32C-067 (3) 2 CONZ ST-#8 MAPLEWOOD SHOPS-PARTNERS IN TRAVEL BP-2000-0424
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-067 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0424
Project# JS-2000-0736
Est. Cost: $1500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: John Clapp 024075
Lot Size(sq. ft.): 30666 24 Owner: MAPLEWOOD SHOPS INC
Zoning:URC Applicant: John CIai
AT: 2 CONZ ST - #8 MAPLEWOOD SHOPS - PARTNERS IN TRAVEL
Applicant Address: Phone: Insurance:
10 Mechanic St (413) 625-6326
SHELBURNE FALLS 01370 ISSUED ON:10/27/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:CONSTRUCT ROOF OVER EXISTING ENTRY WAY &
OPEN UP NON-BEARING WALLS
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: 7/1
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: O K o9-1 -O el--/ i
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occu anc igna ure:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 10/27/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
File#BP-2000-0424
,4 R cfr 11
APPLICANT/CONTACT PERSON John Clapp N I
ADDRESS/PHONE 10 Mechanic St (413)62 S-S3 7 / /n Qs>
PROPERTY LOCATION 2 CONZ ST-#8 MAPLEWOOD SHOPS-PARTNERS IN TRAVEL
MAP 32C PARCEL 067 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY: 4`
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid `'i// �a
Typeof Construction: CONSTRUCT ROOF OVER EXISTING ENTRY WAY&OPEN UP NON-BEARING
WALLS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 024075
3 sets of Plans/Plot Plan
THE LLOWING 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 Commis •
- "°. ‘' Y.1 .---- 6
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.
D 1999 ;;/ File No.03V 6/few
DEPT OF S "-1
1
NORTH/09.,owA•Nl,```' 2ONNNG PERMIT APPLICATION (§10 . 2)
LEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: T rt tol t rCI L4
Address: Val c
2. Owner of Property: is Z Se
Address: I g a A 7 6 6( Telephone: `5 5� /7
li1,ards(t(o<t/
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): �Y1� a
4. Job Location: # ""' '` le Luke( s�
Parcel Id: Zoning Map# Parcel# 6 '7 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
-1w\ o b_o ho( {4.h6 bug(/' c.l aec
2 Door-
6. Description of Pro osed Use o . roject/Occupation: (Use additional sheets if necessary):
-r /t^ U P 1 Cri\C
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 L.b 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 col 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
" of Loading Docks
Fill:
(vol-ume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: APPLICANT is SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain oil required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other appiloable permit granting authorities.
FILE #
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q Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ip q ( 7 °J Alterations
N NORTHAMPTON, MASS. �]- fi.
19 gt:/ Additions
( ;4' APPLICATION FOR PERMIT TO ALTER Repair
,. '' Garage
1. Location r !" l� Lk) 0 0 0 §-h_ Lot No.
.10
2. Owner's name CkU f I. 1s fk 2a,I i;73f0c Address PO g 0 x 706 ,L o oi1ri0 v
3. Builder's name \J 61A.h CA cirlo Address p C c a Y, E t r i•-e h ci
Mass.Construction Supervisor's License No. O� � 0-2 � Expiration Date 11i17 9 Cr
4. Addition
5. Alteration C . jQQ. n cur nbh ,i, Gr-11C '7, A 1 '
6. New Porch r 0 4 'flO t/D r- _0 X I 1 i`I h o e ' L,�`.3/ Ctir
y � s9
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: /. ) 6
The undersigned ce ' ie tha •bove statements are true to the best of his.
knowledge and e
Signature of res. n •le apgicant
Remarks
,34,15___;1" .k.). ii 11.......% n
/4.,R .a., I ( xt of Nor#flttntptntt
_. CT20 f 9 :,� ,;; lassachnsetta
,27.4..i." —,K 1 DEPARTMENT OF BUILDING INSPECTIONS
• l :. _ = --'- 212 Main Street ' Municipal Building 'a
� Northampton, Mass. 01060 so"
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
1, \)
((O permittee)
with a principal place of business/residence at:
Di qb c 4 of .Q r)4(P(/P J (phone#) 47-4./ /7 a2
s tU eet/ci /stately
� ty P)
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)
(LKam a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
0 6 l 1.<
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional sheet if necessary to include information peataiaiag to all contractors)
M(;r 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 employ persona to do maintenance,construction or repair work on a dwelling of
not more than three units in which the homeowner resides or on the grounds appurtenant thereto art not generally considered to be
employers under the worker's oompeasation Ad(GL152,sa 1(5)),application by a homeowner for a license or permit may evidence the
legal statue of an employer under the Wodcd a Compensation Act
I understand that a copy of this statement may be forwarded to the Department of Industrial Accidents'Office of Insurance for the
coverage verification and that failure to aoarre 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 imprisonmem of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against me.
For depertmental use only
Permit Number _ ,
Map# Lot#
Signature late
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