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30A-038 32,1 RIVERSIDE DR BP-2000-0773 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 30A-038 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0773 Project# JS-2000-1445 Est. Cost: $30000.00 Fee: $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SOUTHAMPTON SANITARY ENGINEERING CORP 038731 Lot Size(sq.ft.): 6882.48 Owner: RAU MARTIN F Zoning: URB Applicant: SOUTHAMPTON SANITARY ENGINEERING CORP AT: 321 RIVERSIDE DR Applicant Address: Phone: Insurance: 168 COUNTY RD (413) 532-3876 Workers Compensation SOUTHAMPTONMA01073-9547 ISSUED ON:3/15/00 0:00:00 TO PERFORM THE FOLLOWING WORK:SOIL REMOVAL & SOIL TREATMENT IN CELLAR,INSTALL TEMP SUPPORT & REPLACEMENT OF PERM COLUMNS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector 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 3/15/00 0:00:00 690 $150.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner- Anthony Pati\\o P#BP-2000-0773 APPLICANT/CONTACT PERSON SOUTHAMPTON SANITARY ENGINEERING CORP ADDRESS/PHONE 168 COUNTY RD (413)532-3876 KARL PROPERTY LOCATION 321 RIVERSIDE DR MAP 30A PARCEL 038 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 6 g/5,D Fee Paid Typeof Construction: SOIL REMOVAL&SOIL TREATMENT IN CELLAR,INSTALL TEMP SUPPORT& REPLACEMENT OF PERM COLUMNS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 038731 3 sets of Plans/Plot Plan THE f OLLOWING 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 Commi ' n Signature of Building Offic Date Note: Issuance of a Zoning permit does not relieve a applicant's burden 10 comply with all zoning it requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. lihs. ---UiWriT'I' J F"---- 1111 It 1 MAR 9 2000 L File No.f, 73 DEPT OF VII n......---1 C,INSPECTIONS NUR ''`,,,'„ mt,Q1c ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION YU(J 1. Name of Applicant: SnJi ttA-.�vrv/oYr7,0 Ss4M17 /} V f. G Address: /G., Y e?c t/N,y It v,9� Telephone:(Y/39 S',.? - Y Ft 7(.. ,s'("Lir,/,4-' 0 re?,I 01--1/9 0i t. 7 3 2. Owner of Property: ,v1 Ai?'Tr.(J J?A v Address: ,?:) / is, t:iaSi p - -.i4'/ v Telephone: fLio s?'Tf/i4si/oTO, Syr4- 3. Status of Applicant: A Owner Contract Purchaser Lessee 7 Other(explain): Ale Ai ‘.D z.4-Y/v 1 62c•1.).E .4-e / ,. 4. Job Location: 3,/ Al j✓C-%? fiiz )A'i vY TIC ,'_Piep`-t .1,,A, �3° Parcel Id: Zoning Map# r,/Q Parcel# 3 District(s): ,,a4/J`-- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /?,ems ir✓_A:'tie' 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): `>e"./ iPFdray.!i._ 9— Se ., / -7'.?k'#Tiff,(r)T . •c ' C 4lr //? - .3.157../6774.›.1, 4)7 T`arP Su,o/o✓` Z/aL II „it, .i oiG /PP/Ass a...e'.1 i '0/u ar.v.; ` /, .4473 -Q , 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 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 ,5<.` DON'T KNOW YES IF YES,has a permit been or need to be obtained from the Conser ation Commission? Needs to be obtained Obtained date issued: (FORM CONTINUES ON OTHER SIDE) 10. Do any signs exist on the property? YES NO K 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 coiaam to be filled in by the Building Department Required Existing Proposed By Zoning Lot size '71 Frontage N/ Setbacks - frnnt - side L: R: L: R: - rear Building height 01),/, Bldg Square footage %Open Space: (Lot area minus bldg 11/10&paved parking) # of -Parking Spaces #- of Loading Docks /0 1//' Fill: {volume--& location) 13 . Certification: I hereby certify that the information con fined herein is true and accurate to the best of my knowl ge. DATE: 3 -9 -c70 APPLICANT'S SIGNATURE t NOTE: leeuanoe of a zoning permit does not relieve a applioan�urden to comply With all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applioable permit granting authoritjes. FILE # 111111111111WP-11 I, (h44 [ 9 ( Eritt-7 of Nertliai 1fo10 �M w ij filaaanchnsctfa '_ -s. dEPT — rNSPFer.,, s D PARTMENT OF BUILDING INSPECTIONS 4 mill, --�- 12 Main Street • Municipal Building Northampton, Mass. Oj.OGO r WORKER'S COMPENSATION INS Cl A_FFU)AVTT I, Scar .4s'v, 're N> 5'4-a>i TAB Ea) 6- -- (littec) with a principal place of business/residence at: /G F eau Airy t'1 Sov7Nhii% 7 e/ . vJ O,o73(phone#0/,)) S3?