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Zoning
Miscellaneous Additions,Repairs.Alterations,etc. Tel.No. 9-tolt l Alterations X
NORTHAMPTON, MASS. W2-�V I 9_�2 Additions
APPLICATION FOR PERMIT TO ALTER Repair _
Garage
1. Location Lot No.
2. Owner's name Stwr N o r .liwr� w. .;_ . Address Sur
� 1
3. Builder's name Address Pt 0 J
Mass.Construction Supervisor's License No. C? 8t t t7 Expiration Date z-
4. Addition
S. Alteration _E SiAl l,A ej G, 1A-& -4 �.(���
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 statcmcnts are true to the best of h.
knowledge tic(.
a . aze",
Signature of respoOnSINC 0pp.1c4n1
Remarks UZ3'sr
,
m FEB2 9 �ia�sschnsctts
f ? _ DEPARTMENT OF BUILDING INSPECTIONS
12 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
PIONEER CONTRA .TOR .1'I CON,. TNC_
`(licens jpermittee)
with a principal place of businessJresidence at:
P.O. BOX 1145 Nnrthampt u , PIA„ nin61 (phone#) 4113-5R6 5491
(street/city/stairhi p)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following workers compensation coverage for my
employees worldng on this job:
1 iht-rty Mutton! TnstiranPR rn, WL1_315,-499R2o n4q 6,/3Q/99
(Insurance Cody) (Policy Number) (Expiration Daze)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below wbo have the following workers compensation policies:
(Name of Contractor) (insurance Corupauy/Policy Number) (Expiration Date)
(Name of Contractor) (insurance CouupazitiPolic} Nuu�'t�r) (T2xpirtuon Date)
(Name of Contractor
(Insurance Company/Policy Number) �zxpuauon Dale)
(attach additioml:beet if aoccauy to iochfdc information pertuntng to all 000b'adors)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE pieate be aware thrt kilo homeowncts who«upiay per_u,eo do mainim>,ox,a�truwoa or repairµ•ark oa a dwcU1 g of
not morn than tlree units in which the bomoowocr resides or oa t5e�j our s+ appadcnanl tbercto ut oot grnaally oomidcrcd to be
employers under tho work=s o=P=zation Act(GL152,ss 1(5)),appli==by a homoow=for a Gcmx or permit may cvideuce the
legs!rtah+s of as onoployer under the Workoe's Cowpemuion Au.
I undastacad tbad a copy of this statement may be fammd ed to tbo Dcpermxos of Aoci&u&OfFoo of Imumam for the
coverage verification and that failure to secure oovetago under secUoa 23A of MGL 152 can tad to the imposition of criminal pt:a Ecs
comisong of a fine of up to S1,300.00>nnd1or itltpriseameal of up to one ycy and civil pemhim in the form of a Stop Work Order and a
fm o(3100.00 a day against me
For depsrtt xow tue aaty
Permit Number
Lot#
Sienahac cifT.i _ �rrlPetmt DREe
10. Do any signs east 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 t/
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOB TO
LACK OF INFORMATION.
This cclnam to be filled in
by the Bui d ^ Dlrpar—nt
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
&paced parking)
# of -Parking Spaces
f Hof Loading Docks
Fill:
-(volume--& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowle ge.
.a
DATE: 2�Z (� APPLICANT'S SIGNATURE %/
NOTE: Issuance of a zoning permit does not relieve an ppiioan tfi-Purdeoi to domply with all
zoning requirements and obtain all required permits from the Board of Health. Conservotion
Commission, Department of Publio Works and other applioabia permit granting authoritlos.
FILE #
D
i ` RB 2 9 � File No.
7 `�
�I rt
�F F m`^^�' '�TI TG PERMIT PPLI CATION (§10 . 2
1 nT . rn it4S� .A
TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Plp�l��',�� �tr•�\�
Address:_ C U 1 14� 1146 �.p-t kt AQ�Telephone:
2. Owner of Property: G�-
Address: 36 ewe 5T k�`,�,� Telephone:
3. Status of Applicant: Owner / Contract Purchaser Lessee
1/Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 4NQ ..
6, Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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/Vadance/Finding ever been issued for/on the site?rb
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 she 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)
36 KING ST BP-2000-0747
CIS#: COMMONWEALTH OF MASSACHUSETTS
Iap:Block: 32A-255 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0747
Project# JS-2000-1144
Est.Cost:$8000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Pioneer Contractors 017890
Lot Size(sq. ft.): 72614.52 Owner: STAR NORTHAMPTON INC
Zoning-: CB Applicant. Pioneer Contractors
AT: 36 KING ST
Applicant Address: Phone: Insurance:
PO Box 1145 (413) 586-5491 Workers
Compensation
NORTHAMPTONMA01061 ISSUED ON:2129100 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE EXISTING BATH TUBS 8& WALL
SURROUNDS - RMS 409,41 1 ,413,415
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 2/29/00 0:00:00 5678 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo