Loading...
32C-276 (18) 70 'C r!• t:9 C r D lir Z m Z M Ct7 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. , (2�'tI Alterations NORTHAMPTON, MASS. jU 19 ° Additions _APPLICATION FOR PERMIT TO ALTER Repair �C — )-7 L, Garage 1. Location uN T (l—t-4 0—T S-) C-At zus V%,.,r Ir Lot No. 2. Owner's name �O Q r H' � r� � Address 3 �V�,`:)e.& S-1 -l" 3 3. Builder's name vans+,..] Address 3 C S0Q-V1<1= cl k Mass.Construction Supervisor's License No. L[cv"�- Expiration Date o 0 4. Addition 5. Alteration 2 `�� 0 LZ "N'D d 00 E"q4- 6. New Porch 7. Is existing building to be demolished? N U 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating rcc-- C C&,,\ 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- �J 000 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app.icant Remarks O ti g 1998 °, zf� of 'Wart4allipton JLL ' � � „� �asst:chnsrtta 0. 8b DEPARTMENT OF BUILDITjG INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (license&PernI ttee) with a principal place of business/residence at: 3 hone#) 'T t" (22-x-1 (strcWcity/sta&2jP) do hereby certify, under the pains and penalties of perjury, that: ,P I am an employer providing the following worker's compensation coverage for my employees woring on this job: UANr`�SPN l Sl 9 - oo —C)91 k'9 / -.'y 2 - r 9 9 9 (Insurance Company) (Policy Number) (Expiration Daze) ( ) 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 Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Com)any/Policy Number) (Expiration Date) (attach additioml shed ifneccnary to inc}ude information pertaining to all 000tmetors) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:please be aware dmt while homeowners who employ persons to do m mtc ,-,. onstruetion or rc*r work on a dwelling of not morn than throe units in which the homeowner rides or on the groun6 appurtenant thereto are not generally oo=dcfed to be employers udder the workeez compensation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evideam the legal etatw of an employer under the Worker's Compensation Act I undmund that a copy of this traiment may be farwrucled to the Depwuncna of Ixkntrial Axida ats'Ot$oo of Insurance for the ooverago verification and that failure to axon coverago under section 25A of MGL 152 can lead to the imposition of criminal Penalties eomisting of a fide of up to$1,500.00 andtor imprbonincrit of up to one year and civil penalties in the form of a Stop Work Order and a firm of S100.00 a day agaitsst toe. For dq=tm=W use aaly g— Permit Number Lot# _ Signature of Licensee/Permittee [ N_5T l ENTRY / 9 DEPT Of — J BOOKSHELVES (BY OWNER) rr OVERHEAD SOFFITT 30" W x 6" TALL FURR cur AND DRYWALL DINING f�i00M ENTIRE WALT. CAN 1 6 � GLUE-DOWN 1 -_.---- NARbWCX7D BELOW-GRADE SLIDING PANELS ON TRACK FLOOSPFLOOR FULL EXTENSION APPROX, 8'-0" I � � t ��� BuTCNErz- I BLOCK ISLAND TOP -� ARBLE STEEL REStA LAS I 6NELVIN3 UN ��s I KITCHEN r-ERAMIC-r LE ----— FLOOR I '3 t �e Dort ry - Dw v I I CLOSET BOX OUT AROUND GAS PIPES F ROF�06M KITCHEN LAYOUT 1/411 2 11-aI! ENTRY JUL 911998 _ _ Qf�PT OF BU / - - BOOKSHELVES (BY CU)NM' OVERHEAD SCFFITT 30" w x 6" TALL - - - - - - -- - -- - - - -- - - - - - - FURR CUT AND DRYIUAL _ DINING ROOM { ETIT'IRE WALL — ---- - - --- —_ _ CAN tsLUE-DOWiJ �. SLIDING PANELS ON TRACK FLOOR BELOW-GRADE SPEC. FULL EXTENSION APPROX, 8'-O" I L� BUTCHER- , BLOCK ISLAND TOP - i--- ARBLE \_- --_ I - 8TM RESTA I LAB I SHELVING UN' 1 I — J I KITCHEN CERAMIC TfLE ----- FLOOR I 3 � h I I - REM. oorl - L ow I CLOSET BOX OUT AROUND GAS PIPES PROf:!'OSW KITCHEN LAYOUT 114" = I'-0" 10. Do any signs exist on the property? YES NO C 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— to be filled in by the Balding Department I Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: Lot area minus bldg ' &paved parking) # pf Parking Spaces j %f Loading Docks Fill: 4vol-1 me--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. .1_ D2ffE: _�( -1( Q APPLICANT's SIGNATURE }" NOTE: Issunnoe of a zoning permit does not relieve an a iioanta burden to oom wit PP P.IY h�...at zoning requirements and obtain all required permits from the Board of Health, Conservtatic Commission, Department of Publio Works and other applionble permit granting authorities. FILE # D Y' JUL 9 W } File NO A DEFT OF c3!_'_ 1?d�PECTIONS z-.-, IBC?,,,. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Q d Q P CC-'X Address: `3 (" Z C-KIP Telephone: 'S `y /2`2y 2. Owner of Property: 9—&d 4` G Address: ��C'�<tc S Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain,): } �" 4. Job Location: 26 l.C�� .�wo c� /,(/A iu:t Ozrss Parcel Id: Zoning Map# Jj C Parcel# Cv District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT 5. Existing Use of Structure/Property 44 uo cMct4t' 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): P- + btu{ - ' GS •�'Q61f� 111k� cal-4 ter S if-4C 15O-or.^La..y ��c �- �, `i1h'►�I'r ''ilk 'i b (I C Ra \ C,00-A ,ry 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 KNOIV___�6 _ 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 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) Department: Reference No: BP-1999-0043 ................................... Building, Electrical & Mechanical Permits ......................................................................................... Fee Type: Receipt No: Non structural interior renovations REC-1999-000054 ........................................................................................ ...................................... Paid By: Paid in Full On: Robert Reckman Fri Jul 10,1998 ......................................................................................... ...................................... Received By: Check No: Linda Lapointe 8068 ......................................................................................... ...................................... DEPARTMENT'S COPY Amount: $140.00 ..................... DEPARTMEN'I' FILE ("OPY 80 WILLIAMS ST CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own pen-nits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: BP-1999-0043 $140.00 GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size: 10792 32C 276 001 80 WILLIAMS ST URC Contractor: License Type: Insurance: Robert Reckman CSL Workers Compensation Address: License No.: Insurance No.: 36 Service Center 009498 151800097491 Li!y-i State: Zip Code: Phone: NORTHAMPTON MA 01060 (413) 524-1224 Proiect No: Category of Work: Const. Class: Cost Estimate: JS-1999-0056 Non structural interior renovati $35,000.00 Description of Work: add kitchen/dining in storage area to convert to two units GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: File#BP-1999-0043 APPLICANT/CONTACT PERSON Robert Reckman ADDRESS/PHONE 36 Service Center (413)524-1224 PROPERTY LOCATION 80 WILLIAMS ST MAP 32C PARCEL 276 ZONE URC THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT ✓ Fee Paid Building Permit Filled out Fee Paid ZO& Type of Construction: New C on Structural interior renova i Addition to Existing Accessory Structure Building Plans Included• Owner/Occupant Statement or License# 3 sets of Plans/Plot Plan THE LLOWING 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 t - -1A6rowra s�Board of Health Well Water Potability Board of Health Permit from Conservation ission Signature of Building icial 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.