22B-058 (15) r t
45 SPRING ST BP-2000-01 26
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map_m_ i_ammaporp. CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-01 26
Project# JS-2000-0119
Est.Cost: $2300.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JASON PAYETTE 069006
Lot Size(sq. ft.): 20124.72 Owner: WILKINSON FRANCIS C&CATHERIN
Zoning:GI Applicant: JASON PAYETTE
AT: 45 SPRING ST
Applicant Address: Phone: Insurance:
157 SOUTH SHELBURNE RD (413) 774-7187
GREENFIELD 01301 ISSUED ON:8/3/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE EXISTING BULKHEAD
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 Occupancy signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 8/3/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
f ,
File#BP-2000-0126
APPLICANT/CONTACT PERSON JASON PAYETTE
ADDRESS/PHONE 157 SOUTH SHELBURNE RD (413)774-7187
PROPERTY LOCATION 45 SPRING ST
MAP 22B PARCEL 058 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid >3/ )5
Typeof Construction: REPLACE EXISTING BULKHEAD
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 069006
3 sets of Plans/Plot Plan
THE F OWING 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 Conservation Commis •
Signature of Bui ding 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.
qD s T L d N
u 1---;27;;;-1-1 - j67-- ����'
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File No.
DEPT OF BIiIj niF�cPa
� i'; rTioNS
'''LL'� zO NG PERMIT APPLICATION (S10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:- 0.s, ----k-----), _, Q lk-k—Q___2,.(-NA—
Address: ( `> SI`cam\N,-40s,3Q. as r..:1\ .Telephone: kks"s.--C L\ \@`7
2. Owner of Property: .t�,._,.___e_` ` C/. . \'C�•,ct e;
Address:'S 5 pc �`C(fAn+- a9_ (kC Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 2-v ('„ n_ �-\ :___ _ \(4`.QAr,32_,.a_. Y`_-l..t.
Parcel Id: Zoning Map# dd B Parcel# 51 District(s): 6L
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
z
5. Existing Use of Structure/Property d C. '% �_ C_�- . �e,\---r--- CO cam(
6. Description of Pr sed Use/Work/Project/Oc upation: (Use additional sheets^if necessary
e&.
—1-1—:,—,--\C-6 C\--...m.1`' .-cl--
7. Attached Plans: Sketch Plan Site Plan C < 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 PermitNariance/Finding ever been issued for/on the site?
NO X' DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO AV'', 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 k. 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 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 column to be filled in
by the Building Department
Required
Existing Proposed 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
#` of Loading Docks
Fill:
<vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my kn w1e
DATE'.
- Z-- ' c� "� APPLICANT'S SIGNATURE
NOTE: issuanoe of a zoning permit does not relieve an plioanrs burd to oomply watt71 all
Czoning requirements end obtain all required permits from the Board of alth. Conservation
ommission, Department of Public Works and other applicable permit granting authorities.
FILE # � `
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AUG 2 19GG i ± a T f/antpftin • �:_*=_,
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1+��•'�,:��; DEPT OF BUILDING INSPECTIONS 1 • "
. , NORTHAMPTON,MA 0100EPAR ENT OP BUILDING INSPECTIONS • C =_ I i_
•
• . 212'Main Street ' Municipal'Building
Northampton, Macs. 01060 �'Ino"
•
WORKER'S COMPENSATION INSURANCE AFFIDAVIT'
•
•
1, CDL 0cr,s== Cmc
• (liccascclperraittec)
with a • cipal place of business/residence at:
t ..�� � c,t0� � c K- 'o� 1 (phone# L1(�-� 7 7O a ! Lj
�/ (strc deity/stale/zip) )
do hereby certify, under the pains and penalties of perjury, 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)
( ) 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 Company/Policy Number) (Expiration Date)
•
(Name of Contractor) (Insurance Company/Policy Number) .(Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(nude additioml Alec(ifnoomary to isoc.h de infoc'anatioo pct-o,iaiag to alb ooatrndoc)
''4 I and a sole proprietor and have no one worldng for me.
( ) I am a home owner performing all the work myself.
NOTE:please be=were that v✓biJo bomcownm who cuploy pawm to do'*.:,•+.-.,n ram.--Yuctioo•ar repair work on a dwctling of
not morn then throe traits is which the homeowner mid,or co the gtoua6 appurtetwa tbereso arc not L'ax:ratty 000andard to be
employers under deo worker's c ocnpcas:tim Act(GLI52 sa t(5)),application by•bomcow&i for a t ccnec or permit m„y cvidcnoc dx
legal atanu onto employs rids the Workcea Ce•wpemalioo Ad..
I uadcstxad that a copy of Wu' cit<tcooccs may be forwarded to the Dcperto mt of Industrial Aocideotor Offiu of reon oo.for the .
oovattge verifieaioe and that failure to secure oovasso wader soctioo?3Aof (GL 15i can tart to the imposition of cticules!penalties . :i .
c g oh•fine tef up to S 1� ®00.00 ardor itepcisocM of tip to one year sod and penalties is the form of a Stop Work.Order and a
Elio of s100.00 a day aping me •
•
• •For depatzers eluse*aty
Permit Number
Maps Lot - . _ _ ..
`4.. S' of Licci scelP • Date
71 i , ,
.,._ 70 'C
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
Iir NORTHAMPTON, MASS. 19 Additions
Repair
', `.}: APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 2 F'c-- %iN ` \---\i;' CV--C;C---a2_,‘Ng_ Q___,‘ \ Lot No.
2. Owner's name --ra�a.,�c..�9 ` i 4,- 4 Address ZS �Q r<&�-A r T'k� <�
°t 1
3. Builder's name�eo_��(� `�a.y.SL� Address tS'1 S t�.� ��. nk.. � t� �N1�.,
a, ` Ni ct- Ll /"
Mass.Construction Supervisor's License No. cy.api an C . 17 Ao1q Expiration Date /0-rb-� a
4. Addition
5. Alteration 4 _ \
�� �c:�tL�u Ces� �{ � ��dct� -� S�o i�e—oa
6. New Porch
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
12. Type of roof
13. Siding house
14. Estimated cost:- 1 (^;0
G— The undersigned certifies that the above statements are true to the best of his.
knowledge and be
G-
Signa e of responsible applicant
Remarks i
.W.'
•U AUG 2 1999 -
.. DEPT OF BUILDING INSPECTIONS
NORTHAMPTON MA 01060 ,
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