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32C-219 (46) ;01 > z �o a (A 3 � CD ' co _ Cl. O R S Q > o cn O M ° Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No Alterations NORTHAMPTON, MASS. 1090/`1C ;� q 19 Additions % - � ' APPLIa CATION FOR PERMIT TO ALTER Repair Garage 1. Location ✓vLF• S% M< /1/ Lot No. 2. Owner's name X/�SSI� C/Xr}O s Address J- %Lpo /LL/t rf��lotiwr�ddress ��S% �L o/ iuC 3. Builder's Mass.Construction Supervisor's License No. CS C) e7 Expiration Date v`�Ooo 4. Addition 5. AlteratioAfDUCC 0v,12AXf*-2 J>001? #E'i1] i��v�� 6. New Porch 7. Is existing building to be demolished? AID 8. Repair after the fire IVO 9. Garage kim No.of cars Size _ 10. Method of heating 0✓ 11. Distance to lot lines 12. Type of roof 13. Siding house N 14. Estimated cost: �0 O� The undersigned certifies that the above statements are true to the best of his knowledge and belief Signature of responsible app—anl Remarks //Ua� .�' S'%//�� SL B/P/A CFA SVhCsl Tr-y0 X�ST�:r/ j Stii9n:T� X. /qo �r--: C-1-C) rwo ,N 'w �47a/L ti t. Ark; 3 0 19G9 e a OF or a.�F • vJl6n6)/d))tl171f1�(?lkl�� j DEPARTMENT OF PUBLIC SAFETY i CONSTRUCTION,SUPERVISOR LICENSE Nab er ,_ Expires, Birwale 3 CS 00304 05/06/2000 05/06/1947 ` Restricted To: 00 ;4 RONALD'F NODGES 60 N MAPLE ST FLORENCE,, MA ,01060: APR a L,, APR 'po Ake y 0 a J�q IV / Ir is � � CQ Lam g , A , ' q5 OT z "T O Dom " d�" �► -� °" hoe i a.,- L ]V>4 1-4 Iva ov Od '`:,`/v � ',���'�.A �-~ �' /,ry ,►� �� �"' �4n.A Ins �r�c vw��� �t��.� Crit# of Wort4ainpton 4 z $ e APR 3 019991��,R�h�ts�tts DEPARTMENT OF BUILDIXG INSPECTIONS INSPEC -4R �°' ""'" ""� 212 Main Street • Municipal Building o Northampton,MA 01060 Applicant Information 1 Name ------------- Location ------------ City IV,2 �� �—�— ------------- C4 I am a homeowner performing all work myself ❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on thisjob. Company Name----------------------- -- Address City------------ ------ Phone#---------- Insurance Co._------------_—Policy#------ --_ Company Name Address City Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25 A of IYIGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIAfor coverage verification, I do hereby certify u e pairs a pen ury that the information provided above is true and correct. Signatu '__ ^ —� Date �/�- 1 9 Print Name Phone# Official Use Only Do not write in this area to be completed by city or town official City or Town PerrnitlLicense# ❑ BEH7Dpt ❑Lrensing Bond Check if immediate response is required ❑Selectmm'Dept. Contact Person Phone# ❑ Heahh Dept. s j fl � Vd Q LSJ Ct LA p _ o �1 LIN IIU v� _.. .. �. ' e 10. Do any signs exist on the property? YES _ NO IF YES,describe size,type and location: /`owrl' /219L t- " `W/6< Are there any proposed changes to or additions of signs intended for the property?YES NO �>,e IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This columm to be filled in by the Building Department Required I 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 &paged parking N # of -Parking spaces # of Loading Docks Fill: -(volume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DAVE: APPLICANT's Sl-GNAT URE —, NOTE: Issuance of a zoning permit does not relieve an applicants bu en to comply witty all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applioable permit granting authorities. FILE ,f` i L� I U APR 3 0 1999 ��_%x--106, n OF n!; File No. �.,m ��ING r.; PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Xbti g c..D F X o jS 6ef Address:0/ a Al S i; /5L o/',GNce Telephone:'�-Y""' r- //s-c 2. Owner of Property:-�C t��i N< X f <�C© C"A' Address:� 1' `6 /t/ '?-C'// Telephone:, V Oif'T 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: A0? Parcel Id: Zoning Map# Parcel# M District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) c 5. Existing Use of Structure/Property 11LI 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): , COA/Uer`rL,yg 6 x I-CEI y Co t� S7�.ft 4 G� i9��i4 //VrO Orem- Two ex/S 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 KNOB^: V YES_ IF YES,date issued: IF YES: Was the permit recorded at the/Registry of Deeds? NO DON'T KNOW y YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO_V 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) S � File#BP-1999-0906 APPLICANT/CONTACT PERSON Ronald Hodges ADDRESS/PHONE 60 North Maple Street (413)586-1150 PROPERTY LOCATION 123 HAWLEY ST MAP 32C PARCEL 219 ZONE SI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled ou Fee Paid Typeof Construction: DIVIDE STORAGE AREA FOR(2)EXISTING OFFICESAEDUCE OVERHEAD DOOR New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 003042 3 s s of Plans/Plot Plan T 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 Hea th Well Water Potability Board of Health Permit from Conservaf Commission 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. c ' 123 HAWLEY ST BP-1999-0906 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-219 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-0906 Project# JS-1999-1564 Est. Cost: $2800.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RONALD HODGES 003042 Lot Size(sa ft.): 14766.84 Owner: FOURNIER FRANK N III& Zoning_ SI Applicant RONALD HODGES AT., 123 HAWLEY ST Applicant Address: Phone: Insurance: 60 NORTH MAPLE ST (413) 586-1150 FLORENCE 01062 ISSUED ON.' TO PERFORM THE FOLLOWING WORK.-DIVIDE STORAGE AREA FOR (2) EXISTING OFFICES,REDUCE OVERHEAD DOOR 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 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo mmwe