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32C-244 2 70 'p v v -o o• •o � D m 77 ~' O cDn 3 o Z m ►A �' ..t Z > to O m s � V. Zoning Miscellaneous Additions,Repairs,Alterations.etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Af Garage 1. Location —�f 4 , Lot No. 2. Owner's name jdKr(-�i2eA Q (4^_ A4t-.t Address �r U. rc,,_� 3. Builder's name � ���� Lg � 12�.vQ �P QAddress Mass.Construction Supervisor's License No. �� -L Expiration Date 4. Addition 5. Alteration s+� 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 cosL- The undersigned certifies that the above statements are true to the best of his, k edge and belief. Signature of responsible appoicant Remarks ri �ttnt}7�urr t�T 1 4 Wq- DEPAkTMENT OF BUILDNG INSPECTIONS fi,i 0r Pr ri 212 Main Street ' Municipal Building Northampton, Mass.' 01060 WORKER'cSCO'NITENSATION INSURANCE AFFMA.Vrr (liceusedpermitt�ee) with a principal place of business/residence at: lf�N`� L orbts Se .t! (phone#) ' /c (=r--Vcity/ ziP) do hereby certify, under the pains and penalties of perjury, chat: (Y� I am an employer providing the folloWmi g worker's compensation coverage for my employees working on this job: (ZnnlranC-- Company) (Policy Number) (Expiration Date) ( ) I am a sole proprietor, ral conu a or homeowner(circle one) and have hired the contractors listed below who have the following workers compensation policies: (Name of Contractor) (Insur-anc-c Company/Potiey Number) (Expiration Date) (Name of Contactor) (Inauanc-- Company/Policy Number) (Expiration Due) (Name of Contractor) (Insuramc-- Company/Polief Number) (E.1-pira6on Date) (Name of Contractor) (Insuran= Company/Policy Numbs) (Expiration Date) (suscIl sdditioail xLeet ifnoo=.ry to 6cWc i form.aon pCZtaiaing to.11 ooa ra ) ( I ani a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work thyself. NOTE:plcasc be aw2m tbA wbtUa bomco.%vcra WUo amptoy persom to do un ule • cr ooG=mucd a or rcpa work oa a dwelling of not more"dre*Units is wbi the bomoowncr rmi4ca or on tb.o stoun�.s+ zpjxutca+nl theCto arc oa sw—ny oomidcrcd to be aaploycts ttodet tbo wocku�t oocnpe acim Act(GL152,a 1(S))appUmd a b-y a born., far.a lictax or petmd may evidcaoe the legal datva of as ecapt"under the Woricoes coaapoaaatioa Ant_ I undavbiad diA n oopy of ttvs aatemmt may be focwwd.d ta.the Depacuoaat of l.&,ft id Aoodeate Offio.of lmue.008 for the oovctaae vtsifieatiod sad that Wu m to ccum covaaga under socdm 25A of b1OL 15i oaa lad to tb:impo—Qraia m=4 pcnaiSa :a oo=3ft of t4'me bfup to SI„SOOAO soda impcuoa®cnt of rip to one year and dtrt7 paa2tics in�e form of a Slop Wade t2rder &M& ban of 3100.00 a day wi-t me: • . ' FarvM°°17C '. ' 144/;??-���1 p«muxtl� - •_ . sit of�L:�«sisedPcimitl+x - . - .- W i3 W Vs chi INCA Ott N'F 'PTaN-8t2 i TOs 141JWra»'N0.025 P.3/7 I M1 tb HAWLCY 111• t9. mow OAK►!G►Rim.Wow 36A.MORD19M ' 20. pa=KMMMPPtACM 21. GONG,VINYL.. ..,, cowwamw i pamb TOW Upwaft 1tsi.i�z1"i{ :42WV 1fSOLN2CE OIVE N'fiflrpTq�p1-d'rZ3 TM1.41358593`N0.015 P.2/7::W " �.*� �ir[�TrGl •71. w" 4114 WASMJPVUPCK WCHEK MOTMER DRAINAGE 9. PLUMWj%V9 LM I IF 1 AND VENT • �OQOQ M114 Q. COI UMK S'f M e YYlTN FOB b4t.00 wit Rowaimawaam 3X14 OEAW AND SUPPORT 1 i. REAM,WOOD.LOAD WARMKs` S370.00 ADD P CEPTACLES TO LiR Alm YED ROOMS 12. M EC[M KNOB A TtMIF-iRMPLACE E➢00.00 BATH 13. ELECTRIC.BA'L'M VENT FANA X* f 5260.00 FLOOR JOLSTS O EA 14. BEAMS.WOM JOISTS MCUXWA PAD6 AND POSTS X0.00 4 6e�1 u I$, INIMbM. VNM REPLACES1di T 10 EA i2.750,QD t7HW.K UENTMK3 IN U T AND PAPLAM W GARY 16, PU MR W MW OGLW 17. G RCMIC,BAY"VENT FAWJQW SM-50 •2- .TL>Tf.25.1999 412-14W fYN1"�Id s azn=t W SOt,RCE Oi`E N'► TON$7c i tu:xyas�ox,+�, N0.015 P.1/7 �tP tiAw �. ow z r � F. .