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32A-205 (6) 44 BUTLER PL BP-2000-0613 GIS#: COMMONWEALTH OF MASSACHUSETTS la CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: roofing BUILDING PERMIT Permit# BP-2000-0613 Project# JS-2000-1089 Est.Cost:$700.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Larry Paquette 100679 Lot Size(sq. ft.): 10062.36 Owner: SMARZ GEORGE A JR&GEORGE A Zoning: URC Applicant: Larry Paquette AT: 44 BUTLER PL Applicant Address: Phone: Insurance: 40 East Green Street (413) 527-6375 Workers Compensation EASTHAMPTON 01027 ISSUED ON:12/28/99 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE PORCH ROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Jnderground: 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 12/28/99 0:00:00 2464 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo u DEC 2 7 1999 `'L) File No. zpoo DEPT OF BUILDING INSPECTIONS �� NORTH,'NirJ I,MA 01060 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: O Address: < C ,"L,,,,, „a— telephone: 6 3 2. Owner of Property: -5 _2_ ../17M L(5 Telephone:I—� 4'! -- 'SI7— 51 1'3 Address. �(i�tJ-�-� 3 e2 3. Status of Applicant: Owner 2.--Contract Purchaser Lessee Other(explain): //J� 4. Job Location: 0# — Frees ' o - Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /11i4.Crt, i — 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • -dit,A40-16pi 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 - frnnt - side L: R: L: R: - rear Building height 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 G is tru an accurate to the best of my knowledge. DATE: ( APPLICANT'S SIGNATURE C 67 NOTE: Ise enoe of zoning permit does not relieve en eppl' ants b den to comply with atl Czoning requirements end obtain all required permits from the Boa of Health, Conservation ommission, Department of Publio Works end other applicable permit granting authorities. FILE # I M - o XI 17 < e, MI tap v -o o r = = m 0 w —Ir -, m R `ti i S B. -1 Z 5 cn O Z — e 0 0 Ill e" x, Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5 _6 3/,S Alterations iik.:� NORTHAMPTON, MASS. /g of Z� — 19 fS Additions � `%� APPLICATION FOR PERMIT TO ALTER Repair m Garage 1. Location Y� �7 V3 L Lot No. 0. 2. Owner's name J .Sr^Yrt Address / 0✓L vwA z t_' - H° ' 3. Builder's name A.'('`r-) Address fie' F --'-JJaaM 5 f Mass.Construction Supervisor's License o. /a v -- 1 ? Expiration Date g — a o - .1 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 'YrIa l rrp_."4.G.D " /o s <<- ci 13. Siding house 14. Estimated cost- 7 Q v t " The undersigned certifies that the above statements are, true to the best of his. knowled e and belief. ,..,,,y., _ , cv-utAd- Sig tort of responsible oppicoht Remarks • t ' �4-ttA) pi� � G of Naz:#li ipfon 1 Y l e4: B a3aactittsclla 'era! DEPARTMENT OP 13UILDITZG INSPECTIONS . 212 Main Street ' Municipal Building Northampton, Mass. * 01060 to WORKER'S COMTENSATION LNSTJRANCt, AFFIDAVIT • I, or auvitt--... (53 ....ti..ga r cens.^ripermi ttce) . with a principal place of business/residence at- 4i/D C. .5 yv, e ortm . (phonei.) Sa ) — lS (she icity/state/ap) 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: • 1\i\. 4. " -AL. -- 4A3 Cyril ci o r a J 8'^ 0 0 $l?'cZ e'e (Insurance Company) (Policy Number) (✓:-oiratfon Date) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hie:• the contractors Listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance ComDanyfPolic;dumber) (Expiration Dat ) (Name of Contractor) (Tnsarance Company/Policy Number) (Expiration D e) • (Name of Contractor) (Insurance Company/Policy Number) (Expiration D. e) (Name of Contractor) (Insurance Company/Policy Number) (Expiration D e) (stiacla additiccal r:cct if ncm<•ry to iocu).&L-formatioa pc-tainiug to all cc rae-ors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plcsc be aware that whilo homeowners who camploy persons to do m<intr•+,oe, consrvrtton or repair work on a dw -•g of not more than throe units in which the homeowner rosicka or on the grounds apputcasnt thcdo arc oat generally ooasidcred to•- employrrs under the worker's -n<t ien Act(GLI52,s3 l(5)),application by a honuowv r fora license or permit may •-•• the legal rtatus of an employs(under the Worker's Con oosation Act I undcratand that a copy of this rt•t.-' re may be for-v.-aided to tho Dcpaitmcat of 1ncla iel Aeadcate Offloo of IrauranOo for the oova-ttge verification and that failure to secure eowrngo under section 25A of MOL 152 as lead to the'irnpo4tioti of criminal•- (tics oomistiug of a'fmc'of up to S 1,500.00 andror impriaooment of tip to one yzsr and civil penalties in the form of a Stop Work• •• and a fins of5100,00 a day against me. ' Fcc ckpmtin:otsl use only Permit Number - t t Map;{_ � Lot it Signature fLicenseeJP IMM— .