31B-255 (3) 1 w
60 STATE ST BP-2000-0468
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 3 1 B-255 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category'Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0468
Project# JS-2000-0817
Est. Cost: $1200.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ROBERT W GRAHAM 011408
Lot Size(sq.ft.): 10890.00 Owner: GROWHOSKI THOMAS M&JOHN M
Zoning URC Applicant: ROBERT W GRAHAM
AT. 60 STATE ST
Applicant Address: Phone: Insurance:
20A TAFT AVE (413) 527-1623
EASTHAMPTON 01027 ISSUED ON:11/2/99 0:00:00
TO PERFORM THE FOLLOWING WORK.EXTEND OVERHANG 3 1/2' X 8'
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: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancys► nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/2/99 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
w
File#BP-2000-0468
APPLICANT/CONTACT PERSON ROBERT W GRAHAM
ADDRESS/PHONE 20A TAFT AVE (413)527-1623
PROPERTY LOCATION 60 STATE ST
MAP 3113 PARCEL 255 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid /ayg,& d
Typeof Construction: EXTEND OVERHANG 3 1/2'X 8'
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 011408
3 sets of Plans/Plot Plan
7THE 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/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 Conservation Commis
Signature o wilding Off 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.
KDEPT
CT
2 81999
/` BUILDINGINSPECTIONS
File No. gl H PTO
��O1C 10
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: �W"C�/n
T ele hone: 'Z9—
2. Owner of Property: �l
Address: llze elephone:������ 7
3. Status of Applicant: Owner Contract Purchaser Lessee
21
Other(explain):
4. Job Location: -
Parcel Id: Zoning Map# 3� Parcel# District(s): L� _
(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):
f
a6aLtz x A
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/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
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)
10. Do any signs ebst 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 cclama to be filled in
by the Baildiag Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking spaces
f of Loading Docks
Fill:
{vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true andccurate to the best of my knowled e.
DATE:
O APPLICANT's SIGNATURE ,
NOTE: Ism no of m zoning permit does not relieve a Ymp
pph- a s burden o iy t47all
zoning uire ants and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.�a 7 A Alterations
NORTHAMPTON, MASS. ���, /C� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location '� / Lot No.
2. Owner's name Address
3. Builder's nam Address 2
Mass.Construction Supervisor's License No. Expira 'on Dat Z
4. Addition
5. Alteration 1r
6. New Porch ,Z6
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 lot lines
r
12. Type of roof
13. Siding house
14. Estimated cost- �2Od i
The undersigned certifies that the above statcmcnts are true to the best of his.
knowledee and belie
Sig lure of rtsponsiblt ppicant
Remarks
c �
T4 he
A47OCT 2 g 1999ee,-(r3x),
DEPT OF$UILG GTICNS !�
;VOKTi-:11.�t;TON 4;9A OiG&0
20 TAFT AVENUE JOHN FORD ROAD
EASTHAMPTON, MA 01027 GRAHAM ASHFIELD, MA 01330
TEL. 413-527-1623 413-628-3335
ROBERT RICHARD
CONSTRUCTION BUILDING CONTRACTORS HIC. REG. 106897
LIC. 011408
COMPLETE REMODELING, ADDITIONS AND NEW CONSTRUCTION AND ROOFING
0
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oy
s $ Gritof 'Nart4aillvtun
a � �i3f iCllnfrllf
DEPARTMENT OF BUILDDIG INSPECTIONS
212 Main Street a Municipal Building
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(licenstt/pelmittee}
with a principal place of business/residence at:
EL
(phone#) ,?71
(strreeUcity/ Zip)
do hereby certify, under the pains and penalties of pelJury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
0�I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed bel9w who have the following worker's compensation policies:
A/1'my"//
(Name of Contractor) cc Cornpany/Policy Number) (Exp do ate)
(Name of Contractor) (Insurance Company/Pohcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) ` (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(stlaeh additional sheet if nocca=ry to include informsti oa pertaining to all ooatt,d )
I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware dw while homeowners wbo employ persons to do r, immance construction or repair worts on a dwelling of
not more than three units is which the homoowna raids or on the grounds appurtenant thavto are not&,axrally,000sidcred to be
employers under the ww c ooaupcasation Act(GL152,ss 1(5)),application by a homeowner for a lioease or pera3A may evidence the
legal status of an employer under the Worker&Compomstion AcL
I understand that a copy of this satemcat may be forwarded to the DW&rtmcat of rudsutrid Aogdm&Offioe of Imurance for the
ooverage vaifieatioa and that failure to seatre coverage under scctioa 23A of MGL 152 Can lead to the imposition of crimintl peaalties
oomiszing of a fine of up to S1,500.00 and/or ixnpr&mmcnt of up to one year and civil penalties in the form of a Stop Work Order and a `
fine of S 100.00 a day ag&inA mc.
For dPut=01 trap easy
Permit Number
py Lot#
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