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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$7c i tu:xyas�ox,+�,
N0.015 P.1/7
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ow
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Ai.WAViCU C ART
etas
4tJ I L ��1�0. 71 rr
it 2-116 HAVAM ST.
1. idiCllt i ,�PlAQE. ,
REMOW POO IMPLACE T'EWVPARY I AUX COW"
2. COE.EAft fff'f@f;t. *I fIY1 IXIOTff!lti
I PLtAA P$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