32C-045 (9) Department: Reference No: BP-1999-0219
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Building,Electrical &Mechanical Permits
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Fee Type: Receipt No:
Non structural interior renovations REC-1999-000455
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Paid By: Paid in Full On:
David Amato Fri Aug21,1998
Received By: Check No:
Linda Lapointe 1221
DEPARTMENT'S COPY Amount: 540.00
DEPARTMENT FILE COPY 84 PLEASANT 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:
BP-1999-0219 $40.00
GIS#: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
10107 32C 045 001 84 PLEASANT ST CB 7013.16
Contractor: License Type: Insurance:
David Amato CSL
Address: License No.: Insurance No.:
985 Morgan Rd 055088
City: State: Zip Code: Phone:
W SPRINGFIELD MA 01089
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0389 Non structural interior renovati $8,900.00
Description of Work:
CONSTRUCT INTERIOR WALL,DROP CEILING
GeoTNIS®1997 Des Lauders 8 Associates,Inc. Signature:
File 4 BP-1999-0219
APPLICANT/CONTACT PERSON David Amato
ADDRESS/PHONE 985 Morgan Rd
PROPERTY LOCATION 84 PLEASANT ST
MAP 32C PARCEL 045 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Type,of Construction:
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included i
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE F OWING 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 Co mg . S.on
Signature of Building OfWfal 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.
DEPTOFftb
-
O ING PEP&aT APPLICATION (§I0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: :1- Telephone: �'.ul•
2. Owner ofProperty:�1 C:;,;
Address: Telephone:
3. Status of Applicant: `Owner _Contract Purchaser Lessee
Other(explain).-_ .
4. Job Location: '1" � ��'+((Cjjif'��
Parcelld: Zoning Map# J196 Parcel#_24 — District(s):_l
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) }-
5. Existing Use of Structure/Properly_.. \ )n C'tc L t / !f y wa--" EV
6. Description of Proposed UsePNork/ProjecOccupation: Use additional sheets if necessary): j
7. Attache ans: Sketch Plan Site Plan ngineered/Surveyed Plans
Answers to the following 2 gaestlons may be obtained by Checking with the Suilding Sept or Planning Oeyartment Files.
8. Has a Special PermiWariance/Finding ever been issued forlon the site?
NO DONT KNOW_ YES IF YES,date issued:
IF YES: Wes the permit recorded at the Registry of Deeds?
NO DONT KNOW_ YES
IFYES: enter Book Paga and/or Document#
g. 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)
10. Dc any signs ebst on the properly? YES
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property)YES-X NO
IF YES,describe size,type and location: lei rrGln� 51
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
szu. ml� m s» £illnd in
by ahs Building Lbperbaenc
\ \� Required
,1\J 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 parking)
p ofParkingspaces
f of Loading Docks
Fill:
(vol,ame-& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: - 17 y � APPLICANT'S SIGNATURE - _
NOTE: iasumnoo of a mning permit does not relieve on ap cn 11,rd.n to oompy with all
zoning raqulramenta and obtain all required permits from the Board of HenPh. Conservation
Commission. Departmant of Publio Works and other applionbla permit granting authorities.
FILE if
1
a a , p 1I CritR of arft�ttm{rfnn
� O tDM9� ..: 7 �uesrhrtsdte
e 1
DART EN OF BUILDING INSP=IONS
DEProkF%t _
Main Street ' Municipal Building
Northampton, Mass. 01060
�7WORKER'S CONMENSA'HON INSURANCE AFFIDAVIT
with a principal Place of business residence ar.
6-) ! pPAI n i,f,..
(sLx Ucuy/natdzip)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following workers compensation coverage for my
employees working on this job:
(m=ance Company) (Policy Number) (Expiration Dare)
(.�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 Coulraemr) (Lns=cc Compaay/Policr Numtrr) (E:gCcafion Date)
(Name of n-lctoC (Insuranr Comomrv/2ohq Numtr_C (E.epimuoa Date)
(Name of Cour,,- o (Insurance Compavy/Policy Nun>btt) (Espiranoo Dale)
(Name of Conmctor) (Insurance Company/Policy Number) (Expiration Date)
(wxA eddi6m.12nd 3uc�uy m mduh�fort:utim P�+�B m oll zar�n)
(/ am, a sole proprietor and have no one working for me.
O I am a home owner performing all the work myself.
NOTE:Plaee beamrc awhile 6omaxan..M®q:oy pusom coin .� Mom>avnioomrtpav woekmsaweWo6 or
rot mato thw Nine wt in which th b« Wro> m[6eBw� byhvaettueR Potgmaalty wmidr db6<
ce>Qloyca vodet�woekdz v�nim Act(GLr5]n1(5)Z yyliaeuu by..hh.--a um.E. Y c�*dmx the
legil�v oEav aamioY«and«da Wohe'.ComP®.tian A�
Iundmtaod Nna mpy.rati mtm m—YCIE—el—f«M.
mvaagevaifiotim and Nat fvlwetoamue m�emb wda satiw 25A &MQL 152 Wdtu the 1-10 moCaimmil pailun
mmissiggofetmcnfupb Sl}00.00 mNce mE.i moCupboa yarmd dv 'mas.iv the f ora Stop Wo Qdateda
fim oESl00.00•day tg�tian m� ..
_ - Farhyvn�alu.o mN -
.. .
permit Number
Q/ bWisM
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&441
Uccuscc/Permittee
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Zoning
Miscellaneous Additions,Repairs,Alterations,eic. Tel,N r U, ,.a 1 y,-17 Alterations_
NORTHAMPTON, MASS. l9_ Additions
APPLICATION FOR PERMIT TO ALTER Repair
1.
Garage
I. Laation_�1 � "�� �� ��.1 t C Lot No. ,._..—
2. Owne?s name 'F�-; Address
3. Builder's name �.• �� -a �.,+ -I-i Address 94t f r2.t_ tJ.
Mass.Constinction Supervisor's License No. 0-s�w c) Q9 _Expiration Date ,-.J-, e-�.aen r,
4. Addition Yl W U
5. Alteration_
6. New Porch
?. is existing building to be demolished?
8. Repair alter 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. Estimatedl /,
t
x qct- -
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief,
s�r,ar�.. o/. von„w.ovv.,coni
Remarks--
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