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23A-070 (19) Department: Reference No: BP-1999-0499 ................................... Building, Electrical & Mechanical Permits Fee Type: Receipt No: shed RI-C-1999-001352 Paid By . a.i d-in nF. — .....O...n:............. : PPaiF.ull Lamore Lumber Co Wed Nov 18,1998 ...................................... Received By: Check No: Linda Lapointe 5498 ......................................................................................... DEPARTMENT'S COPY Amount: 520.00 ........................... DEPAR'FM ENT FILE COPY 70 MAIN 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-1999-0499 $20.00 GIS#: Map Block: Lot: Address: Zoning: Use Group: Lot Size: 9007 VF3 070 001 70 MAIN ST GB 71525.52 Contractor: License Type: Insurance: Lamore Lumber Co HIC Workers Compensation Address: License No.: Insurance No.: Rts 5 & 10 120052 77WzNB8512 City: State: Zip Code: Phone: DEERFIELD MA 01342 (413)773-8388 Project No: Category of Work: Const. Class: Cost Estimate: JS-1999-0955 shed $1,495.00 Description of Work: CONSTRUCT 10 X 10 SHED GeoTMS®199]Des Laurier.&Associates,Inc. Signature: File#BP-1999-0499 APPLICANT/CONTACT PERSON Larnme Lumber Co ADDRESS/PHONE Rts 5& 10(413)773-8388 PROPERTY LOCATION 70 MAIN ST MAP 23A PARCEL 070 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY. PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ✓ Fee Paid Buildin Permit Filled out Fee Paid ,a2z — ✓ TvPe of Construction: New Construction -,e /G Non Structural interior renovations Addition to Existine Accessory Structure Building Plans Included: Owner/Occupant Statement or License# ✓ 3 sets of Plans/Plot Plan ✓ THE[f�ELOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: An 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 Board of Health Well Water Potability Board of Health Permit -from CConservation Cm ' on Signature uilding Official Date Note: Issuance of a Zoning permit does not relieve a applicants 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. Nov 1 7 ;998 File No. �JY Z©NING PERMIT APPLICATION (§10. 2) PLEASE TYPE OR PRINT ALL IN/FORMATION 1. Name of Applicant: /ate-" o �—�--h✓ r '5 — Address: j2- 'I- t O ��- Telephone: 2. Owner of Property: KA/PCG. Pe-llr dN PU7F Address: 70 /77d/,U 17 elephone: S6S S4/? 3. Status of Applicant: _Owner Contract PurchaserLessee Other(explain): 4. Job Location: Ty 17i,41V S7 CZgX"C(,- Parcel In: Zoning Map# Parcel# fir, District(s): (TO BE LLED IN BY THE B IU LDING DEPARTMENT) 5. Existing Use of Structure/Property yEw! T N /Nd N%d t/dNCt3 '' dt O 6. Description of Proposed UseNVork/Project/Occupafion: (Use additional sheets if necessary): CON'Tl K 2 D S//L0 7, Attached Plans: Sketch Plan ✓ Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with Ne 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 Registry of Deeds? NO DON'T KNOW / YES IFYES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOWy' 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) to, Do any signs e)dsl on the property? YES ✓ NO IF YES,describe size,type and location: IM-CrA L A, t?f/ PL 6A/4[AS't f/?a,V% 4 -16 0 Are there any proposed changes to or additions of signs intended for the property?YES NO Cl IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION- SIlia calms fo be fil]<d in by C8e H�i]ding Doper[men[ Required Existing Proposed By Zoning Lot sizes tea .— Frontage 7 Setbacks - side L: R: L:—R:- - rear • R:- rear Building height I `� Bldg Square footage ss % Open Space: (Lot area minus bldg &p=_oed ca.-king) # of Barking Spaces ✓� .a �� # sof Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: 15S APPLICANT'S SIGNATURE NOTE: Isauanoa of a inning permit dose not reneve an applicant's burdetito oars l w(th al soning requirements and obtain all required permita from the Board of Health. Conservation Commission. Department of Pubno works and other applicable permit granting muthoritiae. FILE f SLLL � ekLa a w` e 1 d�--- � � �pf �dlixtljsnt}ifntt y r NOV 171998 ai,s„raa,.u. a DEPAATM_'M OP BVIID[TjC [NSPEGT/ONS - . 212 Main Street MunicipalBuilding '. Northnmptw, Mnss. 01060 - 11 WORICER'S COYTENSATTON /INSURANCE A=AVIT rn o1 is. - L e "� (liceoscc/�rmiLLcc) with a principal place at: �7€ S+ a2` h a o 3�v (phonciFyf7� »�-��a8 (strcUcity/statrlrip) 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: - -�a)s+;PQ fz� Joo6I�-wri,i�i4 L+.r✓r-qw�- 77LJ2 fIJ 0 - Company) (Policy NumLr) (Fxpiraeon Dare) ( ) I am a sole proprietor, general contractor or homeowner(cycle one) and have hired the contractors fisted below who have the following worker's compensation policies: q _... (Mme of Contractor) (Insurncc Comnaay/Potie/Numecr) (F.piraconDate) (Name of Contractor) Msaranr_Comoaay/Pobev Numbe() (E.roiradoo Date) (Name of Comraaor) (Lowrance Company/Policy Number) (Expiration Date) . (Name of Connaaor) (Insurance Company/Poticy Number) (Expiation Dare) O I am a sole proprietor and have no one working for me.. ( ) I am a home owner performing all the work myself. Nom pl^._be.wue IS.t N+.y'a bemcoNu atm®piq PRsov b Eo m,one,m..aommv+ioav,iwa.vo.k m a m..aes of od mct<14'11161W 1m1U,n N1udi,be 6�mr�+M.vlu IX m 16e Oa�a+i�am1E[.ffi.rt o%e�'uY 4�vidaol bbe cagloymvvdcrnn NvS'd.minim ln(GLI52n1(SB,.pp4ocm 6Y.6omwwvx fw.4a�eapamamaY�idr We legal n-...ef.na�loy.rmdar,W Wohd.Comp®.tioo Aa Iaodauaod” 'amPY KWi.mrmmm.Yb!.rdMbUkn.Wmest Kted.mt.t,Vudeml06u Krmu.d+fx�6. - mvrngwifioGmmdtbetGiLvcbaavrtwwx.yvwdcsc<ioa25AK1AUL 13]w,tudbNiu�°�`mafcximmillmWc .a muw gyfa5mblvpb Slj00JJO mYv'mq,avmmtofupbmeyeravdara pmry'e ioibefam K,Sbp Wakdieud• finoofSlo0.nn a2ay'.pimt me' . . . . •. . Faa.pvelydJ.(w mly - - ��•• Parmit�Nuryber ' Sipyahae ok'LoasWPcrmittoc - -. - ' ! � � �� ��> • / ' « v gdd �t v, adl � 00,1 ,sS S� f a > 2 D 1 N Z Rl p A O � 00 I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19_ Additions APPLICATION FOR PERMIT TO ALTER Repai Garage 1. Locaion -70 eAIV rl 12WA411/R A'A Lot No. 2. Owne.•'s name KAiCFR DF./I,erA/✓7ci Address 7c )h 3. Builder's name 4o" o r�u L✓. 3,a' Address RTS S+ io a:.2 F.,sin lM 9 or3». Mass.Construction Supervisor's License No. ,99--o ®-S� Expuauon Date so d. Addition r Y 'WtJi - - ZOO/O SZLWArle "flBr✓ — YRn�-s,5jda„v< ��„ » , ,.rc 5. Alteration b. New Patch 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 la lines 12. Type ofreof 13. Siding house la. Esbmamdcosc-RSV- OU The undersigned certifies that the above statements are vie in the best of his, her knowledgj and hef. Sgmimr of rerponrble a0P¢mr Remarks