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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
-
APPLICATION FOR PERMIT TO ALTER
Repair
Garage
1. Location I P cV�f 9 1064 -jr t4 j � J Lot No.
2. Ownee s name ?,44C L !r7 F h eP Address S ?1
3. Builder's name J P /! — _/-- r�C��cr2S Address 1 7 Y-+fie iv / - /V N
Mass.Construction Supervisor's License No. `�° r t y r9 Expiration Date I/ /q f
4. Addition
5. Alteration
b. 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 cosL-
1
The undersigned certifies that the above statements are we to the best of his,
knowledge and belief.
Sign ure of responsible appicanl
Remarks
5.
g �
��ZttAMPJO
.� ;U MAR 3 U 1999 Crit� raf x1art aluptun
B � y
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 �" '°��`
WORKER'S COMTENSATION INSURANCE A t � AVTT
(li ctrnserJpermi ttee)
with a principal place of bus iness/resilddence at:
lit-7 S�Ztet l)4,n y A) V0,10 0 46iL (phone#)
(strc�f/city/stalrJzip)
do hereby certify, under the pains and penalties of pegury, 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)
(Vf/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:
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compar y/PoGcy Number) (Expiration Date)
(Name of Contractor) (Imwanc-- Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additioosl shcx:(ifnoocnuy to include information pertaining to nA ooataaon)
(�am a sole proprietor and have no one worlang for me.
( ) I am a home owner performing all the work myself.
NOTE:plcaac be aware this wbilo homooAncra who cmplay persom w do rt ire ..e cous=ction or repair work on a dvm ing of
not nmco than thtoo traits in which the homeowner resides oc oo the grouahs appartznwl ib=w arc ooh cco=lly oo=dcrcd to be
employers under tbo worker's compcsssiioa Act(GL152,s=1(5)),Application by a homeowner for a tiecase cc permit may evidence the
legs.(dahu of ties employee under tlw Wocicods Compoimal.ioa Act
I undcramud that x copy of thin axtcmmt may bo fotwurdod to tbo Dctwr w..d of l awtzial Aoad�Ofoo of Iaxuwoo for dw
coverage ve ificaiioo and that failure to scc=oovcrago under socboa 25A of MGL 152 can lad to tbd imposition of-'mina'pcmltia
ooaust mg of a fine of up to 11,500.00 androc iraprisoament of up to om ynr and civil pctnttics in the focm of a stop Work Order and a ,
firm of 5100.00 a day against mo.
For dg�—Ody
permit Number
Bit b Mao Lot#
sivatmeof i6=5edpermittoo
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 MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thin column to b, filled in
by the Building Department
Required
Existing Proposed By Zoning
I Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paged parking)
# c)f Parking Spaces
# '6f Loading Docks
Fill:
-(volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true 7;�accurate to the best of my kno edge.
DATE: j ?�� APPLICANT's SIGNATURE -*M G 71 l-
NOTE: 1 sua a of a zoning permit does not relieve an a io nfS burden to oomply with all
zoning ul cements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
MqR 3 01999 p q , j ,
File No. �
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL /INFORMATION
1. Name of Applicant: 1 T12 6 / — �iel t �.1OIF-"
Address: 1t wtd�t/ /i Cf • Telephone: 61 _
2. Owner of Property:
Address: S roll! Telephone:
3. Status of Applicant: Owner __Contract Purchaser Lessee
Other(explain):_
4. Job Location: /0 y-14 Id 6 A /,/�,�,� `r - C✓✓1-
Parcel Id: Zoning Map# Parcel# c1.::;;2 District(s): e6G, ,
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
V�A/V Z C4 4') Y '!�� 6 �/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 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)
r y
102 HAWLEY ST-104A& 106A(REAR) BP-1999-0799
G1S#: COMMONWEALTH OF MASSACHUSETTS
Map.Block: 32C-240 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:vinyl siding BUILDING PERMIT
Permit# BP-1999-0799
Project# JS-1999-1432
Est. Cost: $8000.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: J C Pratt Builders 115419
Lot Size(sq.ft.): 9801.00 Owner: HEBERT PAUL JR
Zoning:URC Applicant., J C Pratt Builders
AT.- 102 HAWLEY ST- 104A&1 06A (REAR)
Applicant Address: Phone: Insurance:
147 Westhampton Rd. (413) 584-5504
NORTHAMPTON 01060 ISSUED ON.•313011999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING & SOFFITS
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 3/30/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo