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24A-034 (7) BLACKBERRY LANE BP-2000-0657 GIS#: COMMONWEALTH OF MASSACHUSETTS [ap B CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: GARAGE BUILDING PERMIT Permit# BP-2000-0657 Project# JS-2000-1 198 Est. Cost: $13700.00 Fee: $52.80 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: David Fortier 008026 Lot Size(sq. ft.): 1 9297.08 Owner: WILLARD GEORGE E&MARY D Zoning:URA Applicant: David Fortier AT: BLACKBERRY LANE Applicant Address: Phone: Insurance: 32 Laurel St (413) 586-8965 NORTHAMPTON 01060 ISSUED ON:1/17/00 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT 24' X 22' TWO CAR GARAGE - FOR NON-COMMERCIAL USE POST THIS CARD SO IT IS VISIBLE FROM THE STREET nspector 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 1/17/00 0:00:00 3055 $52.80 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2000-0657 APPLICANT/CONTACT PERSON David Fortier ADDRESS/PHONE 32 Laurel St (413)586-8965 PROPERTY LOCATION BLACKBERRY LANE MAP 24A PARCEL 034 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid � ��•�v Typeof Construction: CONSTRUCT 24'X 22'TWO CAR GARAGE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 008026 3 sets of Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Co i ion Signature of Building 0 cial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. o s c [1: N ► ► 2000 D : 1LD!NG 1NSPECTIt)NS File No,5d NORTi-1k��°�•TGN,MA 01G60 ZONING PERMIT APPLICATION (y10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: i)A U l fl f4/• Fo 4 r [RA Address: 3 a, LA v 2 2.t Sr. Telephone: 5 — '2'16 2. Owner of Property: 6A4 6& I/tit '-A4 Address: (a$ k 1 do©, i822 • Telephone: ST D( - a432 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): COS-T 2 R C 4. Job Location: to 39 61-4C IC OiltA47 LA). Parcel Id: Zoning Map# y !4 Parcel# 3' District(s): L2 2 4 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property C Air C67 .- 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): io Oldic0 '1 x �2 %wo Cft2 6 4Get_ 012 ActI4O 7. Attached Plans: (Sketch Pla 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 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 I/ 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 r/ 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 1 Existing Proposed By Zoning Lot size 19 a s- dog aoa Frontage 19 , /a d Setbacks - front 8 ` /5' side L: R: L: i( R: /C4,9 - rear g Building height �� t 220 Bldg Square footage 3 a 4 Sa FT. ovL,� %Open Space: (Lot area minus bldg &paved parking) (') 31) S FT �U # of -Parking Spaces #` of Loading Docks Fill: {volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my kno ledge. DATE: (01 I0/co APPLICANT's SIGNATURE NOTE: Issuanoe a zoning permit does not relieve an applioanrs burden to comply with ail zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applioable permit granting authorities. 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Wei � 1:�� '!AN z. rid f tTort1 &ntptali i _*_ laseachnsctiti _r'= �,+. .y0 DEPT OF BUILDING INSPECTIONS GTIONS —_ — m" DEPARTMENT OF BUILDING INSPECTIONS , �1— 212 Main Street e Municipal Building Northampton, Mass. 01060 o' um' WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, Qf )tO aa2T( (li cense&Jpermi ttee) with a principal place of business/residence at: %i L A 02 4 ( . !- • (phone#) 674.—'irc'C 6 (stt txt/city/stale/np) 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 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 Number) (Expiration Date) (attach additioml shed ifnrr+-c:,ry to include information pertaining to all ooatradora) (/(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 rnsintmoor,',construction or repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant thereto arc not generally considered to be employers under the worker's erxttpr.aation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the legal status of an employer under the Worker's Compensation Ad.. I understand that a copy of this uatcmeat may be forwarded to the Depertt cnt of Industrial Accident?Office of 1.131141(111303 for the coverage verification and that failure to secure coverage under section 25 A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S 1,500.00 and/or imp of up to one year and civil penalties in the form of a Stop Work Order and a fine of S 100.00 a day agniusi me. r--- For di use e only i /L i Permit Number l/ °/d o Ma Lot# Signature of LicenseefPermittee to Mt o.sit5i il. .., - C:' rri r- 3 © Oc.4 c rn S sa,, 4 ,,.. , . n o --3 H i rt x rA.--` _ CI CZ �o -s Zoning Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. 6.--? q$4—$ 16 3 Alterations ir. NORTHAMPTON, MASS. l //v iy0p Additions tik• APPLICATION FOR PERMIT TO ALTER Repair :.cvo' Garage 1. Location Lei 4 34 3CACr /311RAY L/V • Lot No. 2. Owner's name (v`L 0 2 6 IZ W I i.(..A4/a Address (o 3 6)6 g(i 660 Ma. . Builder's name 00,1(.; i 0 FD 2T i 4. Address 3 Z LiCibr2L s'. Mass.Construction Supervisor's License No. Bp 7 0 2 G Expiration Date a fro l e e 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? • 8. Repair after the fire 9. Garage 0 t£T/tCbt ei) No.of cars as Size 2'4 'J[ 2a I 10. Method of heating 11. Distance to lot lines RRon,i 4%' L€F II ( ,Q(6'ti 1(jil, )y A42 $ r 12. Type of roof 1 2J SS / A c_Pt-IAC (FI.K4.6«sJ 13. Siding house V 1N`/l 14. Estimated cost:- # i 3/ ) 0 p, vu The undersigned certifies that the above statements are true to the best of his, ' knowledge and belief. 4ji Signature of responsible appicant -__marks