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23A-079 (28) 41 MAIN ST(REAR) BP-1 999 0874 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-079 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:alteration-addition BUILDING PERMIT Permit# BP-1 999-0874 Project# JS-1 999-0886 Est. Cost: $70000.00 Fee: $300.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WILLIAM SYMANSKI 028505 Lot Size(sq. ft.): 731 8.08 Owner: George Falk Zoning: GB Applicant: WILLIAM SYMANSKI AT: 41 MAIN ST (REAR) Applicant Address: Phone: Insurance: 185 HAYDENVILLE RD (413) 665-7157 WHATELYMA01 093 ISSUED ON: TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR PARTITIONING,NEW 2ND FLR OFFICES NOT TO EXCEED 400 SQ FT & SHINGLE 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: Ivor , �, ltw ,-Footings: Rough: Rough: , l' I" f 1't ouse# Foundation: ho Final: ?Ina tpv- , -z, _ J��/t� w' Rough Frame: ''6, 6 �%-, ,'C F/6, _ . /d ice. 1 ., ... Gas L ,��J��,,f-,Fire Department Fireplace/Chimney: Rough: . r -:'1/' Gil. insulation: , : ',' 1 Final: Smoke: Final: 9 fi- g-;°-e"-1-4," THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATI N OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy ..---"- di Signature: .,.... 0,0e._, Z* '..zi--de Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5808 $300.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo pAikv 7J-677-4-5A, itiqo tp-pc d � ,,�,�/ ate. 174z2d- (1) � 2,1/ 0 4 gkad y}J)/7) / �--, I 0,20-9 .? * 1/Wzit 51(' 1-1.1r1Tmrii_ .0 >,,,e,,cf JUN 1 3 2000 ' DEPT OF SUI!DM INSPECTIONS NORTHA SPTO I VIA ECTI Receipt No: 128321 Registry of Deeds Hampshire County 12-3UN-2000 11:41:11 Marianne 1. Donohue, Register of Deeds 33 King Street Northampton, MA 01060-3298 Addr: 41 MAIN STREET Name: SYLVIA FALK FLORENCE. MA 01062 Receipt Type: OR Payment Taxes g Fees $ 0.00 0 Total Pa Fee:e : 10.00 Cash: $ 10.00 $ 0.00 $ 0.00 Check: $ Tax: $ 0.00 Charge: $ 0.00 Misc: $ 0.00 Charge Code: Status: PAID Comment: DECISION ZBA Receipted By: MARILYN ------------------------------- DOCUMENTS: 992011954 to 992011954 ------------------ Status ----- DocumentN Book/No/Page age Type Page- --oc-Mref Cons-de-- --ecor-- _ tatus Type Doc ____ Considers Record Excise Tax Stat Misc Fee Record 11:39 992011954 __OR �5956_0338 INIT -2-0001 --__ ----- 10.00 0.00 0.00 12 JUN 2 MIS3 002 0000 0.00 Page 0001 of 0001 PLANNING AND DEVELOPMENT • CITY OF NORTHAMPTON -I"--1 City Haff• 2 r o Main Street • Northampton,MA o i o 6 o • (413)5 8 7-116 6 • Fax:(413)5 87-1264 • WayneFeiden,Director-email:piarming@city.northampton.ma.us-internet:wwncit9.northampton.ma.us cam' DECISION OF RR NORTHAMPTON ZONING BOARD OF APPEA Q U11 t5 APPLICANT: Sylvia Falk MAY 22010i C/o Alan Verson, Esq. APPLICANT'S ADDRESS: 56 Main Street rnT pF DUI! 'PSG lPdS°ECTIOPdS Northampton, MA 01060 OWNER: Sylvia Falk, do Alan Verson, Esq. OWNER'S ADDRESS: 56 Main Street _ Northampton, MA 01060 RE LAND OR BUILDINGS IN NORTHAMPTO ASSESSOR'S MAP and PARCEL NUMBE At a meeting conducted on April 13, 2000, the Northampton Zoning Board of Appeals unanimously voted 3:0 to grant the request of Sylvia Falk for a FINDING under the provisions of Section 9.3(1)(D) of the Northampton Zoning Ordinance to change a pre-existing nonconforming structure by adding 400 square feet of space on the second floor of the existing building, for property located at 41 Main Street. Zoning Board Members: Larry Snyder, Bob Riddle and Associate Member David Narkewicz. The Findings of the Board under Section 9.3(1)(D) for a change to a pre-existing non- conforming structure were as follows: 1. The Board found that said change will not be substantially more detrimental to the neighborhood than the existing nonconforming structure and that said change will not extend any closer to any front, side or rear property boundary than the current zoning allows or existing structure already extends and will not create any new violation of other zoning