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35-098 (3) > o.9 'a o ` .. S Q Z o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 1 q Additions ! Repair • ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location 13 t)r n S D K) 0 r Lot No. 2. Owner's name)(i t.) y jeia, c r 4 1 k,ou Aa prs.c--4�e&A s Address ��� t7�-e.A;S e" I)r 3. Builder's name C1 1%+ J. C Ar r, i e r Jr- Address -64. S o-A�,s.M n�e n. Mass.Construction Supervisor's License No. O l ss`l Expiration Date 4. Addition 5. Alteration Aj A 9 Lai De-A. 4, c�Lxt SAi")-1 W o U L-Qa &1- PoO 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- T The undersigned certifies that the above statements are we to the best of his, her knowledge and belief.A�\ li. �l A ► I.. Signature of resp nsible app icant II Remarks CLuf Ll. <t` a vv Si U 5 G -to e c .� • Gi 1af z# ttnt fan ^ e APR 3 2000asaacflasctta m J DEPARTMENT OF BUILDING INSPECTIONS w w, 212 Main Street ' Municipal Building Northampton, Mass. 01060 ' WORKER'S CO?YITENSA`I`ION INSURANCE AF i A.VTT with a principal place of business/resideuce at: (phone#) S� 7 — b33 3 (strc�i/ci ty/statrJ�P) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Comppanny)) (Policy Number) (Expiration Date) I am a sole proprieto genera] contractor or homeowner (circle one) and have hired the contractors s elow who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compaay/Pohcy Number) (Expiration Date) (Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additioail Acct ifnocc=s ry to iociu&irSofmatioo pcxtaiaing to all ooatrn r3) ( I am a sole proprietor and have no one working for me. ( ) I am a home owner performing aH the work myself. NOTE:please be awzm that whilo hom:oKUm"ba auplay pcsxom w do m.:..icau,n o=s ruction or repair work on a dymlflng of not moco than thre-o units is which the homeowner reridca of oo the grounds appurtenint the cw uc DO(gearnlly coaridacd to be employexa under the wod cc's ocaTcm4ca Act appLirabon by a homcowi r for a bccase oe permit may evidence the Legal o-f" of an amp loyoc undertho Workoes Compmzatioa Act_ I undcrstxad that a copy of this�xfc nut may bo fo%wIudod to tbo Dcpa�of Indar in!A«idmtf Ofui of Ifzsufwoe for dh coverage vaificatioi aid that failure to acaue covcrn undo socdoa 25A of MoL 152 an Lad to tbo imposition of aiminal pcnaltia ooaustiug of a fine'of up to S 1,500.00=idtof of tip i4 oie year and civil penalties is the form of a Stop Work Order and a fmo of 5100.00 Idly against me For dCP=taJWW tl'o only permit Number (Dc> Lot# Signature of Liccnsec/Permittce -- - - Nis-�, oys� T� +w1 O k n (� o rn 2 o L-4 - OR o w i CY C ra_ t t� 10 Do any signs exist on the property? YES NO x 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. Thin cclu= to be fill d in by the Buil.dj Ikpnrtm t: I Required I Existing Proposed By Zoning I Lot size C7� U 0 S a wt ��071 Frontage q a t s a w /C15_ Setbacks - side L:3y' R: aS L: .30' R: ,.2 3 o?O - rear Building height Bldg Square footage 0110 %Open Space: (Lot area minus bldg f; Q Q! 7 20 &paved parking! ( V # of -Parking spaces t # of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: Y--+- APPLICANT's SIGNATURE NOTE: lusuanoe of a zoning permit does not relieve an mplanoanit burden to m with zoning requirements and obtain all required PIY hall q Permits from the Board of Health. Conservation Commission, Department of Publio works and other appiioabla permit granting authorities. FILE # 6�a t ii.1 APR 3 Fi 1 e No a�O ?F >; } . : "7ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1C e„� Ll • c•v v v° �r- Address: I G 0-4 „1 k ,,A,,,v Telephone: 5.'t V? 2. Owner of Property: ( G w y-e ru C—re- + u w I C% R 0 Lew�f Address: tt'?3 U re w .5Q•'s Dr. Telephone: S gy 7 JL 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: / i 5 c Wv D Parcel Id: Zoning Map# �3j Parcel#_za District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property V'4 6. Description of Proposed U /Work/P(roject/Occu ton: (Use additional sheets if necessary): [ AA Q 0"X IX �ee-k T-o �Xkc'V >c kovS-91/21 ch %y �e �i `�o � lxt7c�ve Geg4. X"I '(S-11W 70;i S (,`` G•t, CJCsll-r e—k S 00—,Q j v�a.5 � ` �Da Ue t K ur K (t 4 Ft-V i 5 L-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 ly 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) f File#BP-2000-0842 APPLICANT/CONTACT PERSON Robert Carrier Jr ADDRESS/PHONE 16 David St (413)527-0333 PROPERTY LOCATION 83 DREWSEN DR MAP 35 PARCEL 098 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildinp,Permit Filled out Fee Paid Typeof Construction: CONSTRUCT 8 X 12 DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building,Plans Included• Owner/Statement or License 059154 3 sets of Plans/Plot Plan THE OLLOWING 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 Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation C ission Permit from CB Architecture Committee ZB LoO 0 Signature of Building icial Dat 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. 83 DREWSEN DR BP-2000-0842 GIS#: COMMONWEALTH OF MASSACHUSETTS ' ``Map:Block: 35-098 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:ADDITION BUILDING PERMIT Permit# BP-2000-0842 Project# JS-2000-1584 Est.Cost: $2900.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin: Robert Carrier Jr 059154 Lot Size(sq. ft.): 901 6.92 Owner: ROBERTS LAWRENCE P Zoning: SR Applicant. Robert Carrier Jr AT. 83 DREWSEN DR Applicant Address: Phone: Insurance: 16 David St (413) 527-0333 SOUTHAMPTONMA01073 ISSUED ON:4121100 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 8 X 12 DECK 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 4/21/00 0:00:00 1178 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo sy vww"je Not AVON Volk Islas .. , a4 F„ w 1 ... .�..., „. ,.2:� 833 DREWSEN DR a City of Northampton BP-2000-0842 cIS#: BUILDJNC�I SPECTION LABEL ASSACHUSETTS MaP Blok:35-098 APP V E E) MffON ���LA-001 1 luild n; Inspector `J Date� DR PIT Permit# BP-2400-ug4z __- Pt�t1 JS-2044-15 -4 Cost $2900:00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: use Groan: Robert Carrier Jr 459154 lgt Si r&Ug.ft.! 9016-92 Owner: RQD=LAY9MCE P --Agp - ATr $3 DREWSEN DR ticant Address,;_ Pls one. Insurance: 16 David St (413)527:-0333 SOUTHAMPTONMA01073 I„ ►LIEU f1N:4lZl�00¢«00:OD TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 8 X 12 DECK POS MQRD§Q IT 0 3=1&FROM THE§LMET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Services Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fireplace/Chimney; Rough: Insulation; Final: m e• Final: 0 K Gam'-3.,10 'All THIS PERMIT MAX BE REVOKED BY THE CIT F NORTHAIVJ[P'TON UPON VIOLATIO OF ANY OF r1 S RULES AND REGULATIONS. Co-ttit,010 of ee Resit 1. Date Paid: Check No: Amount: Building 4/21/00 0:00:00 1178 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo