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18D-053 (16) dira 80 DAMN RD 1$8J BP-2000-0664 GIS 4: COMMONWEALTH OF MASSACHUSETTS Map:Block: 1,p-053 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: FILE DAMAGE BUILDING PERMIT Permit# BP-2000-0664 Project# J S-2000-1216 Est. Cost: S 50000.00 Fee: $250.Of PERMISSION IS HEREBY GRANTED TO: Const. CL1s._ Contractor: License: Use Grccuu: GPS BUILDERS 053457 Lot ,A ft.): Owner: RIVER RUN CONDO ASSOC Zoning: GAWP Applicant: GPS BUILDERS AT: 80 DAMON RD Applicant Address: Phone: Insurance: 125FRANK B MURRAY (413) 739-3341 Workers Compensation SPRINGFIELD 01 103 ISSUED ON:1/18/00 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR FIRE DAMAGE BLDG 3, Units 304,204,106 1 OSI THIS CARD SO IT IS VISIBLE FROM THE STREET i ,spector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: ttot- iCeri, ct Footings: Rough: Rough:�j,#.w '''s/ i House# Foundation: Final: Final: Rough C2 me0 ��-)-66 �2 Gis Fire Department Fireplace/Chimney: Rough: Oil: Insulation: )( 77 j Final: Smoke: ` Final: De?II 3c� eh- THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy— 7 signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1/18/00 0:00:00 3344 $250.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo • x . 44, File#BP-2000-0664 APPLICANT/CONTACT PERSON GPS BUILDERS ADDRESS/PHONE 125 FRANK B MURRAY (413)739-3341 PROPERTY LOCATION 80 DAMON RD MAP 18D PARCEL 053 ZONE GI/WP 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,;51Y ds--a — Typeof Construction: REPAIR FIRE DAMAGE BLDG 3,Units 304,204,106 New Construction Non Structural interior renovations Addition to Existing, Accessory Structure Building Plans Included: Owner/Statement or License 053457 3 sets of Plans/Plot Plan THE FOLLOWING 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 'ewer Availability Septic Approval Board of Health Well Water Potabili , Board of Health Permit from Conservation Commission Signature of Building 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. it Li 1 JAN 18 2000 File No. ?/6-6 / DEPT Of BUl!M NG INSPECTIONS N,-�. 6C ZONING PERMIT APPLICATIO (§10 . 2) PLEASE TYPE OR PRINT ALL INF RMATION —1. Name of Applicant: G/ei Gorey P STiPi�?',c�c/� dda. 6/a5J/7ILEr25 Address: /?s/'iPA& ' /Llu/f4 t/5./ �,2/n/6F/l-t D rye Telephone: y/ - �� 2. Owner of Property: /vEx.iun/C aNDo 4150c/4ri oic.// &JP 7/-16/c- fh fA//afScxiATrs Address: 2)4r(1 o/✓ /9or9o/ /✓o"Nr4M/aro d/ Telephone: 6//3- SSs- 4?-7?ZS 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain):. Job Location: &i,,,Qin1& # //,,,3 GfNres 4e"3, 15C- 611 1/4 , Parcel Id: Zoning Map# ; Parcel# 5 7--) District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /r4-7/.0FN1.2A 1 0-1,0or11,Ai/4/Ai S �_ 6. Description of Proposed Us %Workk2roject/Occupation: (Use additional sheets if necessary): "ice AMr9G6 4 6-4.1.=GYeiG/4G RFi4A/reS /?.d A-14 S/D/itJ E,e4zWS /ZGF/C.9/K/.✓6 D,1,2146 P rfr'tc,q-j Mi fee:,JT/os/ 1 R .,,,4 /3,C�/at2 /Nip?!ram S 6 //SN / 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 L/ 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 Doc ment# 9. Does the site contain a brook, body of water or wetlands? NO N'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation C mmission? Needs to be obtained Obtained ,date i ued: (FORM CONTINUES ON OTHER SIDE) • 10. Do any signs exist on the property? YES V 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 Scalding I?epartment 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 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 knowledge. /ol2�p ICANT's SIGNATURE jN9TE: l uenoe of a zoningi/;\ er It does not relieve an appl4o is burden to comply with all \- bning requirements end obt all required permits from the Board of Health, Conserwntion Commission, Department of Public) Works and other applioable permit granting authorities. FILE I �tiAMp 0-) lJ F....