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24B-086 (9) 26 CARLON DR BP-2000-0835 GIS#: COMMONWEALTH OF MASSACHUSETTS 4ap:Block:24B-086 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0835 Project# JS-2000-1572 Est.Cost: $20000.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Aquadro & Cerruti Inc 061656 Lot Size(sq.ft.): Owner: City of Northampton Zoning: HB Applicant: Aquadro & Cerruti Inc AT: 26 CARLON DR Applicant Address: Phone: Insurance: P 0 Box 656 (413) 584-4022 Workers Compensation NORTHAMPTONMA01061 ISSUED ON:4/4/00 0:00:00 TO PERFORM THE FOLLOWING WORK:RELOCATE COMMUNICATION TOWER 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 4/4/00 0:00:00 0 $0.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2000-0835 APPLICANT/CONTACT PERSON Aquadro&Cerruti Inc ADDRESS/PHONE P 0 Box 656 (413)584-4022 PROPERTY LOCATION 26 CARLON DR MAP 24B PARCEL 086 ZONE HB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid -77o Typeof Construction: RELOCAT COMMUNICATION TOWER New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 061656 3 sets of Plans/Plot Plan THEpaioWING 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 Commission Permit from CB Architecture Committee Signature of B lding Off i 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. ii! if uw i ail MAR 3 0 2000 ,01 Fi 1 e No..3�'6D I 4 © ORTH BUILDING rZ0: NG PERMIT APPLICATION (§10 . 2) .-_,.'-;"PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 0 6.---Z2v7---7— _L,L1 G • Address: /tray i• o2rlrll+/1P7 fl /124 Telephone: 1'3— c581 — 4.6 z z 2. Owner of ProlyC-i./ r�i- "4,ez /�-m� rzry, Address: /Nrttrar»p rr�') A4 Pit. Telephone: 5c -‘9$0 / 3. Status of Applicant: Owner Contract Purchaser Lessee - Other(explain): 6-8 Y��7Zi9t ( -'r-l'z -71, / 4. Job Location: ,3d� �Ino) �� �� `� Parcel# 4 /bistrict(s): k'1 . Parcel Id: Zoning Map# 24 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property "/ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Z_--10 C�c./yrr rh sr a I c-#9-77r/Y7� /eo u 1 r--Vr 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 V. 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: / �27— // (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 colamm to be filled in by the Building Department Required I 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 it of Loading Docks Fill: vol-ume -& location) . 13 . Certification: I hereby certify that th- infor'•-tion co ained herein is true and accurate to the best of my now -dge. 41 _ // DATE: 2 ? CDO APPLICANT'S SIGNATURE _/ ;1 ._�- - NOTE: Issuenoe of a zoning permit does not relieve en applioant's burde oompty with all zoning requirements and obtain all required permits from the Board ofitt h. Coneervt+tion Commission. Department of Publio Works and other applloable permit g - ting authorities. FILE I lAl�t nT ' �" F�I �`"'e'p k �0 C'rlL�ic,o, R, ` - r,,�r- MAR 3 0 2000 (rif.- ref Northampton i m �asenrhnertla = f_ 4 � ' PT OF BOILING IN PECTIONS �� NORTI�AMP TON MA 01060 / EPARTMENT OF BUILDING INSPECTIONS , � ' _ 212 Main Street Municipal Building r� Northampton, Mass. 01060 r'r WORKER'S COMTENSATION INSURANCL AFi]JAVIT I-, --- A C1(v2rabv%Z ---- r -_.__ (licscc/permi ttcc) with a principal place of business/residence at: /t> n - o A,A4eo pn pvnt M (phonci�) *3 —SC' —40 2Z— (str=t/ci ty/staidzi p) do As hereby certify, under the pains and penalties of perjury, that' I am an employer providing the following worker's compensation coverage for myemployees working on this job: Travelers DT UB 72K164APHX98 12/ 31 /00 (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) (In_nlrancc Company/Po is Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Exmraion Date) (Name of Contractor) (Insurance Company/Polic-y Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additiooal shed ifnocmaary to include inforasarioo pertaining toll coo ors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plcnsc be aware thus wink bomoowocrs who employ pcsom to do tr.i.i.ice.ecc wasructioo or repair work on a dwelling of not moco than throe units in which the bomeowoer rtvdos or on the grounds appurtensm threw arc oot&morally ooraiderod to be employee under the worker's compensation Act(GL152,s3 1(5)),applitztioo by a homeowner for a limoac or permit may evideoec the legal staau of an employer under the Wor4.ola Coo pemation Ad I uadesssaad that a Dopy of this shl..momt may be forwerdod to tho Departmom of lndzas;rial Aoodeate Offroo of Insur•ooa for the coverage vuific tioo and that failure to secure coverage under suction 25A of MOL 152 ate lead to the imposition of criminal penalties . consisting of a fine of up to S I.500.00 andsa-imprisonment of up to one year and civil prnaltin in the form of a Stop Work Order and a Imo of S I y against me For dcpartm real use only L Permit rmit Number 1 ./ 3-Z?-04 Mapes __ Lot n Signature of Li c ttee late --- - v x cti •,X. .rr � O. I ;1:1 I Li -i : fo f L I d r7 Zoning Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. Alterations t NORTHAMPTON, MASS. /�r �H 29 iain o Additions iiii ,)'' '. .,, APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 3 0 G V'i007 re - r- Lot No. 2. Owners name Ci IN/ ar- 1\30.?-k-y r9MaT0k.) Address /N/oerkW r)P , /r-76'• 3. Builder's name /1\qugptzo el. Ce-zeo Tr-/ .2 . Address %' A J //a m 1 ipre.rr) Illr9 Mass.Construction Supervisor's License No. C 5 Ct /G 56 Expiration Date /2- /7- Zoo/ 4. Addition /V1C4 5. Alteration K.�A 6. New Porch A)A" 7. Is existing building to be demolished? N/ 7 8. Repair after the fire N Pc 9. Garage N A No.of cars Size 10. Method of heating NA A 11. Distance to lot lines N A 12. Type of roof N A 13. Siding house ('U 14. Estimated cost:- 20, oc'�( ae under * ned cenifies that the love statements are true to the best of his, her knowl a�ge and belief.f./- bij Sign,.4 of responsible appLcanl Remarks /26Loe/a-Tl(4/ 0/= /2IE L-�!/S TiP•/� / I i�//1'rl/0 Tor) f" /,ZE `!_ 1�€41)I�1 �.or/'J ro 0'2/C r9lfaYI o%cv Lys f✓UyY? /7- C(-,fZe l:'Y'2 7.7— c q,,�yY7 drl �rn, 7/C-- c rrz __ 7 ( i E f-i e E -5 Tick c- 6/11,�:J.t1Y) OicJE .