-... Ai.WAViCU C ART etas 4tJ I L ��1�0. 71 rr it 2-116 HAVAM ST. 1. idiCllt i ,�PlAQE. , REMOW POO IMPLACE T'EWVPARY I AUX COW" 2. COE.EAft fff'f@f;t. *I fIY1 IXIOTff!lti I PLtAA P$k TOM RMOOM OO t-1.f M Y ow 4. PROVM C,t.OW DOOR OPOWO OM fff'V RAf3"E OW" llR1lt S. PLI .VEW 6. VAWDOW. VWft R8KAtVAlNT f2 fA ?. NEATO POA4`ED AIR FURNACE P'VJf rA*FdMW AND PAPAIPt 000E AND OUT 11. AA ,.fAElD�'f - f• 10. Do any signs ebst 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 col=a to bs filled in by the Rcd2cung Dvpardaent Required I Existing Proposed By Zoning Lot size d �+ t 1 Z—�1�{l< t s 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: {vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: f APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply Wlth all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applioabla permit granting authorities. FILE # m� t� Q 6L a Fi 1 e No I f-003Y3 PT 8lijiI IG IN'Sr,F,"+` �3 °ENorj + ,v�'10N-'M'A`Q -'NG PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: Telephone: —S--374—z 1; 2. Owner of Property: �&ja—o� Address: off-- d l elepbone: t 3. Status of Applicant: Owner ��//Contract Purchaser Lessee Other(explain): C;�K r" 4. Job Location: Parcel Id: Zoning Map# (,—:5a2--Parcel# District(s): (TO BE FILLED IN BY TH BUILDING DEPARTMENT)--- S. Existing Use of Structure/Property c ,� r �l c 6. Description of Proposed UseMork/Project/Occupation: (Use additional sheets if necessary): G 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 DC YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? 7 ? 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) File#BP-2000-0393 APPLICANT/CONTACT PERSON RUSSELL A.DUCHARME CONSTRUCTION CO ADDRESS/PHONE 7 BENOIT LANE (413)536-7334 PROPERTY LOCATION 112-114-116 HAWLEY ST MAP 32C PARCEL 244 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildina Permit Fillga out Fee Paid Typeof Construction: FOUNDATION REPAIRVINYL SIDING,WINDOW REPLACEMENT PLUMBING ELECTRICAL LOLLY COLUMNS BEAM&SUPPORT VENTS FRONT& REAR PORCH REPAIRS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 003396 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved 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 Conservation Co ss, e l Signature o 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. 112-114-116 HAWLEY ST BP-2000-0393 G1S#: COMMONWEALTH OF MASSACHUSETTS Map-Block: 32C-244 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-2000-0393 Project# JS-2000-0672 Est. Cost: $34000.00 Fee: $370.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RUSSELL A. DUCHARME CONSTRUCTION CO 003396 Lot Size(ss .fQ: 5314.32 Owner: KAUFFMAN ANDREW Zoning:URC Applicant: RUSSELL A. DUCHARME CONSTRUCTION CO AT. 112-114-116 HAWLEY ST Applicant Address: Phone: Insurance: 7 BENOIT LANE (413) 536-7334 Workers Compensation SOUTH HADLEY 01075 ISSUED ON.io/18/1999o:oo:oo TO PERFORM THE FOLLOWING WORK.-FOUNDATION REPAIR,VINYL SIDING, WINDOW REPLACEMENT,PLUMBING,ELECTRICAL,LOLLY COLUMNS,BEAM & SUPPORT, VENTS, FRONT & REAR PORCH REPAIRS 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 10/18/1999 0:00:00 $370.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo