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32C-165 (30) > o K c n .r. XY) L Y C o r 0 3 ' om ch yz s 3 _ o Zoning Miscellaneous Additions.Repairs,Alterations,etc. Tel.No, � {G I Alterations NORTHAMPTON, MASS. h 193L Additions a I APPLICATION FOR PERMIT TO ALTER Repair Garage l 1. Location �2-� otu,,; �f1 �� �Y vW�/J 1�^ Lot No. 2. Owners name / Address 3. Builder's name P1 e;er 1 °xS Address Qr 0, EnZ t I\,t\— Nbs Ayk MA , Mass.Construction Supervisor's License No. `g,-1 5RG 0 Expiration Date t 4. Addition �-Vv�S�Cv1�1fi.��l+n� ' 5. Alteration ���'` 4t 6. New Porch 7. Is existing building to be demolished? S. 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:- i�Ulb The undersigned cenifies that the above statements are true to the best of hi know le ge and bell f. Signa ur•e of r•e ponsrb(e app.icant Remarks Sod- s' -- - �" &� n Inc. JOB d/b/a MO CONTRACTORS _ Q�� �' P. BOX 1145 SHEET NO __-_ OF %x 3DI9C �� z NORI'1-IA PION, MASS. 01061 CALCULATED BY DATE __- (413) 586-5491 Pr PT,. CHECKED BY DATE SCALE (�2 ` ' ✓ - T1 ( - 4 �D6C> 'Ax i z" ( r _ -M�;.� ' Qu�� she Gov e qv, & ��- _ ra 4X4 P.T TXA! ZX(f, �ox W-0" • r.; A !h co .w` tL 4► loo, oovo sow ,,. u1-� •-13'x• � 1` � i $ $ f 'lop ti �. qr • rk�- 'I i r,� +.,. ' Y` !!b"! ,!M .fir ,. ., •, R•7 "` }� 0000 i -fit bN 001;-4, CA ,,''� �/�`,�.�, ��,�`30 r�' ,�► ,ter � �' z�`c � �:. 1000% 000, ,v r ,... �^"" {ltittltittltlt�lAN!!!tN �, r �.. «M own i! at {jtl itt ltti{ttHitttititttt!!t!tlittt[�iti{!t!{t{t{t tH{!itlt{ttlittt!ltttt!{!f/t!!{ + w ago 0 0 UT 3 0 ` �.... 1•..f. .m D Pr'1RTMENT OF BUILDING INSPECTIONS PFpT 0t < J12 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFMA AVIT I, PIONEER CONTRACTORS PT CON,- TPJC.___________ `(Ucenste/permittee) with a principal place of business/residence at'. P.O. BOX 1145 Narthamptanr MA_ n1nf,1 (phone'0 413_58 491 (sU=Ucity/staid2ip) do hereby certify, under the pains and penalties of penury, that: (X) I am an employer providing the following worker's compensation coverage for my employees working on this job: I iherty M total Tnsimanra_Cn, Wf T_315-499R22_f1499 - 4 L-Kn/nn Qnsurance Company) (Policy Number) (Expiration Date) O I am a sole proprietor, general contractor or homeowner (circle one) and have hued the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Corn-any/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Coinpaiv/`Policy Nuinbcr) (Expi-mt on Date) (Name of Contractor) (Insurance Company/Policy Number) �Lxplrauon Date) (attach additional sboct if neoeauy to iae}ude information pertaining wall cwtmcton) ( ) 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 awam that whilo homeoymm who employ pasom t4 do amLa mane,,R cYtoo or repair work on a dwelling of not mora than throo unit'is which the hom&owncr raids cc oa t5e q out's apptuteoarrt thwcto arc not CCnerzlly oomickrtd to be employees under the wvricees onmperos tion Act(GL 152,ss l(5)�application by a homeow=for a!keen-c or permit may cvidcaoc tho legs!status of an amployor under the Worlcors Compamation Act, I undastaad thzt a oc py of this cutemeut may ba forwwxiad to tho Dcpnrtmcn2 of IndsutmJ A=d-a&Offioa of Inauanca for the coverage vaificatioo and that failure to&==covmNn c undo suction 25A of MGL 152 can lend to the imposition of criminal penaWc ooausfiag of a fmc of up to S1.5oo.00=&or imprisonment of up to ooc year and civil pcaaltia in the form of n Stop Work Order and a futo o(S100.00 a day againA ma For dca WxX l w 0,11Y mt NuPermi er Niap#-- - Lot# Sigloahue of LiccvscclPermi e y - 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 column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking spaces f of Loading Docks Fill: Avolume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: - ' -� 7� APPLICANT's SIGNATURE NOTE: lesunnoa of a zoning permit does not relieve an a p oan burden o oompty with oil zoning requirements and obtain all required permits from the Board of Health. Conservtation Commission. Department of Pubiio Works and other applicable permit granting authorities. FILE # File No. FP?� -ZOYXB PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Bk4 1 �il�t lra.1-G - Telephone: ,— S'(AI 2. Owner of Property: Address: l Z-!5' 9)r, Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee (Other(explain): 66A e r 4. Job Location: 1(s-A t-tj% r- Parcel Id: Zoning Map# �o�� Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property LA 6. Description of Proposed U /Work/Project/ cupation: ( se additi nal sheets if necessary): 7. Attached Plans: �_Sketch Plan Site Plan L/ 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 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) File#BP-2000-0629 APPLICANT/CONTACT PERSON Pioneer Contractors ADDRESS/PHONE PO Box 1145 (413)586-5491 PROPERTY LOCATION 125A PLEASANT ST MAP 32C PARCEL 165 ZONE CB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildiniz Permit Filled out Fee Paid Typeof Construction: ERECT 4 X 4 ATTENDANT'S BOOTH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 017890 3 sets of Plans/Plot Plan T 4OLLOWING 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 Conservaf mmission � 3 Signature of Building Officifif 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. 125A PLEASANT ST BP-2000-0629 GIS#: COMMONWEALTH OF MASSACHUSETTS r%�4 .Block: 32C 165 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category shed BUILDING PERMIT Permit# BP-2000-0629 Project# JS-2000-1125 Est.Cost:$1200.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Pioneer Contractors 017890 Lot Size(sg.ft.): 105415.20 Owner: PITONIAK MATTHEW M& Zoning:CB Applicant Pioneer Contractors AT: 125A PLEASANT ST ,4pplicantAddress: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTON 01060 ISSUED ON.12130199 0:00:00 TO PERFORM THE FOLLOWING WORK:ERECT 4 X 4 ATTENDANT'S BOOTH 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 12/30/99 0:00:00 5537 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo