24A-010 (5) 130 PROSPECT AVE BP-2000-0263
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block:24A-010 CITY OF NORTHAMPTON
Lot: -001
Permit Buildina
Category:roofing UILDING PERMIT
Permit# BP-2000-0263
Project# JS-2000-0414
Est. Cost: $3100.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: TODD BOYNTON 126807
Lot Size(sq ft.): 61419.60 Owner' KASKEY GARY B&MICHELLE S
Zoning:URB APP cant: TODD BOYNTON `
AL. 130 PROSPECT j4VE
Applicant Address: Phone: Insurance:
83 SILVER ST (413) 7'72-8829
GREENFIELD 01301 ISSUED ON.91911992 0:00:00
TO PERFORM THE FOLLOWING WORI(.SHINGLE ROOF OVER EXISTING 1 LAYER
POST THIS CARD SO IT IS VISIBLE FROM THS STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Mete,r:
Footjngs:
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 signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 9/9/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
i
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P //
9 1999 Fi 1 e No. q�e CZ
DEPT OF SUItDiI ""'—'
T,Vic'N, PE NG PEPMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: SOD LS�y���
�
Address: �fcl -s% .............O� .ifn FeO Telephone:
�Y /Qsk
y
2. Owner of Property: /� �K/
Address: 13c P*S ,-7 "� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): (l
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property S`�z° ,rr,<i/
6. Description of Proposed Use/Work/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 Department Files.
8. Has a Special Permit/Variance/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 Registre 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)
i
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 coli to be filled in
by t2e Bnildiay Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parkingf
# of -Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DA APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an appl ants bur en to comply wit" .4111
zoning requirements and obtain all required permits frohe Board o Ith, conservation
Commission, Department of Publio Works and other appliooble permit granting authorities.
FILE #
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Grit ,af Nart4ampf un
}��ssscansctls
, Fp 9 .ARTMENT OF BUILDrNG INSPECTIONS
212 Main Street ' Municipal Building '
a r Northampton, Mass.' 01060 ,
WORKER'S CO-NITENSATIQN INSURANCE AFFIDAVIT
(icenscel'permittee)
with a principal place of business/residence at:
OC- (phone#)
(st-CWcity/stalrJziP)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the followiog worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Dau)
( ) 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) (Insu=cc CoMpauy/Policy Numbcr) (Expiration Dau)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Due)
(Name of Contractor) (Insurance Cotnpauy/Poliey Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (E)Tiration Date)
(attach additional sboet ifneoe=uy to io f infortnatioa pertninf ng to an ooaftadon)
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 aaue that vi Wo homooxvm wbo cmplory pccsom to dor e_-�.• m oaas rucdoa-ar repair work on a dwelling of
not more than thma units is wi»ch the homwwacr residcy cc oa tb4 vvuads appudeasaZ lb=w ace oot generally aowidcad to be
empioyas under tbo workcez eompmsatim Act(GL152,ss 1(5)), W 11 cation by a homcownir far a license or permit may-id—the
legal ri-, *fan employor underthe Workce&CompeomWoa Act-
I understand that a oopy of this ctateme,d may be feswwd.d to the Depwuomt of Industrial Aoddm&Offioe of 10wA2nos fa try
coverage ve ficalioa sad that failure to sewn covaaga under section 25A of MOL 152 as lead to tbd kV*id-of criminal paaaltics
oomistiag of a•Sae of up to S1,500.00 and/or�pciso®cat of do to one ycw sod avis p®riies in the form of a Stop Work Order and a :1
fine of 5100.00 i day against M*
7 For&pwtms=t use only
Permit Numbar
.Map#
si afl.i ecmittee
rn
CDC) 3 o O M
-� Z m
NCL
-C
C== cn O
vm
=1':' �► .may
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W R ( A
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 �� Additions
APPLICATION FOR PERMIT TO ALTER Repair
1 r
n Garage
1. Location (STD Lot No.
2. Owner's name �' �s,�r y Address
3. Builder's name �� '� Address
(tSe Mass. Expiration Date o�
4. Addition
5. Alteration
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 e - oyee d,7e- CQ'i�'/'( t i F-.�C AF5SS
13. Siding house
14. Estimated cost-
?/moo
The undersigned certifies that the above statements are we to the best of his
knowledge and belief.
Signature of respons, a app,icanl
Remarks