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32C-116 (9)
-71 4 , .., •. , . .. ,_ MAR 2 9 igg9 - c .., :.,..). Of -.< (...., ris (9' - , ..._\:) ... ....._ . ...,..,_ I , . . ,, , . .. . ... .. . 0. . J . ...7), . 1 , , t 1, . ed ) --- :_ (,. oci i_1 --1 , 1 0 i d i coi -e ... 4 L, _ 0-2 c 0, ..., ..- do r4 ' C' C --i 40._ 0 ' ......- eri ....1.- •J I_ ,.. 4- C" 47 r....- 1 ‘, C 1 . 1/4. 7-- , 4 L.2--- .. (1-) .>•-• :. 1 - CCL' • -: tt ,, oci L.- • i . II ...- . , 4.L-) , ..,. . . , ---' , 1-• o) vl , ..., %.) C.) a.' 4 0 . 4.- 1 '44-7- .- 2 . , 1 ..... . t,' 1 ). , ...,„; . , .,..• ..,,, e , 1 e , i . , . , a z T3 ,.. n� Cr, to = m C) 70 N Z m .. "% Z U —3 rri v 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations t I 7%r NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location .-2 3 - 3 5 C,© n Z. ST Lot No. 2. Owner's name sV.vas <S t.N Sa r'. Address (O V e, ‘C\1 Rn. , Ao,y ( 'l)NV,. 3. Builder's name \le,.,r\o v : : \CZ-12..,,6 Address --V3 c, r.-51-'QS Pr tc�∎IfZet - S Mass.Construction Supervisor's License No. C)S c)LI (et Expiration Date '7(/91 c 7 4. Addition N. V c' -�- SAS Vc :-.1_ C'b.z.),,,, 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 5.i op∎? 1 Si-1o►",e7,.l�j 13. Siding house \.,) ti (v./ 1 14. Estimated cost:- i f rbD® The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 0:f Signature of responsible appicant Remarks l t i t +o4-tttMfp7,O�, ,�s� ••� x'`4'4 MAR 2 91999 Z ���I11Y�1II11 , -----7.„-*----,,,,,,4.6v ��/ ?�% of. S :iaacFfnsctla =w o y .� p _ i ��yy�� i �� �S►4:r;.= : i,f i t rr DEPARTMENT OP BUILDING INSPECTIONS . -;?T�° • J 212 Main Street ' Municipal Building Northampton, Mass. 01060 to' WORKER'S COIdTI NSATTON INSURA.NC1 Ai' ITDAVI'T' 1-,- S Ca:Et_ _PLere_14 A.A) i d _Dzig________64-Ei.t.) &A / E'(.5 (li c:.nsec/perm i ttec) with a principal place of business/residence at: 3. b Cote s 0 eadat) wd. N0r44i44wfAa.(phoneil) 41/3 --5B(0- Vt S (strert/city/staielzip) #44#1 O ceoc, do hereby certify, under the pains and penalties of perjury, that: fA) I am an employer providing the following worker's compensation coverage for my • • employees working on this job: Ile 44/. l e r5 T'n f. (o. t cd f-031,a 9 T qL1- 7-9 d' -•'t L1- f 7 (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: (INItnue of('ontractor) (Iawi nee t'om ar /Polt(;-,' t;uttlt-•:r) (Expiration Date) (Name of Contractor) (Insaran(:i ('onipanv/I'oht:,• t mt;'r) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Instuance Company/Policy Nutnty.r) (Expiration Date) (attach addilimxl shod ifnec try to include inforrnrtim p rt ininr,to nil contractors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plmsc be awruc that whilo 1.10n5CnwUCr3 Vi 1)0 Cmp I oy percom.to db pimintca_toe{coastructioo or repair work on a dwelling of not moco than throo units in which the homoowncr reardco or oo the grounds apputcnsai thereto arc not amorally cooridcrcd to be employers under rho wockces compensation Act(GLI52,n 1(5)),applicati on by a hotncos c fora licenic or permit may evidcocc the legal rtaiva of an employer under rho Wodccic Compcmation Act_ I undeniand dui a copy of.thia mtcmcai m.y be forwnrdod to the Dcpertmcnt of Indruhial AccidootY OfSoo of Iaaurwco for tha coverage verification and that failure to sonare cc verngc under section 25A.of hiOL 152 can lead to rho'imposition of criminal pcaaltics coosisIIng of a fine'of up to S1,500.00 aadlor impriwcermcrrt of tip to one year and civil penalties in the form of a Stop Wort Order and a Imo of 5100.00 a clay against enc_ . For depuiindoc.l n 0 oily • . Permit Number . .. . /� s +t5' 0 M!/ .. Lot it : i t Sipnaturt ofLtccnsce/Pe[mittce • 4 *. ��i, THIS PLAT IS .OMPILED FROM DEEDS, PLANS ANL, OTHER SOURCES AND IS NOT TO BE. CONSTRUED AS AN ACCURATE ..