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PUP N L ;' Q= 70 cn O
G:S O Z P-W C
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location %-VL\C`^ 'C Q,cry Lot No.
2. Owners name ��cJ „� �v J2c Address
3. Builder's name R s- C�r`3����� ��A Address ��1) 56C k),C"t V,r\
Mass.Construction Supervisor's License No. C2 , c��—Expiration Date
4. Addition �-
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
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are we to the best of his,
knowle e d belief.
Signature of responsible app,icant
Remarks
c)4`�t1AMPT0
s� Gl its af 'lazt4amptun
NOV 11PARTmENT 2 2 � OP BumDrNG INSPECTIONS
2 Main Street a Municipal Building '
a
rFFT Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
(licensee/permittee)
with a principal place of business/residence at:
Q " c �� �`�;trti fAc-��`�U hone# / «l
(street city/statdzip)
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)
( ) I sole proprietor, g eral contractor or homeowner(circle one) and have hired
the contr e ow who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Comparr/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additiond shoot ifnecenmy to include information pertaining to all ooe rsd )
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:plea=be aware that while homeavnas who employ pasom to do mainleaaace comtru on or rcpair work on a dwtuiag of
not more than three units is which the homeowner resides or m the grounds appurtenant thereto arc not generally coandered to be
employers under the worker's oompeasaticn Act(GLI52M 1(5))�application by a homeowner for a license or permit may evidence the
legal status of an employer under the Wodcoes Compemation Act.
I undeataad that a copy of this statement may be forwarded to the Departabcv2 of Industrial Ao6doa&o&oe of Iasuraom for the
coverage ve ificstioa and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of-Mmal Pmdfies
comisting of a fine of up to S 1,500.00 and/or imprison of up to one year and eiva penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against tna
For dial use oinly
Permit Number
Lot#
Mai{
Signature of Licensee/Permittee Mte
I
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 eolnmm to be filled i.n
by the Banding DeparCment
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
#_ 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's SIGNATURE
NOTE: Issunnoe of a zoning permit does not relieve an applioanta burden to oomply witFays,ll
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appliomble permit granting authorities.
FILE #
0 T
i
NW 2 21998
Fi 1 e No. .3j� 53
DEPT OF 8014 1111p;r INSPFCTI()�J;,
PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: •' �' C n sk A • i�Ce- C�
Address: �. \JJ`� ��� Telephone SC6�o — `�(G Cj
2. Owner of Property: �`y�� C—t c>�,r- �� y
Address: \Telephone:
3. Status of Applicant: Owner Contract Purchaser v Lessee
Other(explain): ��-(�
4. Job Location: /? k�P.►�tl� '< 1
Parcel Id: Zoning Map# ae— Parcel# / District(s):
(TO BE FILLED IN BY THE UILDING DEPARTMENT)
5. Existing Use of Structure/P rope rty .�(�^-L
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
au
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 DON'T KNOV. 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)
'r
47 HOLYOKE ST BP-2000-0531
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man Block: 32C-211 CITY OF NORTHAMPTON
Lot:-001
Permit: Buildin
Category:roofin g BUILDING PERMIT
Permit# BP-2000-0531
Project# JS-2000-0921
Est.Cost: $2400.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: STEPHEN PHILLIPS 121892
Lot Size(sq.ft.): 1568.16 Owner: COOPER ALVIN L&JEANNIE J
Zoning URC Applicant. STEPHEN PHILLIPS
AT. 47 HOLYOKE ST
Applicant Address: Phone: Insurance:
P O BOX 566 (413) 586-1969
NORTHAMPTON 01061 ISSUED ON:11122199 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & 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: 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: Receiut No: Date Paid: Check No: Amount:
Building 11/22/99 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo