39A-76 (51) 492 PLEASANT ST ` ' r _M;=« BP-2000-00 1 3
GIS#: , ':~:x : INWEALTH OF MASSACHUSETTS
Map:Block: 39A-076 — - = - CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2000-Q01 3
Project# JS-2.000-0013
Est. Cost: $4000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: O'Brien Construction 047357
Lot Size(sq. ft.): 66211.20 Owner: OUICKBEAM REALTY TRUST
Zoning: GB Applicant: O'Brien Construction
AT: 49,2 PLEASANT �
Applicant Address: Phone: Insurance:
75 Clayton Rd. (413) 536-2564 Workers Compensation
HOLYOKE 01040-1543 ISSUED ON:7/6/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:INTERIOR OFFICE RENOVATION - SHERIFF'S DEPT
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:
Footings:
Rough: Rough: �941�,F House# Foundation:
z41,,,Z.ox 141
Final: Final:9/'/7 )2/4 -
Rough Frame:
1-A,alf A
Gas Fire Department Fireplace/Chimney: '5'-
•
Rough: Oil: Insulation:
Final: Smoke: l rout: C k _et
THIS PERMIT MAY BE REVOKED BY THE CITY t.' NORTHAMPTON UPON VIOLATION'OF
ANY OF ITS RULES AM) REGUL•,_ ON
- j - • • • . l4,/
i•na ure:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/6/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
1'
File#BP-2000-0013
APPLICANT/CONTACT PERSON O'Brien Construction
ADDRESS/PHONE 75 Clayton Rd. (413)536-2564
PROPERTY LOCATION 492 PLEASANT ST
MAP 39A PARCEL 076 ZONE GH
THIS SECTION FOR OFFICQ U.USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FLU..,ED OUT
Fee Paid
BuildinrPermit Filled out
Fee Paid
Typeof Construction: INTERIOR OFFICE RENOVATION-SHERIFF'S DEPT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 047357
3 sets of Plans/Plot Plan
T 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/ZONTNG 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 Conservation '. ssio,
afir
r
_
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.
i i JUL 619�c R
pr* - File No. Ql• Q° B
tC .Yr .
ONING PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
t. Name of Applicant: //i / .,/l .
Address: p Telephone: i 3 Co
C
2. Owner of Property: Q UIC*'8 SRM ,e64 ry Dela
Address: id CA- PLEAS/41 '� AM
Telephone: 493 s & ` r31¢. t{
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: .. E4$q / Sine i Akif rH PT'J
if
Parcel Id: Zoning Map# at_
Parce&# [ District(s): {y'/
(TO BE FILLEDIINNnlBY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/if roperty �i✓71Q"((-
6. Description of Proposed UseNVork/Pr 'ect/Occupation: (Use additional sheets if necessary): •
ri/TEBI• PPYOilA-Trott • E °FPcE S 'r'r'FJ' • 't- Cometttutry
_..._ caee ECT)4aJ
7. Attached Plans: Sketch Plan X 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
PermitVeriance!Finding ever been issued for/on the site?�
NO IN 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_ 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 /, NO /
IF YES,describe size,type and location: S70eEFipoCt 519NJ' °Vete /7o✓e
sTORF Fieoprl + ONE gale`jkorwi ci J,v
Are there any proposed changes to or additions of signs intended for the property?YES NO K
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colo® be be filled in
by the Building ➢epertmnt
Required
Existing Proposed By Zoning
Lot size 6(a.1i,a 0211,e1
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
p 'of 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. — /�/.�� f,�
DATE: Ip/��/F'7 APPLICANT'S SIGNATURE 1-y-s:p �7ft
NOTE: Issuatt(( a of a zoning permit does not relieve an applioan a burden to comply with all
zoning requirements and obtain all required permits from the Dotard of Health. Conservation
Commission, Department at Publio Works and other applicable permit granting authorities.