�11 bk,,k_rtic; JAN Nartilampton ILF BUILi;; -'—°�,a, 4RTMENT OP BUILDITIG INSPECTIONS IPJSPECTI ° OS r$ UlG� 2 Main Street • Municipal Building 'Northampton, Mass. 01060 ~ WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, 6il?��o2 y P -%41,4�i�rvGr�c_ cG,d a �2s, e.e/ (licensee/permittee) with a principal place of business/residence at: /a7�1R4ivK /(w,e 4),0 d/(0 3 1phone#) yj3,�13 y 3 f'// • (st1txt/city/stafe/rip) 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 sole proprietor general contractor or homeowner (circle one) and have hired the contr o e ow who have the following worker's compensation policies: (L�Cgiet c- (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) l7£ DD (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) ®�Juc �OR/i✓ FiA/6- (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional sheet ifnr,rrt..ry to include information pertaining to all contractors) ( ) 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 that while homeowners who employ person to do mainfrnanrr,construction or repair work on a dwelling of not more than throe units in which the homeowner resides or on the grounds appurtenant thereto ate not generally mesidard to be employers under the worker's n rope-aj'kn Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers Compensation Act I understand that a copy of this statement may be forwarded to the Department of Industrial A.+cidents'Offioe of Insurance 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 S1,500.00 and/or imprison of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against tne. For departmental use only Permit Number _ d� /_�il' II30e Mao Lot# fr Of Licensee/Pernnttee T� Y _ ., • . .v 'n . 't7 tc:„., , L ••-;.. ,,,. ...r., t.D �^I a o `° o' -v r a1IV a O Z m op r- t _ f R "ti -2 I. `; z z o �' I.�� - ^� m 717 -, Zoning Miscellaneous Additions, Repairs.Alterations,etc. Tel.No. Alterations ilk) . NORTHAMPTON, MASS. _i9 Additions Repair ` } ' APPLICATION FOR PERMIT TO ALTER 0' Garage b. 1. Location �IJ�AZ ,e�(„/ — /3t.�� 3 - OAn4 o,J 1,2<JA,. Lot No. 2. Owner's name 7ilr.2/ealc) 6,,N6O 4s3-oCAAAii uA) Address P4 00aid g0.9./ Na/?77-44au/,iV J rtm- 3. Builder's name G<°.�t '«. L--- Address /.?f 6f/-1a/<ei/lei1ei7.4y/A fP�iAgi /62.r,/V/4-ailo3 Mass. Construction Supervisor's License No. C5 0534/3'7 Expiration Date r- 2/- 20o/ 4. Addition "1/4/ 5. Alteration NA 6. New Porch /`)lA 7. Is existing building to be demolished? II2,gL ,DE/u0 A .,--/fE/� Oi(,2 ;,e /, )a/2EPr-_ 8. Repair after the fire /idol I?EP4/A2 INCL ,FRAMiiti / S/Din/6 RNPil iR /ivGL-F<?AM/N!s//A!?c:<?iv2 rr ORyw,a c 9. Garage AI//-k No. of cars Size 10. Method of heating rZE4A4i e 11. Distance to lot lines ^///4 12. Type of roof Ft-AT - /'wF,3e 2. o'E, - cvaoa f,e,4,u G,0 .4 y ee,voo LAG//1BIi/54/24 45P1/41-7- S/a:,./6c.E$_ 13. Siding house Vl,VYL 14. Estimated cost:- ,�6/moo /- The undersigned certifies that the above statements are true to the best of his. know dge and belief. Signature of responsible app,icant Remarks ` //°Ef)AA+9A6C- REAoq/,e -0 b-563•.2-7,4/6 aN,oaM/i✓/ups A- . 1/ .?df •e/6 /N ', GLo /xiG- E1 - ii,e,C,/L "4.---ea in,,,./6 E1(l'ER,o,e 4//a 6.1-. /=g41v1, t// ieE/'AA AR TI> /Za0/ 4 ET'"Fie i ,�RT/•'/L /tAEi°/aii2 7!� 2 "°/FGvoR l7CLd' • LL /aa!!/ I DANGER /ID —3 *it- ) ) i--._'1,,Pit,',' This Structure Is Declared Unsafe For Human Occupancyor Use. )) It Is Unlawful For Any Person To ..,„Use Or Occupy This Building ,,., After /� � 60 ,,:, „ : Any Unauthorized Person Removing This Sign WILL BE PROSECUTED i . ()/tivri -w/ ,,,e;m6, i. 1", i ...„- -* . Address of Building Building Official Code Art. / Sec. ate'L7/1- 66 . Refer To Ordinance No. i ��j.Y ,47-2 DANGER This Structure Is Declared Unsafe For Huiian Occupancy Use. It Is Unlawful For Any Person To Use Or Occupy1 This Building After F /2,0o Any Unauthorized Person Removing This, Sign WILL BE PROSEC TES 111 l 0. & /5(Per--3 Address of Building BuildingOfficial Code / Art. fF Sec. /7 0)/Date I "rdinance No SWANS II