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32C-224 (43)&"14 A BayBank e /e 7-..s_ U41--Izza,47 -Z--- - - --- f�. 40 L L804 i8 51: 38 L.I.06 36811' 34S ,�I i t , LICENSE RENEWAL APPLICATION PAUL D BURNS 22 KNIGHT AV EASTHAMPTON, MA 01027 LICENSE TYPE: CONSTRUCTION SUPERVISOR LICENSE #: CS 010752 EXPIRES: 08/09/1995 BIRTHDATE: 08/09/1944 RENEWAL FEE: $100.00 SOCIAL SECURITY #: 024-32-2482 Do you hold any other Massachusetts License as an Engineer, Fireman, or Hoisting Engineer, Etc? IF Yes, list: Type Class Number A0 LICENSE # CS 010752 For State use only - DPS renewal Please print corrections above. RESTRICTIONS: 00 00 - None 1A - Masonry only 1G - 1 & 2 Family Homes I am now Employed by: �J19.SbNrZ AS: 1 ce ii y under penalties of penury that to the best of my knowledge and beiiei the license information above is correct and I have filed all state tax returns and paid all s taxes req ed b law. Date Signat of pplicant LICENSE WILL NOT BE ISSUED UNLESS ATTESTATION HAS BEEN COMPLETED AND SIGNED BY THE APPLICANT. (Authority: C. 62C, S. 49L, MGL, as amended by C. 233 Acts of 1983) "LICENSES NOT RENEWED BY THE EXPIRATION DATE SHALL BECOME VOID, AND SHALL AFTER ONE YEAR BE REINSTATED ONLY BY REEXAMINATION OF THE LICENSEE." (Authority C. 43, C.146, C.148, MGL) ENCLOSE CHECK OR MONEY ORDER FOR REQUIRED RENEWAL FEE (PLEASE WRITE THE LICENSE NUMBER ON THE CHECK). MAKE PAYABLE THE "COMMISSIONER OF PUBLIC SAFETY". MAIL THE RENEWAL FORM WITH PAYMENT TO THE ATTENTION OF THE CASHIER'S OFFICE AT,THE ABOVE ADDRESS. ALL CHANGE OF ADDRESS REQUEST MUST BE SUBMITTED IN WRITING. Q Zoning a n Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. 1-5 `-7'12 6S 7 7 Alterations NORTHAMPTON, MASS. U//q/V 19 f Additions APPLICaATION FOR PERMIT TO ALTER Repair Garage 1. Location 7 dr11 G L �Z ' /V Z) ,f % f-//a/V 10 -P Lot No. 2. Owner's name X G / e� zf-�/q Address 3. Builder's name Z), /00/tcWS Address Mass. Construction Supervisor's License No. e2 7 Expiration Date / �7 7 4. Addition 5. Alteration G %Cis c�/C'�SS 2) /J k� 7" �/ •`�'% T 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage 10. Method of heating 11. Distance to lot line 12. Type of roof 13. Siding house 14. Estimated cost:- 7' Remarks No. of cars S i The undersigned certifiestha above statements are true to the best of his, her knowledge and belief. , // Signature of rgoohsible appicant 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 colum to be filled in by the Building Department ij. c:errixicatlon: I hereby certify that the information contained herein r is true and accurate to the best of my knowledge. DA=TE: / APPLICANT s SIGNATURE p ' �, 1 L NOTE: Iss anoe of a zoning permit does not relieve an appl o nva burden to/fiHompty with all zaning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable perk -nit granting authorities. FILE # Existing Proposed mequirea 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) # .of -Parking spaces f %,f Loading Docks Fill: (vol -time--& location) ij. c:errixicatlon: I hereby certify that the information contained herein r is true and accurate to the best of my knowledge. DA=TE: / APPLICANT s SIGNATURE p ' �, 1 L NOTE: Iss anoe of a zoning permit does not relieve an appl o nva burden to/fiHompty with all zaning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable perk -nit granting authorities. FILE # �C JAN 4 15� File No. n ZONING PERMIT APPLICATION (§10.2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: / P(/��V Address: Za L/E Telephone: 4�171 .3 2. Owner of Property: /7ril� / f _ �i�f Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain): 4. Street Address: -% —� V Parcel Id: Zoning Map# 30? Parcel#.2-24Z District(s): 5 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 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/Vadance/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 DONT 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) FILE # 9 C 195- 5 4 APPLICANT/CONTACT PERSON:L I�A-2 ADDRESS/PHONE: ` PROPERTY LOCATION:` MAP ; j� ('_� PARCEL: ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERNHT APPLICATION CHECKLIST L:XAAp`p_ro­ve_d 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-Bd of Health Well Water Potability -Bd Health Permit fro p4CpnservatjotvCommiss Signature of Building Inspector Date NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with ail zoning requirements and obtain all required permits from the Board of Health, Conservation Commlesion, Department of Pubiio Works and other applioabie permit granting authorltles.