FILE
•
e�nMfpyQy �--� '
a s I� 61999 •
(�iif� of Jaz#Irnnt fan 1°11`----.347—,..--.
e l ;e saa•aehusetz
ar =
EPAR'IMCN7' OP BUILDING 1NSPECTtONS �. E
"_ """ — 212-Main Street • Municipals Building ,,//1
Northampton, Mars. 01060 m l
WORKERS COMPENSATION INSURANCE AlloWAVIT
>; 0 I AlEi_ea Con() TS.07 D.4) (, u'Rerw o CAL)
. Oicensctrpers ttcc)
with a principal place of business/residence at .
'!5' 34c est,.' iff A yo e. At% Ocu _(phonefl) ar3C —07S `f
t
(sixrdfcitylstvdaip)
do hereby certify, under the pains and penalties of perjury, that:
O Tom an employer providing the following worker's compensation coverage for my
employees working on this job:
([assurance Company) (Policy Number) (Expiration Date)
( ) 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) (Insurance.Conlpany7Policy Numb) (Expiration Date)
(Name of Contractor) (Inswanu. Company/Policy Numhcr) (Ex'pirabon Date)
(Name of Conrzactor) (lusaaact Compaay/Polcy Number) (Expiration Date)
(Name of Contactor)
(Insurance to.11 Com Number)Nu ) (Lxpiation Date)
tuna„n>rv'.a,r,sm u'na�...y to�:h,a<:ofmc �
a. aa p +mne then o-acea,a)
O I am a sole proprietor and have no one working for rue.
( ) I am a home owner performing all the work myself.
NO'IEylcu be ante that\tic bcmmu-ma uta arptoy pore=to de v,t-too.+mz,os.-^vctionar rW a..hh oe a ohoosios or
rosi mega Then tletto VMI b ivhlttt the b OYovneer lc9'dc,CC W the pvuo6 yppiinned thedb M Ml evawlly torched b 1c
aiployrn under Elea tote caeqa:ration Aa(OL132.,'ar(3)),aryliauw by a hosronai Ibr a haaeo cc pawit may°tidmoe the
legal sinus of m acloy.e under the W stat Coa pamdon Ac.
I.s tad that a«ryy oftale eaLe,edmay ba forwarded ta tee Dmvtumt oflomam;.ntideas"Office of lmu..om foe the
oxaafievaSSptioa and eta fnlmc touavc mvvngv+mdaamioa23ANMOL t3]an kad to thi'ivpolitic@ ofaim6ul pmaidet
comunag of a Sae brup to S1,500.00 mNurvo<a'voce=nt of 110 b oce yeread civil radial wihcIona of a Stop Wak Ont."•
fine of SI 00.00 t,day*pmt me: ,.(! - •.
:�1, '� UG For a Number Permit x�x
At (,J(-r? 'Map# Lot a
iticS $lot • of Licensee/Pen=a S. x'61 -
'%'.':. a. aL+tCsxe: :Xa
JUL 61999 'i
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Zoning !T-.e
Miscellaneous Additions, Repairs,Alterations,etc. Tel.No.__,.. ......._ Alterations,4`
NORTHAMPTON, MASS. 9/4/t __ i9,._ Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
I, Location Y?& fhEfkshiu ' &-r eEr Lot No. ._
2. Owners name Q41CKS 4D% r4e4LT7 7l$rr ..__Address tot c4- PX#rApr SWEET'
3. Builder's name 6 'Stem.) (noir/2uf1-i0I-) _Address
Mass.Construcu.ton Supervisor's License No. C,S OY'7 3S 9 Expiration Date (eJ? GIO/
4. Addition Nkt
5, Alteration R2/001447-100 DibEErt?io,t O/ ifinekt-1410Ae-
6. New Porch NJ/f
7, Is existing building to be demolished? NO
8. Repair after the fire tilt-
9, Garage NI* No.of cars Size
10. Method of heating 6r4ini br ,i-t -" ax f3rr V6-
I I.
-II. Distance to lot lines
12. Type of roof
13. Siding house _ .......-
14, Estimated cost-4000 CO
The undersigned certifies that the above statements are true to the best of his.
t.knowt gg /
Signature of responsible apPImnt
Remarks