—)e74 (ut city/statehip) 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: A• rr NF w NA I/JR� 6/2c'v P �vc i e. /9 9y II q Q cc Company) (Policy Numbers) ('Expiration Daie) 04;) I am a sole proprieto general contractor r homeowner (circle one) and have hired the contractors listed below who ve the following worker's compensation policies: t)a.rs' - (Name of Contractor) (Insurancc Company/Poiic-' Number) (Expiration Date) • (Name of Contractor) (Insurance CompanyiPolicv number) (Expiration Dale) (Name of Contractor) (Insurance Company/Pol,cy T umb'r) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additionl sheet if nooeaary to include inforwaaoo pertaining to all or ) ( ) 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 cmplay pcnom to do urn rrfrn,nr' con:auction or repair work on a dwelling of not more than throe unit,in which the homeowner resides or on the ground,appurtenant thereto arc not generally ooaridcrod to be employers under tbo worker's compensation Act(GLI52,s3 1(5)),appticatioo by a b• -•wrier for a license or permit may evideacc tux legal etaaia of an employer under tho Waiter's Compomation Ad I undenuad that a Dopy of thin r em may be forwarded to the Department o rnduxrial Aoadent a Ofrioo of Iracrnwoco for tho coverage vcrificsiioa and that failure to scauc coverage under section 25A of MOL 52 can lead to tba imposition of criminal penalties 000siuntg of a fine of up to S 1,500.00 and/or imprisonment of up to one year and a ' penalties in the form of a Stop Worker Or and a fins of 5100.00 a des against me For departmenal we only Permit Number yf�cL� Map4 Lot 4 ignature o iccnscrJPcrmi a e — i .. ro , , 1 Qom- _ 1,iii MAR 9 2000 '' tzr T r @'' NSPECTIOtu$ - BOARD OF BUILDING REGULATIONS - ICbi "P ,e License: CONSTRUCTION SUPERVISOR • - Number: CS 038731 B i rthdate: 07/26/1943 Expires: 07/26/2001 Tr.no: 11727 Restricted To: 00 KARL M KUEHNER ��,y� 168 COUNTY RD ...r- !�r- . SOUTHAMPTON, MA 01073 Administrator (�\ Tiie eo n-manwea/A o/.itiaJJG'dl'.1 �\ a.' i HOME IMPROVEMENT CONTRACTOR 1, ffIli ilF Registration 110554 a Type INDIVIDUAL. ,q:1W' Expiration 10/20/00 KARL M KUEHNER 7. ,,„,,�;' eirktiRL M. KUEHNER ADMINISTRATOR 168 COUNTY RD a v 1, MI < 7-1f-'.I.? C ri O 1�,.., XIrnr- C NJ t— o z m c ^ Eo r C ' j=czc 77 P, o in Z E , _ to O O z1 7171 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations :� NORTHAMPTON, MASS. 19 Additions " rA' APPLICATION FOR PERMIT TO ALTER Repair r Garage 1. Location 31 i R i✓8r?S, e)i D_' a ✓e= Lot No. 2. Owner's name M ik�7i /✓ k/4 V Address 0,2 i /s i ii e,? Si DE /✓) E . Builder's name S-O 17,''//OfP70id S'Afilii,'9)7).6-1Address %L- 7 eOa 'A'y A'c'f 5;e4./.7 ,-, Mass.Construction Supervisor's License No. -1 03 773/ Expiration Date O 7— a 6— a o d/ 4. Addition 5. Alteration Sb' yV �c, i 0 6- Sv„l ,?.e ea-./ -1.K,/ P, yo lc,ert.. 73-,e_ 7 - ,../ 7—+ , 6. New Porch t� 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:- )01je 00e), The undersigned certifies that the bove statements are true to the best of his. knowledg and ef. .,-, .--,- Signature of responsible appicant ecemarks Res 7r0i4,i�v s e eei. /1 / 4,L ie,,le %'fie r Joe M .4. / Lao/ .s/igd..+ 1' QexidRerA P1OO/? $%Avee /9_704�,.. J.,r.,'7'CCt14..)