••-•---'° L SURVEY AND IS NOT TO BE RECORDED. " • A -M I \ ,, 115.5' • N 6 4 v - 433 tis.s', �—• ca .-Z Z $7. ..'�T TO: EASTHAMPTON SAVINGS BANK & FIRST AMERICAN TITLE INSURANCE COMPANY I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 SURVEYOR: RCtA"4-#11 1: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY /.-"cr -MORTGAGE LOAN INSPECTION PLAT- tr' RANDAII NORTHAMPTON, MASSACHUSETTS PREPARED FOR }36033 KENNETH W. & PRISCILLA A. DUDA N, FES SCALE: 1 "s4Q ' APRIL 12 , 1996 74N�>iUIt, HAROLD L. EATON AND ASSOCIATES, INC. �^' REGISTERED PROFESSIONAL LAND SURVEYORS • �• -�" 235 RUSSELL STREET - HADLEY - MASSACHUSETTS � = 10- Do any signs exist on the property? YES NO )S 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 co limn to Ins filLad in by the, Building Depart�.ont 'Required Existing Proposed By Zoning • i Lot size (pi 4 Sir ( , ( 19 i t - �_�, erez2 - JOB Frontage ('r. 11 5 - tj-- Setbacks -frnnt o?O sc--7 © - side L: �c ("R: I oi L: { R: - rear Building height (3.5 ST '3 TT 4/9 Bldg Square footage 53.5 ak Wit- a(4,s-9 �v %Open Space: y� (Lot area minus bldg Li°7 / i� , &paved parki.ng) `-( b # of -Parking Spaces I o 1 #' of Loading Docks CCD _0 Fill: { volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. - DATE: -'3/ a 41 9 APPLICANT's SIGNATURE / • �G NOTE: Issuenoe of a zoning permit does not relieve an epplioente burden to oomply with iii zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Public* Works and other appiioable permit granting authorities. • FILE if MAR 2 " `' File No X/ ZONING PERMIT APPLICATION (510 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1- Name of Applicant: Sc... Address: 3 L-, G°l 'C'4\xca , . Telephone: G,�— 2. Owner of Property: Q-A SGr‘SOfv\ Address: td -fir ►. -s st,Telephone: ^• ' c ( V 3. Status of Applicant: Owner )( Contract Purchaser Lessee Other(explain): 4. Job Location: L'.O(1.Z. Sr Parcel Id: Zoning Map# ' G Parcel# ( ( District(s): r c (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ) 5. Existing Use of Structure/Property `-'f v R 5 /413 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): G;cJ� a I © o Sea w\ .17.p,(\ ®`n Q\4s5, V ■'\yt S:p ,No© pcs�� C�s� �e ��.eo` 'v ci �v.e01e. S 7. Attached Plans: Sketch Plan Site Site Plan v 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: - 4 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) • -- k File#BP-1999-0793 APPLICANT/CONTACT PERSON Harlow Builders ADDRESS/PHONE 336 COLES MEADOW RD (413)586-0465 PROPERTY LOCATION 33 CONZ ST MAP 32C PARCEL 116 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out„, , Fee Paid 95— O Te— Typeof Construction: CONSTRUCT APPROX 100 SQ FT MUDROOM,SIDING&ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 052460 3 sets of Plans/Plot Plan THFOOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: vv 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 Conserv- • Comm; ion L � ter- Signature of Building Co fficial 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. 33 CONZ ST BP-1999-0793 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C- 116 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: alteration-addition BUILDING PE R1VII T Permit# BP-1999-0793 Project# JS-1999-1429 Est. Cost: $10000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Harlow Builders 052460 Lot Size(sq. ft.): 15986.52 Owner: SANSON FRANK T Zoning:URC Applicant:_Harlow Builders AT: 33 CONZ ST Applicant Address: Phone: Insurance: 336 COLES MEADOW RD (413) 586-0465 Workers Compensation NORTHAMPTON 01060 ISSUED ON:4/5/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT APPROX 100 SQ FT MUDROOM, SIDING & 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: 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 4/1/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo