32A-205 (5) Department: Reference No: BP-1999-0091
Building,Electrical& Mechanical Permits
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000157
Paid By: Paid in Full On:
James Phaneuf Tue Jul 21,1.998
Received By: Check No:
Linda Lapointe 1415
DEPARTMENT'S COPY Amount: $40.0
DEPARTMENT FILE COP‘" 36 BUTLER PL
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable w k do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fe :
21 Jul, 1998 BP-1999-0091 $4 .00
GIS#: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
6505 32A 205 001 36 BUTLER PL URC 6C 11.28
Contractor: License Type: Insurance:
James Phaneuf CSL
Address: License No.: Insurance No.:
74 Old Stage Rd 011632
City: State: Zip Code: Phone:
W HATFIELD MA 01088 (413) 247-9993
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0133 Non structural interior renovati $8,000.00
Description of Work:
REMODEL 2ND FLR BATH
GeoTMS®1997 Des Lauriers&Associates, Inc. Signature:
f. FILE I gt/ — 9 / --,/
1FUL 2 I (998(gyp
APPLICANT/CONTACT PERSON: °
)EPT OF SU D S HQNE: • a1 ?--
j
NORTH;'.. ;Oiw3O —
PROPERTY L CATION: \36 A
MAP__ PARCEL: deS ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CA li,CKLIST
ENCLOSED REQUIRED DA lE
7C1NTN(- F(1RM FIT.T.ED (1TTT
Fee Pair]
Building Permit Filled rust
Fee Pain / / /5— /.9°"—
Type of Conctnirtion•
New Cnnctritrti' n
Remodeling Tnterinr L7 - 1'�,12
Addition to Exicting v
Acreccnry Structure
Building Planc Inclitrlerl•
fwner/Occupant Statement or Licence #
3 Setc of Planc / Plot Plan
THE frOLLOWING 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/ZONMG 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-Bd of Health Well Water Potability-Bd Health
Permit from C servatio mis io
Signature o uilding Inspector Date
NOTE:ls.suenoe of e zoning permit does not relieve en epplloant's burden to oom ly with all
zoning requirements end obtain all required permits from the Board of Health, onservetlon
Commission, Department of Public. Works and other applioable permit granting uthoritles.
ro) NUUiTNI
.1UL 2 i
DEPT OF BUIi`5'0INSPECTIONS File No.
NOR T . `_:` 0106O
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
�/ (]
1. Name of Applicant: 141 i;,)1-1-kdgibr-
-16s
Address: �� 0i.i ( Telephone: `
2. Owner of Property: 17-Al k4C46-
Address: j /1 Telephone: W V 1S ! 1
3. Status of Applicant: Owner ✓ Contract Purchaser Lessee
Other(explain): ,
4. Job Location: ✓tom /3LI'S7�t,C/]0-- ?Lr�
Parcel Id: Zoning Map# .'f'2/ Parcel# 07W District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ' la4V11
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
P4Att,ap 6/ -a113) FArd-e— EATH- 0/14-Ea 774,8 ,
s Pzseyx
7. Attached Plans: Sketch Plan Site Plan Engineered/S irveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special germitNariance/Finding ever been issued for/on the site?
NO �, DON'T KNOW YES IF YES,date issue.:
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 V 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:
n proposed changes to or additions of signs intended for the property?YES i
Are there any p p g 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 colt= to be filled in
by the Building Department
I Required i
Existing Proposed By Zoning
Lot size
Frontage \ • Ki
t \��/VVV7�1c
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height I -
Bldg Square footage , ' i
%Open Space:
(Lot area minus bldg
i. &paved parking)
# of -Parking Spaces
#- 'of Loading Docks
Fill:
(volume--& location) ,
i
13 . Certification: I hereby certify that the information lntain::- herein
G is tru and accurate to the best of my knowledge.
.a
DATE: 7 'z_ l V APPLICANT'S SIGNATURE • 411/r4
'''' NOTE: Issu noe a zoning permit does not relieve an = •ants burde t• oomply wltt� al.
zoning requirements and obtain all required permits I • i, • a Board of H: Ith, Conservttio
Commission, Department of Publio Works and other appitoable permit granting authorities.
FILE if
CL
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ilE OUb /2114EOP ) 5I'
) 1-a)/61i\r
AL 2 I 1998 i Li
DEPT OF E UILDING INSPECTIONS
NORTEVMPTON,MA 01060
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wtit:i.:410, �t 1998 v 1 asaAchnsctls
r'l..:Js: -� JUL 2 1 7798 /
tIZra.IZ �,�a� 1IPEPARTMENT OF BUILDING INSPECTIONS
DEPT OF 8U1Lt?'PIG INSPECTIONS 212 Main Street ' Municipal Building '
NORTHA P(0:1 NIA 01060 0,. `,��`.
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, ---1114 * c
I (licenseeipermittee)
with a principal place of business/residence at:
/ c' p 6 i?. .o )i 12 (phone#) 4et - .. ''
(s ti rxt/ci ty/statr/�
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)
(t ) 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)
I
I
I
(Name of Contractor) (Insurance Company/Policy Number) (Expiration D e)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration D e)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration ate)
(attach additioml sheet ifneirtiary to include information pertaining to all°odaactors)
( I am a sole proprietor and have no one working for me. 1
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homeowners who employ persons to do rnsmirnwrxr construction or repair work on a&Velling of
not tooth than three units in which the homeowner resides or on the grounds appurtenant thereto arc not generally wandered to be
employers under the worker's compcasation Act(GL152,s11(5)),application by a homeowner for a liaise or permit may evidence the
legal sutra of an employer under the Wodccla Compensation Act.
I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents'Office of Imuranoo 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 S 1,500.00 andlor imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 3100.00 a day against the.
I
For departmental use only
' 7 �y Permit Number
ir- r Map# Lot#E
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7 Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 2 '9"/ i3 Alterations
iiirti-r,,,) NORTHAMPTON, MASS.
�'t . 19 l Additions
APPLICATION FOR PERMIT TO ALTER8;11 Repair
:-.:‘,:.„..- -7izo
Garage
1. Location G '(4 , CPLAC-h5- ALO"'I 14!Qtl I . Lot No.
2. Owner's name P.��,�)21 C.I�- Address r -�
' -4 %�tSLJ�-�frl 3. Builder's name 'J L In 1k�iJ a Address 7 0 W, /
Mass.Construction Supervisor's License No. CO/ / 6 3 2-- Expiration Date ( 3(/-
4. Addition /
5. Alteration I 1'l/DPSl-- ..-Z'tjl> FivittiR.— ,
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-
t 94 (FX.f,2 The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. ' /
41
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