23D-040 (6) 67 MILTON ST BP-2000-0546
GIS#: COMMONWEALTH OF MASSACHUSETTS
4ap:Block:23D-_040 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:vinyl siding BUILDING PERMIT
Permit# BP-2000-0546
Project# JS-2000-0953
Est. Cost: $6300.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 15550.92 Owner: HANNIGAN WILLIAM&PAGE STACEY
Zoning:URB Applicant: All Star Insulation & Siding Co Inc
AT: 67 MILTON ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTON 01027 ISSUED ON:11/30/99 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING
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 11/30/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
9�1
3 01999
NOV File No.
=PcrP+'''' ''ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: All Star Insulation & Siding Co., Inc.
Address: 56 Franklin Street, Easthampton Telephone: 527-0044
2. Owner of Property: Stacy Page
Address: 67 Milton Street, Northampton Telephone: 586-8158
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): Contractor
4. Job Location: 67 Milton Street, Northampton
Parcel Id: Zoning Map# 317 Parcel# Lfo District(s): //.2
(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 PermitNariance/Finding ever be issued for/on the site?
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Reg' ry 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
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 eolt= to be filled in
by the Rail,i4sq Department
^—� ------ — --- Required --
Existing Proposed By Zoning
Lot size
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
# of Loadiriy Docks
Fill:
(vol-ume--& location)
•
13 . Certification: I hereby certify that the information contained herein
t is true and accurate to the best of my knowledge.
- s
DATE ��f ' APPLICANT'S SIGNATURE (n ( ill Die_Stde.01-
NOTE: Issuanoe of a zoning permit does not relieve an Lappnrs burden/to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
FILE I
O�TtVufpPO � \i . •
t, ,,,., \
Gtt, ni Nart4amptor -_,-_----..---,--_;..
;: r*"-tile '0 1999 _`;
•-4'i i 4(4• 1N, 3 Sasaachnsctts = i+
- nrrDEPARTMENT OP $UILDTTIG INSPECTIONS —`__
EP 212 Main Street • Municipal Building
Northampton, Mass. 01060 owl"
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO., INC. r
(license&permittee)
• with a principal place of business/residence at:
56 FRANKLIN STREET, EASTHAMPTON, MA (phone#) 413-527-0044
(street/ci ty/state/ri p)
do hereby certify, under the pains and penalties of penury, that:
(x) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
Kemper 3BI-042527-01 8-12-00
(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 Na:i)er) (Expiration Date)
(anac#t additional sheet if necessary to include information pertaining to all ooatracton)
( ) I am a sole proprietor and have no one worl,dng for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homeowners who employ persons to do maintenance,construction or repair work on I dwelling of
not more than three waits is which the homeowner resides or on the grounds appurtenant thereto are not generally ooasidcrcd to be
employers under the worker's oompensuioa Act(OL152,ss 1(5)),application by a homeowxr fora license or permit may evidence the
legal status of an employer under the Wonders Compensation Act
I understand that a copy of this etatcment any be forwarded to the Department of Industrial Accidents'Of'ioe of Iawrwnoe for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S 1.500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
8uo of 4100.00 a day agaiast me.
Foe departmental use oaty
Permit Number
Map# _Lot#
Si Li ermittee
z
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aal 12
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Mar
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-8158 Alterations
_ NORTHAMPTON, MASS. Novar er 26, 19 99 Additions
il,.} :,[:1 Repair
APPLICATION FOR PERMIT TO ALTER
:. -- Garage
1. Location 67 Milton Street, Northarpton Lot No.
2. Owners name Stacy Page Address 67 Milton Street, Northampton
3. Builder's name All Star Insulation & Siding Co., INC. Address 56 Franklin Street, Eastharpton
Mass.Construction Supervisor's License No. 101858 Expiration Date 6/00
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 INSTALLATION OF VINYL SIDING
14. Estimated cost- $6,300.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge an belief. `
Signature of r ponsible applicant
Remarks INSTALLATION OF VINYL SIDING