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File#BP-2000-0134
APPLICANT/CONTACT PERSON DAVID COE
ADDRESS/PHONE P O BOX 2121 (413)655-2516
PROPERTY LOCATION 21 MAIN ST
MAP 32A PARCEI., 138 ZONE CB
THIS SECTION FOR OI"FICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
LORING FORM FILLED OUT
Fee Paid
Building Permit Filled out ,�tt
Fee Paid ,�liad lit
Tvpeof Construction: INSTALL 3'GAS GRILL,EXHAUST HOOD&ANSUL SYSTEM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Su'udme
Building Plans Included:
Owner/St, ement or Li se 068189
3 sets of Plans/Plot Plan
THE FALLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
pproved 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 Con ervation Commission
t ?
Signature of Building Official 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.
( s • P 7 rc
• Ufrit y699 li i
P€PIOFFis- .;:, File No,
ZONING PERMIT APPLICATION (§I0 . 2)
PLEASE TYPE ORPRINTALL INFORMATION
I
1. Name of Applicant: .5.9 / 759/r
Address: /33 L`/xr �� �'�. ?N Sed Telephone: `//3 — '/ 5/7 - ?3 4"/
2. Owner of Property: 3% 'Attu
u.+ 7 �aN �H 15
Address: 1 25R 7/en iw+ $/n e1 Aeaf&m pk Telephone: 5//3 - 5.8 534 I/
3. Status of Applicant: Owner `Contract Purchaser It Lessee
Other(explain): /I //
4. Job Location: 2l 740.,) SMee rUo a�+n+Plaa✓
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UsesWork/Proj(ect/Occupation: (Use additional
sheets if necessary):Z5Ai// QA7
5 (t E) tevJ .14061 /A€.S✓/ S/34J'1
7. Attached Plans:: K /1 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 DONT KNOW V YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO x DONT 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. Do any signs exist on the property? YES )C NO •
IF YES,describe size,type and location: 3 X 8 s;5/v ov.it c%trrtw rtf
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 cola to be filled in
by the anilding Department
Required
Existing Proposed By Zoning
Lot size
Frontage ,./S4{
Setbacks - frnnt /2. 3E
- side L: '-6 R: 6 L: R:
- rear '-/ z Rf
Building height
Bldg Square footage zo Omv
%Open Space:
(Lot area minus bldg
&paved parking) /
# of -Parking Spaces /t
#- of Loading Docks
Fill:
(volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know dge. .
DATE: 7- z 3-? APPLICANT'S SIGNATUREic 1
NOTE: 1 of a zoning permit does not relieve an appli nts burden to comply with all
zoning requirements and obtain all required permits from th Board of Health. Conservation
Commission. Department of Public.Works and other applloable permit granting authorities.
FILE I
!
a.
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4
en Or.
c.
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r R = U' ' f [
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1
Zoning—_
Miscellaneous Additions.Repairs.Alterations,etc. Tel.No. __ AlterationsK
413-324. NORTHAMPTON, MASS. f y_ Additions
APPLICATION FOR PERMIT TO ALTER Recti
- "' �Q I Garage
1. Location 2 I 71144° 5 /Vont fs,mapks+ 1 Lot/ No. ( 1
2. Owner's name PR/„M/ Ai ) Address /33 Ylwr S/je'T 0`iis,Cf�
3. Builder's name DAvtI Ce5e^ Address POVnK z r z l //i.iseine 204
Mass.Construction Supervisor's License No.C$l 0 6818? Expiration Date 6-1 - z e"00
4. Addition ((''l/ ) / F/P
5. Alteration 3,05/nil 31 545 RI/// ,ASA,Wyi" hocd /ha 55v.50( 5y s We
6. New Porch d O
7, Is existing building to be demolished?
•
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
1I. Distance to lot lines
12. Type of roof
13. Siding house
14, Estimated cost- #75.00.
The undersigned certifies di the above statements are true to the best of his.
know A,e - belief.
)< /, �C ranee of eerpon.uble opp•icam
Remarks ._ .....-_
;.
- • .
OgjNlJr
BSA
PUBytt� j' QLi t NA amptoIT - •
i Ap i - saanae4nrtle
nryi ( nPARTMENT OP thILDI to JNSPECIIONS Q -V 19—e
_ . 212Mein Street ' Municipal Building -:�
( Northampton, Mass.p01060 8 v
WORKER'S COMPENSATION INSURANCE., AFFIDAVIT
I ve ( e
(t iecosedpaminee)
with a principal plan off business/residence at:
lev __ 6el _(phone104//3, 655-=2.gig
(str=t/city/statchip)
do hereby certify, under the pains and penalties of perjury, that:
Q(; I am an employer providing the following workers compensation coverage for my
employees working on this job:
Aw sun 5 Lath f t l 9135(Insurance Co )' r (Policy Number) (Exp. non Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contactors listed below who have the following worker's compensation policies:
(Name of Contractor) (1nsurM0:Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Numher) (Expiration Date)
(Name of Contractor) (insurance Company/Poky Numlvr) (Expiration Date)
(Name of Contractor) (Insurauce Company/Policy NnmHr) (Expiration Date)
(math mddit ol Thad ifiiaavry Ia k6eh&e isformsdon pattin+V to•11 ma.eMa)
) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTm picase be event thot tvhilebammwan who=play pat m abr.++.a.m- Ortrirj00'..Rpc watt ov.tootling-or
ont nxco shw ' m witz is"bi.*tbc lwmcewortrzvdn cc co%bo twat wpukwm tbueo ere¢e gmvd}y mmi&rot to to
cropleyaa vada to w.xYrfrmmpmtnieaAa(GG152y1(.3)).a{pliaioo by m Itomco..vir for m Geane or porton may .a..:.*ihe
legal Kam.ofoto.cploy.r nods els Waetoeo Comp®.jon4a
l uodveaod toot ooPyattisotot000nt may bs fornt.d to t nepomue afloa Acatote. O&er oflazv.om t L.
mvangveific dog-wd that faitmata nave OCrian011eacterzaeoa2SA4)101.151 ea:sato tbdicoccaaloaarauu+tpoalGm
camnugofafire d up to Sl,SW.Oe wdkcivi. ,..,,,4dorup a earn sad civa pm2dU uric roam ant Stop Wet Ord&and e •
foe oast oeo.day wits use: •.
tor deprotrootatlute my
Permit Number
, " a, of Ltperosee/Pcmittoo rote
j t r
ME 41999
existing
exhaust
_._. i
duct
pizza
ovens
steam
table
IProposed Gas
Grill
Front Counter
gi
Hot Harry's
21 Main Street
Northampton, Ma
Floor Plan
Not to Scale
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EQUIPME%IT t
KITCHEN VENTIL4TION SPECIALISTS
203 Main Strcet P.O. Box 265
I NORTH OXFORD, MASSACHUSETTS 01537
' S \ C E\.-E.v rs \o` J L� (508) 9873266 .;
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P.O. Box 265 - 203 Main Street
Nor b (7xtDrdt_MA 01 537 -
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