provisions; and does not involve a sign. No conditions were imposed with this Finding. CERTIFICATE OF SERVICE Pursuant to M.G.L. Chapter 40A, Section 11, I, Laura Krutzler, Board Secretary, hereby certify that I caused copies of this decision to be mailed, postage-prepaid, to the applicant and owner on May 2, 2000. planning board•conservation commission •zoning board of appeals•housing partnership•redevelopment authority •economicdeve(opment•community development•historic district commission •historicalcommission •northampton GIS original printedon recgciedpaper Pursuant to Massachusetts General Laws (MGL) Chapter 40A, Section 11, no Finding or any extension, modification or renewal thereof, shall take effect until a copy of the decision bearing the certification of the City Clerk that twenty days have elapsed after the decision has been filed, or if such an appeal has been filed that it has been dismissed or denied, is recorded in the Hampshire County Registry of Deeds or Land Court, as applicable, and indexed under the name of the owner of record or is recorded and noted on the owner's certificate of title. The fee for such recording or registering shall be paid by the owner or applicant. It is the owner or applicant's responsibility to pick up a the certified decision of the City Clerk and record it at the Registry of Deeds. The Northampton Zoning Board of Appeals hereby certifies that a Finding has been GRANTED and that copies of this decision and all plans referred to in it have been filed with the Planning Board and the City Clerk. Pursuant to Massachusetts General Law Chapter 40A, Section 15, notice is hereby given that this decision is filed with the Northampton City Clerk on the date below. If you wish to appeal this action, your appeal must be filed pursuant to MGL Chapter 40A Section 17, with the Hampshire County Superior Court or the Northampton District Court and notice of this appeal filed with the City Clerk within twenty(20) days of the date this decision was filed with the City Clerk. Applicant: Sylvia Falk--41 Main Street Decision Date: April 13, 2000 This Decision was Filed with the City Clerk on: May 2 , 2000 G�� File#BP-1999-0874 APPLICANT/CONTACT PERSON WILLIAM SYMANSKI ADDRESS/PHONE 185 HAYDENVILLE RD (413)665-7157 PROPERTY LOCATION 41 MAIN ST(REAR) MAP 23A PARCEL 079 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out -�y� s Fee Paid fill Typeof Construction: CONSTRUCT INTERIOR PARTITIONING,NEW 2ND FLR OFFICES NOT TO EXCEED 400 SQ FT&SHINGLE ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 028505 3 sets of Plans/Plot Plan THE/FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: V 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 Re uired 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 sion Permit from CB Architecture Committee ?//-eic,0 Signature of Building Official 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. I > a MI z §19d Za � 3 I 0,. i S 14....: M XI ,� 0 3 cn O �- 7J. t11 CL• z �••� LLt n Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations fI••'%r NORTHAMPTON, MASS. q Additions - �' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 1 IAA tk. I X Lot No. 2. Owner's name �e . SLL �I�LK Address t1 / N'liMil `l oy-x„C-t 3. Builder's name WU.eI -. l,,d.ei yno- '3•14 s' ;.,A,ciL Address g/ a 1, 41,4,u,1 Mass.Construction Supervisor's License No. O2 .i Expiration Date v7 — O/ — 9 j 4. Addition (kC. I o - - I �rr q ae.ti ' 5. Alteration In l,t 4,v+ 1�6-` t fi I,v.-41 6. New Porch 7. Is existing building to be demolished? N v 8. Repair after the fire Ks.) 9. Garage AR', No.of cars AO Size 10. Method of heating - rC t (451 t`L ti 11. Distance to lot lines 12. Type of roof 3 k t, ip 13. Siding house 14. Estimated cost:-t -1O)OUO The undersi:•-d certifies that the above statements are true to the best of his, her knowledge • belief. aii /..„, ,I(Jv Signature of responsible app.icant ‘0,1 Remarks • oRUP f 219e �j/� File No. (/"V 7 17 'F', of-$'' ---1,,,,„„,,,, _ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Qle t- 'rnLK DIr — Address: `t CZ603 1/ � �A. ► .� �s�(4,1�+c 4-- Telephone: L o 2. Owner of Property: Gfo. 'JhJ Utiv, ALK Address: 7 / Mk114 �l'eft1tC.i- Telephone: `t 86 03 ZJC7 3. Status of Applicant: V Owner _Contract Purchaser Lessee Other(explain): 4.4. Job Location: (4 1 ,n it-tiN( Parcel Id: Zoning Map# 72,39- _ Parcel# 17 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) T) 5. Existing Use of Structure/Property 4,C ..e z---e.)41 . 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • COkt1 Ma b tt,se' 6 S 02 i tt6 ^ . 9 h���e /14, de/ 39 , ate° 7. Attached Plans: 1, Sketch Plan V 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 bee 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 current# 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 i 9 IF YES,describe size,type and location: x 6 Cdim t c 1 vC I C) rOlSit L-14 -h---C)4^616t)---1411- Are there any proposed changes to or additions of signs intended for the property?YES NO V 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 20a -6sao + 61.00 - jrbc 'fr Frontage 3, 'L 63• ?j Setbacks - front N 6 T Y j3 r f,y,, , aft - side L:y' b" R:/re L: S"OI R: /f Co? V F..J* ( '-c!C - rear l� a / Building height a mei a S'refl Bldg Square footage .710zocx. s�.�1 2(4. S ov %Open Space: (Lot area minus bldg 60% to'h &paved parking) # pf -Parking Spaces 2 Z # 'of Loading Docks r � v Fill: -(volume -& location) CO 0 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowle•ge. DATE: 9- I� �4.I APPLICANT s SIGNATURE Agri/ 6 NOTE: issuanoe of a zoning permit does not relieve an , ioant's burden to oompty with all zoning requirements and obtain all required permits f • !}'JI�he Board of Health. Conservation Commission. Department of Publio Works and other ap• • able permit granting authorities. FILE /^J'f' LOe(\ ZONING BOARD OF APPEALS FINDING APPLICATION FOR THE CITY OF N' •TX(Change of a Pre-Existing Non-Conforming Use or Structure) F,1. A licant's Name: Sylvia Falk '1s9A Address: c/o Alan Verson, 56 Main St. Northampton 586-1348 4 '`/ P Telephone: ' /'y ',-%!; 2. Property Owner's Name: Sylvia Falk ©/Cay S Address: lain Street, Florence Telephone: 586-0320 3. Status of Applicant: Owner g Contract Purchaser Lessee Other(explain) • 4. Parcel Identification: Zoning.. Dmr^=' Zoning District(s) G1f� Street Address: 41 Main Strppt, Florence 5. Finding is being requested under Zoning Ordinance: Section g.3 - 1 0 ,Page 9 - 1 6. Narrative Description of Proposed Work/Project:(use additional sheets if necessary) Add 552 square feet of space on second floor of building for dental office • use,within the existing footprint of the building. 7. State How Work/Proposal Complies with the following Finding Criteria:(see also Section 9.2;for Signs Section 7.0). If the change,extension or alteration conforms to zoning in all respects,no Finding is required. *Explain why the existing building,lot or use is legally pre-existing non-conforming.(Buildings,lots or uses that are in existence at the time new zoning is enacted are protected under grandfathering provisions) 'Nip pxiating building was legally constructed twenty years aqp but does not comply with dimensional and density requirements in the current ordinance *Does the change,extension or alteration create a new violation of the zoning,which would require a variance'? Yes No x If Yes,explain how: The proposed construction will enclose and construct second floor space on both ends of the building without changing the building footprint. *Explain how the change,extension or alteration shall not be substantially more detrimental than the existing nonconforming use to the neighborhood: The construction will result in a relatively small change to the appearance and size of the building. The number of dentists, and therefore the number of patients, will not ch nge _frnm what exists at present. Additional parking is already provided. 