22B-058 (16) 45 SPRING ST BP-2000-0072
GIS#: COMMONWEALTH OF MASSACHUSETTS
u�ur,�:
Map:Bl u CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-2000-0072
Project# JS-2000-01 19
Est.Cost:$3720.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Alan Shumway 013908
Lot Sizetsq.ft.): 201 24.72 Owner: WILKINSON FRANCIS C&CATHERIN
Zoning:GI Applicant: Alan Shumway
AT: 45 SPRING ST
Applicant Address: Phone: Insurance:
625 EAST PLEASANT ST Workers Compensation
AMHERST 01002 ISSUED ON:7/22/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE PORCH ROOF
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 gignature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/22/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
gillt11241
JL22 IIPX ' ".J
DEPT OF PI;IL DING IMe_ File No.Apo d ��
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 7A7 c (Art teriv
Address: /.7 j Telephone:
2. Owner of Property: 774-/10.5 1E'±J1t''!5
Address: S� c fi/K/ ST Telephone:
3. Status of Applicant: Owner/ —ontract Purchaser Lessee
Other(explain):
4. Job Location: / < C*/1'7 57
Parcel Id: Zoning Map# de9B Parcel# 5 O District(s):
(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):
__57.-// e 7 /1 fefiel
//75/(a ( clie;77e
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 PermitNariance/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 exist on the property? YES NO 141
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 filed 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:
{vo1-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: � APPLICANT's SIGNATURE
NOTE: Iss?//;?
anof a zoning6 permit does not relieve an IioanYs en to oom wit 11
zoningn a
requirements and obtain ell required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting suthoritios.
FILE I
ACORD CERTIFICATE OF LIABILITY INSURANCECSR SF DATE(MM/DD/YY)
SHUMR50 05/27/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IRM Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Barry M. Stephens, CPCU HOLDER.THIS.CERTIFICATE DOES NOT AMEND, EXTEND OR
73 Market Place, P 0 Box 4580 jN ALTER T}1E COVERAGE AFFORDED BY THE POLICIES BELOW.
Springfield MA 01101-4580 U •
Phone: 413-781-0416 Fax:413-734-8525 INSURERS AFFORDING COVERAGE
INSURED _ 2 Itu1999lit General Insurance Co.
INSURER B:
Alan Shumway Roofing ! I
Alan Shumway dba —aNSURERG:-
625 E Pleasant Avenue DEPTOFBUILD 1 ^ EGTIONS
Amherst MA 01002 NORTHAMPT ,, ,�.
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE I POLICY EFFECTIVE POLICY EXPIRATION LTRPOLICY KAISER I DATE MM/DD NY){ /YY)_ DATE(MN/DD LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $
CLAIMS MADE -L JI OCCUR MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMT APPLIES PER: PRODUCTS-COMP/OP AGG $
POLICY PRO- LOC
JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE
$
RETENTION $ $
WORKERS COMPENSATION ANDWCSIAiU-
X TORY LIMITS OER
EMPLOYERS LIABILITY
A SWC17001503 '04/10/99 04/10/00 E.L.EACH ACCIDENT $ 100000
E.L.DISEASE-EA EMPLOYEE $ 100000
E.L.DISEASE-POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
NORTHCO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Northampton Counsel on Aging EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Memorial Hall DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Ruth
240 Main Street LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
Northampton MA 01060 ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
IRM Insurance Agency, Inc.
ACORD 25-S(7/97) " ACORD CORPORATION 1988
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70 '�
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
1 NORTHAMPTON, MASS. �/� 19 Additions
>
"•}= 9' APPLICATION FOR RMIT TO ALTER Repair
Garage
1. Location ri `1,l/7 Lot No.
2. Owner's name E7 YlS t 7�faZ Sad Address f ,ytiy7 .S73. Builder's name 794 5� �7 '- Address /- /� . f c/7 ti7.1-0,4'/
Mass.Construction Supervisor's License No, 0/3pg Expiration Date �z01Y�
4. Addition
5. Alteration
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 cos
iti
3, e) ,. G�/
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. ;
}}
Sin re of responsible appicani ,)-
Remarks 57t° it
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