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24A-007 (2) A , 45 TERRACE LANE BP-2000-01 23 GIS#: COMMONWEALTH OF MASSACHUSETTS Ma :B CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2000-01 23 Project# JS-2000-01 86 Est. Cost:$900.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Quinlan Builders 101707 Lot Size(sq.ft.): 17293.32 Owner: MICHELMAN MARA DEE Zoning:URB Applicant: Quinlan Builders AT: 45 TERRACE LANE Applicant Address: Phone: Insurance: 5 Hillside Dr (413) 585-0949 HADLEY 01035 ISSUED ON:8/2/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE 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 Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 8/2/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo oripDMOF ,, File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: /o,, N,..//,'9--' Address: 47 4, //c, c Telephone: c CY- <-3 2. Owner of Property: c s o -e 1�1 t ti r /ii. ray Address: qS T.tv.,'-e,c c LA) Telephone: - 0/9 gi 3. Status of Applicant: Owner V Contract Purchaser Lessee Other(explain): 4. Job Location: tic rV► J ('?. LAi Parcel Id: Zoning Map# 029/4— Parcel# 7 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): (� C�.;.: a ���jt- s o J t( C Er, A // ro f.Ur d c t^r o � %�1/N e �JA-r✓�'l 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 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 - 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. DATE: F/2 APPLICANT'S SIGNATURE (*-,- NOTE: Issuanoe of a zoning permit does not relieve an applioants den to comply with all zoning requirements end obtain all required permits from the Boa of Health, Conservation Commission, Department of Publio Works end other applicable permit granting authorities. FILE # .s: • ljtt�f Py ' ` ` © G. iaf AT anmfart -• • =*_b trk, El Ts.4 ir41. 4.".4 1' 40;--1J I vrez ' ', DE . ' ENT OF BUILDING INSPECTIONS �� • • c�Fp +;ti 21,2•Main Street ' Municipal•Building C t I ti�T o•r�u••r,`�1 ',.„:Northampton, Mass. 01060 -"two v* WORKER'S COMPENSATION INSU1tANCE AFFI.DA.VTT 1- (licc>Ludpermitccc) • with a principal place of business/residence at: • 7 (I, II , di- x l.- • (phone#) s-ef y-- 3 (etzca/city/state/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) ( � ttor,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) (attach additional sheet ifneoesury to include information pertaining to all oodrndon) (tlf 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 wbilo bomoowoo who ccaploy petsoas to do e•mt.,, oocs ructioa•or repair work on a dwelling of not morn than throo usuts in wbioh the homeowner resides or oo the grvua6 sppurtenaat thereto are cot Coo rally consider d to be employers under tbo worker's cempensation Act(GL15743 t(5)),appli.aeioo bra homeowner fa a rioraoe ce permit may cvidcooc the legal statue of an employer uodart o Workoc'a Compemaiion Act I uadcrataiad that a copy of his ct:danced maybe forwarded to tba Dcparmxat of Lxfaastrial Ar sdmtle OfSo.of Unwraps*for the covetage.vcriieation and that failure to secure oovrrago under soctiea 23A of MOL 15i eaa tad to tba icepmitioa of criminal pecdtics • , consisting of a tux neup to 21.95040 mdla im ow ptisoomcat of tip to o year sod civil pam form of is the fo of a Stop Work Order lad a :' fine of S100 00 a day against we: • • For dcpartmentaI um*only • J -b L t Number Lot : � esauttce /�l�teq • . r111rurr.•....._ . J s ,a '0 o v to � ,,,,' ni ° o' \-- ,==. "„ 70 rn �J 3O -' zm." �, F = S 12 !3Nxi _ --1 tii -� m a._9 5 -71. ; N V] •T r t� xi (7-1341 \,, ,0 ml Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ilk=� NORTHAMPTON, MASS. 19 Additions " A' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ys /.P,-nay-� 2A-1 Lot No. 2. Owner's name S.4 alc✓c, /'►'1; Q .4 P/.31.1 �, Address Ts" 7-,:-...,,-,, t 3. Builder's name /o ,.,, C2‘,.',) 41", Address `3 /obi"if. i)'� Mass.Construction Supervisor's License No. 0 ) / a 67'3 Expiration Date e2/o 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 S/., i,, S -hpt/( Ro.Pi,.►r o lr : V J il„4_2A K.',-�- i - 4 Stii. ,,,,j (..;)r. 13. Siding house / 14. Estimated cost- 9 uu o „ The undersigned certifies that the above statements are true to the best of his knowledge and belief. ciq_....4 Signature of responsible app.icant Remarks