8. Attached Plans: Sketch Plan Y Site Plan None Required 9. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. I(or the landowner, if I am not the landowner)grant the Z ing Board and Planning Board permission to enter the property to review this permit application. i Date: January 26, 2000 Applicant's Signature: t K R A________ Alan Verson, Attorney for Owner's Signature(if different from applicant's): Sylvia Falk • 1 6 Z.3 -a- 1- SNI ,:'.' • = -••. c=, (FE) • , i.,. .< --4_ .-.. f , .P\ I , i _6' i i ... 1 .. .. , .c,c1,,•,:lest --- - . . ..,. ., e.h CA(U_ (A kr CIA-Elki dt( .., ,,-,(. -- st(9...c1„ . ._ . ; -..r. f .. ..F.'. I , ?• • r. ' - ____. ..... ......_ ... .. BS i IS kv) b b ... . _.... _____. ._/„. t NO ---c,,IP 16M MA 01060 • — - _ _ (sOtizystit en jtet4 ' -kc> .. \ I . 1 .--- J i '• - . , . . \ N ....ie.. t i . .0 . - .. ....k:.j' r -•-•[;r File# BP-1999-0874 APPLICANT/CONTACT PERSON WILLIAM SYMANSKI ADDRESS/PHONE 185 HAYDENVILLE RD (413)665-7157 PROPERTY LOCATION 41 MAIN ST(REAR) MAP 23A PARCEL 079 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid �"/G/ ���� — Typeof Construction: CONSTRUCT INTERIOR PARTITIONING,ADD 396 SQ FT 2ND FLOOR&SHINGLE ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 028505 3 sets of Plans/Plot Plan THE FOLLOWING 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: § q.3 - 14 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 C ission / 2 0 2 cxO Signature of Building Official 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. • l�J U `f i l5 1)t File No. (.)/ JAI 112000 KING PERMIT APPLICATION ( §I0 . 2 ) ---- � PLEASE TYPE OR PRINT ALL INFORMATION I DEPTOF+ !JrplealP2�etltirn to the Building Inspector's office with the $10 filing fee(check or l money order payable to the City of Northampton)** 1. Name of Applicant: Sylvia Falk c/o Alan Verson Address: 56 Main St. , Northampton, MA 01060 Telephone: 586-1348 2. Owner of Property: Sylvia Falk Address: 41 Main Street, Florence, MA Telephone: 586-0320 3. Status of Applicant: x Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 41 Main Street, Florence Parcel Id: Zoning Map# .J,y' Parcel# ' District(s): � j (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Office building 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add 552 square feet of space on second floor for dental office use. within the existing foot print of the building. 7. Attached Plans: Sketch Plan x Site Plan x 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 x IF YES, date issued: April 15. 1981 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW x 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 (FORM CONTINUES ON OTHER SIDE) IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: ru�� 10. Do any signs exist on the property? YES x NO IF YES, describe size, type and location: Metal sign in parking area, 6' x 4.5 ' Are there any proposed changes to or additions of signs intended for the property? YES NO x 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 Existing Proposed l Required by Zoning Lot Size 7, 191 s.f. 7, 191 s.f. Frontage 64.6 64.6 Setbacks Front 46 46 Side I L: 0 R: 2.5 L: 0 R: 2.5 11111. Rear 0 0 Building Height 25 25 Building Square Footage 5,828 6,380 % Open Space: (lot area minus building&paved parking 0 0 -- li # of Parking Spaces 16 on-site, plus 5 same, plus additiona off-site, per special 3 off-site # of Loading Docks permit 0 0 `: Fill: (volume & location) 0 0 13. Certification: I hereby certify that the information contlined hereirrisltru': nd accurate to the best of my knowledge. Date: January 10 , 2000 Applicant's Signature y,./ ' " ,� '; y /,'�= Alan Verson, Attorney for Sylvia Falk NOTE: Issuance 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 Public Works and other applicable permit granting authorities. //f- 6.L� City of Northampton, Massachusetts O¢ pTO� Office of Planning and Development * . , t, City Hall • 210 Main Street #A t.) if it Northampton, MA 01060 • (413) 586-6950 e:�,r�. i:;�.!