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24A-022 (6) 83 RIDGEWOOD TERR BP-2000-0338 GIs#: COMMONWEALTH OF MASSACHUSETTS biati:Bioctuk. CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2000-0338 Project# JS-2000-0553 Est. Cost: $7700.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: William Gnatek 100088 Lot Size(sq.ft.): 10018.80 Owner: SHEEHAN NANCY Zoning:URB Applicant: William Gnatek AT: 83 RIDGEWOOD TERR Applicant Address: Phone: Insurance: P 0 Box 204 (413) 584-5682 HADLEY 01035 ISSUED ON:09/24/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE HOUSE BREEZEWAY, & GARAGE 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 09/24/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo \-n- ' .as n 1 -) ut"' 1\].\\0 1 SEP 2 4 1999 /J O 033 File No DE PORTHA I_SON INMSPECT�ONS ONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: William Gnatek Address:240 Russell St . Hadley ,Ma Telephone: (413) 584-5682 2. Owner of Property: Nancy Sheehan Address: 83 Ridgewood Terr. Telephone: (413) 586-0681 Northampton, Ma 01060 3. Status of Applicant: Owner X Contract Purchaser Lessee Other(explain): 4. Job Location: 83 Ridgewood Terrace Parcel Id: Zoning Map#__Ak___ Parcel# AR District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Single family residence i i 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Stripping of house , breezeway , and garage roof. 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 X 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 X 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) r 10. Do any signs exist on the property? YES NO X 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. Thi5 corm to be Pilled in by the Building Department Required N/A Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage f %Open Space: •(Lot area minus bldg &paved parking) # of -Parking Spaces f of Loading Docks Fill: :(vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: S-d c/ ^ C2P APPLICANT'S SIGNATURE /2 27,Lt NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities. `".`„ FIL1 • ,( �,p' '} I \ t tr**----____ it.:117.-19! 'i SEP 7/ i'' 4 . ,,,,, g r:: 0 i./±4-Jai-Nazi lientilfon • 1- . (4% ©FPrO bEP SRTMENT OP BUILDING INSPECTIONS • �OkTHhis..!`� 212 Main Street ' Municipal Building ( J .QECTIpN� Northampton, Mass.• 01060 r 66C it WORTCER'S CO? 2ENSATION•INSYTRANUi. A_FFLD Avrr I • William Gnatek (li /perm;ucc) with a principal place of business/residence at: • 240 Russell St . Hadley , Ma •01035 (phonei/) (413) j584_5682 (st/ci ty/stalt/n p) • do hereby certify, under the pains and penalties of perjury, that: • (X) I am an employer providing the following worker's compensation coverage for'my • employees working on this job: • Guard Insurance Co . WIWC016036 April 22 , 2000 (Insurance; Company) (Policy Nutter) (Expiration Date) i ( ) I dal sole proprietor, general contractore or homeowner(circle one) and have, the contractors listed below-who have the following worker's compensation policies: • (Name of Con!ra.actor Msur cc Company/Policy Number) Date) • (1Mune of Contractor) (lrr_s-u:clry cc Comoaa Number)NLL ber) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Comowy/Policy Number) (Expiration Date) (ettae3 additional at-.cet if aem 1•Ty to inaude ink-ma:ices pertaining to all coo:me-on) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home Owner performing all the work myself I NOTE:pleose be evrrrc that v;bilo bococowocn Nano anploy persons to do tn.iMe-,,.,re,comarurtioo•or rcpnir work oo a dw liog of not most th_.n tbroo traits in which the bomoouvcr rnido or oo the grounds appurtenant tbato arc not generally 000sfdcrOd to be employers under tba work,a's orn -*«ion Act(GLI52i 1(5)),Application by a homoowt,cr for a Brea,a or parmit may evidence the • legal.tape of an employe<under the Worite/a Compom.tiou A . 1 - I aadetta ld that*copy of tbia mr®oet may b.fory wd.d to lie Dep.rtsnooc of Lodz-aria Aec noes'Ohioe of lrnunwce for tb. covaigc vc ificstioa and that Wilbur to secure covcraso toner soction 25 A of I.MOL 152 an kad to the iipponitioa of crimmsl pcailtin oonsistiag of a•fiae bf up to s 1 $oo,00 and/or impcu ®oeoi of up o to one yr and aver perakcs is the form of a W Stop odJC Order and a fsm ofstOO.bo a dty t:gainst me n���/n/y j For dcp.rc rseatal anti oesly " • ;�iir:. .. cam—` n �4 'U••. r :/ Zvf3 ( YOI:#, St g nt n to of Liornscc/Pc:zrtitttoc IJF3 T-T 'C3 0 7v '0 v 0 '9 ... V) ,, CD Hp .A = rn ° w C [r, R RI ion m c 7; 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations%r NORTHAMPTON, MASS. 19 Additions e'R�'� Repair �>r :,.; APPLICATION FOR PERMIT TO ALTER '- Garage 1. Location 83 Ridgewood Terrace Lot No. 2. Owner's name Nancy Sheehan Address 83 Ridgewood T err.Northampt on ,Ma William Gnatek 24.0 Russell St . Hadl y , Ma 01035 3. Builder's name Address Mass.Construction Supervisor's License No. 017240 Expiration Date 01-21-2I1000 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 cost-g l 70 e)� J The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. jskt C.RC"Yi'L CC I a- LI— - Signature of responsible app.icans Remarks Stripping of house , breezeway . and garage rnnf_