: R: L: R:
- rear r -
- U
Building height
Bldg Square footage '7 '75
Tg
%Open Space:
(Lot area minus bldg { 7
&paved parking) / lQ
# Pf -Parking Spaces
# of Loading Docks 'Z
Fill:
-{volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know e.
DATE: I APPLICANT's SIGNATURE
NOTE: inaua oe of a zoning permit does not relieve an app ioent's burden to comply wit4-4.1l
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
,• �
1199 }tasaackusrus j
DEPARTMENT OF BUILDWG INSPECTIONS
. 212'Main Street ' Municipal-Building
Northampton, Mass. 01060 '` y
WORKER'S COMP SA ON INSURANCE A�'.TI A.V S'
6 4k
Gic cnscrJpermittee)
with a principal place of usiness/residence at:
M UVt rz-P,..- t (phone#) S—
{strr~tic�tylstaidap)
do hereby certify, under the pains and penalties of penury, that:
( ) I am an employer providing the followng worker's compensation coverage for my
employees working on this jab:
(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) (Lnsuran(--Co#npanylPoLicy Numbcr) (E pi.ratioa Date)
(Name of Contractor) (lnsu.rance CoppanylPolicy Number) (Expiration Date)
(Name of Contractor) (Insurance Co:npany/Poficy Number) (Expiration Date)
(Name of Contractor) (Ln_nuance Co upany/Policy Number) (Expiration Date)
(ntIatfl additi sheet ifnocm.ary to izx.u&mfotmx .pcsraim�g to aM oodradors)
( I am a sole proprietor and have no one!work-ing for me.
( ) I am a home owner performing all the work myself.
NOTF; plcase Ire aware thzt wbilo homccmv who cxxplay pc==to&mxirj nrx,ooas:ruc oa.or repair work on a dwelling of
not moca than tbtuo units is which the homoowvcr r=dcs oc oa thb gajnch Tpcuknu#thcrdo in oot canto tly 000sidcrod to be
catploym under tba workCe%mica Act(GL152,xs 1(5)),q plication by a homoowait for a tir=e oc punct may cvidcnoc the
lcvl staIIta of as ewployet under tho Workees Campaoaai"Art„
I undmua kd that a oopy of WE rblcauxd any ba forwarded to'tbe D%wU.eos of lodustdJ Aoddeat a Of5oe of taws for the
oge.vcrlSCZ ion WO that fon(((t to$==o0vcrago(rider zocom 25A of MOL 152 can lad to the it on of uimaut
cwaapmaltics
00a=tiog of s file t tf up to S1,500.00"Woe uaprooamrnt of tip to one ym and civil poaalties io the form of&Stop Wodc Onix and a a
fim 0(5100.00 a nay ag hrl Me:
._„� Fa�tmencatt>�oohr .
Permit Number
Maps Lot 4
' Signahnrc ofL iccnsce/Perniitt=
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Z
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et
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.— j� 19�� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location / u ( t/ Lot No.
2. Owners name erbIgA)TY-) Address v ?'alC v !Y
3. Builder's name 6i' rr-" Address T e'IW t►of �� ��
Mass.Construction Superv' 's License No. C� Q �2Z Expiration Date
4. Addition
5. Alteration t'` - Pc� rem
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
14. Estimated cost:-
The undersigned certifie a above statements are we to the best of his,
knowli dge and belie .
Signature of responsible app.icant
Remarks