��. FAX (413) 586-3726 x ,,,:J Ai., p • • Community and Economic Development �'��'.� �� • Conservation •Historic Preservation �j'. � • Planning Board •Zoning Board of Appeals +11.. '� • Northampton Parking Commission 1.7n TO: Anthony Patillo, Building Inspector D tk N U F RE: Permit application JA 3 I 2000 I 6 FROM: Laura Krutzler, Board Secretary/OPD , OF iii , DATE: 7,tfi/an _mow Would you please review and return the No)_. enclosed application ;76:),76,"":::1_5,T,4::crt,(-1.:L(e____Trt.:-.f.:sTmosm4 S Lop�.ce & 1R Dew before the Planning Board/ oningBoard__ Appeals meeting scheduled for -vsTanta so that we can advise the Boards of any concerns you may have. may ° Thank you. Ll gEOTItini i File No.���d7� ul .BAN 112000 ING PERMIT APPLICATION ( §I 0 . 2 ) PLEASE TYPE OR PRINT ALL INFORMATION DfPT OF l ul l{ C, , ,,(TINS i�•��ici'�., . ... urn to the Building Inspector's office with the $10 filing fee(check or money order payable to the City of Northampton)** 1. Name of Applicant: Sylvia Falk c/o Alan Verson Address: 56 Main St. , Northampton, MA 01060 Telephone: 586-1348 2. Owner of Property: Sylvia Falk Address: 41 Main Street, Florence, MA Telephone: 586-0320 3. Status of Applicant: x Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 41 Main Street, Florence Parcel Id: Zoning Map# . 7.?3,/,) Parcel# 7 9 District(s): c3 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Office building 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Add 552 square feet of space on second floor for dental office use. within the existing foot print of the building. • 7. Attached Plans: Sketch Plan x Site Plan x 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 x IF YES, date issued: April 15, 1981 IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW x 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 (FORM CONTINUES ON OTHER SIDE) i i 11 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: 10. Do any signs exist on the property? YES X NO IF YES, describe size, type and location: Metal sign in parking area, 6' x 4.5' Are there any proposed changes to or additions of signs intended for the property? YES NO x 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 Existing Proposed Required by Zoning Lot Size 7,191 s.f. 7, 191 s.f. Frontage 64.6 64.6 Setbacks Front 46 46 Side L: 0 R: 2.5 L: 0 R: 2.5 Rear 0 0 Building Height 25 25 Building Square Footage 5,828 6,380 % Open Space: (lot area minus building&paved parking 0 0 # of Parking Spaces 16 on-site, plus 5 same, plus additiona] off-site, per special 3 off-site # of Loading Docks permit. 0 0 Fill: (volume & location) 0 0 13. Certification: I hereby certify that the information co d hereirris true nd accurate to the best of my knowledge. Date: January 10 , 2000 Applicant's Signature ! �� lan Verson, Attorney for Sylvia Falk NOTE: Issuance 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 Public Works and other applicable permit granting authorities. izttAMp7. erctiou O ���;i `� t`e Clz#v1 of Northampton 1; =**_" / 0 ..a) ., A e jlassachnsttts mil: - - `�'a' DEPARTMENT OF BUILDING INSPECTIONS �� _•.=1_� INSPECTOR 212 Main Street • Municipal Building '%,4_ Northampton,MA 01060 s Applicant Information Name �T Q o .GF P4 C -------------------- Location 4 2 __Ito cm) S l -- --- ------ City IG'A0le6=.)o&- 0 I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. Company Name[l.4d0µ g Ii„.0 4. S icc--- ___ ___ --- Address /►'I ^ . T / v t,S . ---------------- --- City (4.)Mc4 !L / WjA-------__ Phone# 4( "4 (.` ^//, . • Insurance Co.--------------_—Policy#----------_ Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of Iv1GL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certify under the pairs and penalties of pe• ry that the information provided above is true and correct. Signature G4.04,(,1,,.._-->Dr Date s it f • Print Name bu&LC-I, ,Z..)