24A-013 (2) M R
106 PROSPECT AVE BP-1999-0589
GIS#: ONIP COMMONWEALTH OF MASSACHUSETTS
Map:
Block: / 1 CITY OF NORTHAMPTON
Lot: 001
Permit: Building
Category: roofing BUILDING PERMIT
Permit# BP-1999-0589
Project# JS-1999-1109
Est.Cost: $2,968.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: George Thibodo HIC- 107483
Lot Size(sq.ft.): 25047 Owner: MCMAHON EDWARD J&MARY A
Zoning: URB Applicant: George Thibodo
Units Gained:
Units Lost: AT: 106 PROSPECT AVE
ISSUED ON: 17-Dec-1998 EXPIRES ON: 17-Jun-1999
TO PERFORM THE FOLLOWING WORK:
ROOF OVER EXISTING 1 LAYER
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:
Fireplace/Chimney:
Gas Fire Department Board of Health
Insulation:
Rough: Oil:
Final:
Final: Smoke:
Treasury:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Roofmg REC-1999-001633 17-Dec-98 1816 $20.001
212 Main Street,Phone:(413)587-1240,Fax:(413)587-1272
GeoTMS®1998 Des Lauriers&Associates,Inc.
,
�*II�i DEC 16199C
_‘[.
1 File No. 4el 9.4
DEl OF o ii0't°'•G ll SPECTIONS
NORTrIW TCeN MA 01u60 .-
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: -e0/y. A Zia
Address: / PA// A ,� Telephone: f27-a yys
2. Owner of Property: T�1_1A y 11L"kW
Address: 004e 73074,n! ,jb'c' Telephone: �9 ' /////,
3. Status of Applicant: Owner !/ Contract Purchaser Lessee
Other(explain):
4. Job Location: /01' P,0 el. 1 IUe
Parcel Id: Zoning Map# 2-`f Parcel# 1 3 District(s): UOL&;
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property , ow) Q,
6. Description of Proposed UselWork/Project/Occupation: (Use additional sheets if necessary): •
IP% fat,,-(' flv'u (1) Af))/eV
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 1/ 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 NOV
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
a
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking Spaces
# fof Loading Docks
Fill:
-(volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowled e.
DATE: / // 7 .p
APPLICANT'S SIGNATURE � 1
„,
NOTE: Issu no of a zoning permit does not relieve an applicant's burden to oo PP mply with all
zoning
requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Public Works and other applicable permit granting authorities.
FILE #
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Y to Z
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. Alterations
jig.(""'%r NORTHAMPTON, MASS. /S I q Additions
%4' APPLICATION FOR PERMIT TO ALTER Repair
a.� n Garage
1. Location /0e/ L%W C7b / / n Lot No.
2. Owner's name �d �1 if�F A61191o6 Address AV/ Y/0 5 t,c 4i2 d
3. Builder's name 6. 1-A,bo4/o f o 'n9 4 S/ Address 177 Pihff/ E'fog
Mass.Construction Supervisor's License No. ,//G 9
/O, '(P.? Expiration Date g 3 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 /g1 PO(re
0/A,k //) 4 t))/ct R
13. Siding house
14. Estimated cost:-
219'
/ The undersigned certifies that the above statements are true to the best of his, h
knowledge and , ief.
,94a
Signature of responsible app.scant
Remarks P.) G ( (/ (/) !n 19Y.g -,
, ttAMP,4. E lJ, r. „,_ - t !
s a° v e D t Crz# a z#fyaii� # 1t
.&,R` DEC$ J:j j B Cv assxcETusctis
iV;i4a silo'
-m DEPARTMENT OF BUII.DI71G INSPECTIONS
• 212 Main Street ' Municipal Building
Northampton, Mass. 01060 _'� :
WORKER'S COMPENSATION INSURANCE AF F'UJAVIT
I-1iAo
(licenseeJpermittee)
with a principal place of business/residence/ at:
/i PAHI� 'tor) (phone#) .5"t,2 '%"4).,yyg
(s ti cet/city/staieJap)
do hereby certify, under the pains and penalties of penury, 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 amca sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
6cu. Iij/0,16 ni/VMah1e) / /4ri.) 1,,
(Name of Contractor) (Insurance Company/Policy Number) ' don 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) (E)cpiration Date)
(attach additional sheet ifnee,--4■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 persons to do=lintrnrnn coast action or repair work on a dwelling of
not more than throe units in whi h the homeowner resides or oa the grounds appurtenant thereto arc not generally considered to be
employers under the workee s compensation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may cvideixoe the
legal status of an employer under the Workeea Compemation Art
I understand that a copy of this etatcm at may be forwarded to the Depertrann of Indust ied Accidents'Offioe of Insurance for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the iatposition of criminal penallie t
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
fins of 5100.00 a day against tea
For d use airy
Permit Number
•
l / //),, ,/ Map# Lot#
Signature of Licensee.FPermittrw;