_ SYatq"u-i 4. Phone# 4g7 . A5- 7Jc7 Official Use Only Do not write in this area to be completed by city or town official City or Town Permit/License# 0 Building Dept ❑Lrensing Board Check if immediate response is required Contact Person El Selectmen'Dept. Phone# El Health Dept. A C ORD_ ..AVIFIC EMF EII/ IAIM ' }>s}%' j DATE{MM/GDI11� .,,. 05/0 G PRODUCER (413)586-7373 FAX (413)584-0859 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AND CONFERS NO RIGHTS UPON THE CERTIFICATE quadro & Associates Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 355 Bridg‘St. , P. 0. Box 357 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01061 COMPANIES AFFORDING COVERAGE COMPANY Travelers Indemnity Co of Amer Attn: Christopher Aquadro Ext: A INURED William D Symanski co *MPNy De Assigned s Masterson Road Whately, MA 01093 COMPANY C COMPANY D ...............,.....:.. ...,....:.:.. ...::::.:,.. ,.....,..k....#,i;:,:,•r.�.t.•:,.. •.R,.,::::.,.,:.,..........:..::::•:v.�:::..}:..:;4•::•.:"...,... •?.Y?' riC.•"• ".rGS:}. tcv::: .... .... . .....................................,. .... $: ht.....n......,., ......... ...{ r,.4,;}.}.:.�•i•y;\n:;'rr 'r;v:i::::::?:......... :!i'+.:�: ..f' v.•.l..:i:i.::•{':<i<':t%''��>' .. •:ff:mfae i fti}n}�••:}Y:i•.}',}}y.};i i:.};ii'i.;•2:.:i:C•:.X>.•}:;?}•:}Y•:NrI• {i}•:rr:ri:.{.::'yiEi ter,.::::}..}}:{.}:.ni�•}'i. .. r.... . ., ..2 r. .::[.: ,;`.5,.;}1.:,..;f.}.r:.5:.3:.r.};+,.d�tik•i:>'nii;:;�:.la::v:J>:rs:!. .•\inif�++.':r}RS•N' :3'A'•:, �:iM..;.v.;.}y;}. :{•iii:r •:n'• :' {..4:i:W$}}:R{iri:?�::^::}r.{ri;}:}S'n+::4.;J:. .::.: •. rr: • r,: :: .: .�::.:•.:•.'.;oi} }}:::'v}:�:{•$:C•}}:ti?:r:k:\�}:F'r4:}:::•�v%•:.��4}}.ti:•:i'.,'';C'ri�i::�:....�::::.;r;.{.:.•:•,?tv. THIS IS TO CEA lFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIN INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Tim CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co TYPE OF INSURANCE • POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UNITS Lilt DATE(MMVDD/1 Y) DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE 4$ 27000,000 X COMMERC'AL GENERAL LIABILITY PROOUCTS-COMPIOP AGO II 2,000,000 N'3•'• CLAIMS MADE 'OCCUR PERSONAL a ADV INJURY $ 11000,000 A 680-254N1636-TI.A-49 04/23/1999 04/23/2000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 9$ 11000,000 FIRE DAMAGE(Any one Hn) '$ 300,000 MED IMP(Anyone person) II 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 ANY AUTO e ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per p° ) : HIRED ALTOS BODILY INJURY $ NON-OWNED AUTOS (Peraccident + PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO MERMAN AUTO ONLY: �Jf}!�ep.i%',��31�''��y•+•/.3< > t�!}•''•-0 EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ :WORKERS COMPENSATION AND W LIMIt OTH .„+� a�x i y't�}' r.' TO Y LIMRS ER s;<a:t4 e..'" ,..,:,}�,",w...• EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 B 'T1-EPROPRiETOR1 INCL IRA 05/05/1999 05/05/2000 EL DISEASE-POLICY LOST $ 500,000 PARTNERS/EXECUTIVE r OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS .i:i n. :' ca r, . :: : SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Northampton BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 212 Main Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Northampton, MA 01060 RLTZDRE TENTATIVE :•>:•.}},.•} .:2:%.t'•7R:RK.; •?:k�..:`y;,.}:};. ,:�r:;{,4,:<;r...'p}:k>:f•;R<;.: ..}»:{^.. .:,+�?5!�.r,:p:,:::d;},';;}:q}. .o•:i. ,�y� ��r, .. ..,;`,'may, .....�n'E:v} •::t....}:..}.v. ..}..:�. >: :: ems. .� :i?:;:,'{ y+. ........:...:.....:.:? ::::r..�:<}i:4;2{r4:24%::� •.t:.;. :�..Y...•:?r�;:?�:::�iju'i:t':iv'•'ivy::•�::Y }: •4:2:::}}n.:......:. �.............,... . .......r........:,t..................2......>t•1,k,.....� .e.....v ........�.,,_... }•s••f• :.:... .... .,.:..�. �,. .� .,....n.;........ r....i ......n}.� .i�s ..�.«...iu.iu...... .:.....�. .....::r.:u:::..r......� •::.}i it�•::U.1..i.!.... ...�:}.:?: