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36-109 i� Q' jUlN 1 5 199Q DEPT OF THAMHONOCAOIC (^ Q -►� S s 4 s i M. (A n � o � f :v m > �L 171 .� Z m > O -� o � o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ti NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 931 (Oro,k s,)e c t le Lot No. 2. Owner's name :3oei e- S,� J..t.. Address 3 `t3 re.,k s.-J-e 3. Builder's name 6ej, A Z �� Address 317 p,=7e sG �NfIG Mass.Construction Supervisor's License No. G&o2 Expiration Date 4. Addition 5. AlterationB'C1'/1 / 6. New Porch /y�/`� /Jy'�� ���1 251is 4 1,4- o�ee% 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:- 3a DO The undersigned certifies that the above statements are we to the best of his, knowledge and belief. Sig -lure of responsible app,icant Remarks �R a� JUN ! 51998 ''j Cris oafittnton 1 _ 4 �- �^�° alas:scFlttsctta . DEPARTMENT OF BUILDDIG INSPECTIONS Y '" 212'Main Street ' Municipal Building ' Northampton, Mass. 01060 ' WORKER'S COMPENSATION INSURANCE AFM' AVIT _14-0 I 1\4 (76 LC- (li censcdperini ttee} with a principal place of business/residence at: 1 .31`l Q,, 5 T 4YI AeQf S 1 (phone#) 5'Y?-S��'/ (strr_et/ci ty/stalf/a p) do hereby certify, under the pains and penalties of pegury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Police Number) (Expiration Date) ( ) I am a sole proprietor, eneral contracto r homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date) (Name of Contractor) (Insurance Companyi?oky Number) (Expiration Date) (Name of Contractor) (Lase ance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach octal shoat ifnoocniry to irk h infvcmition pertniaing to all oodtnn ) ( 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 awatc that wbilo homcowncn who employ pasoat to do rr,:,�ooastuc600 or repair work on s dwelling of not Mora than ihrea units rn Which the bomoowncr rt=dcs a m the gourds xppurtcaant thc,t arc oot Ccoavily ooandcrcd to be cmployen under tba worktr`s oompcns4oa Act(GL152,s 1(5)�appliraflon by a homcowmr for a liaax cc pertnd may cvtdcnoc tho 1q-,do-11 of an omployee undertbn Wockces Compomation Act I uadalu=d d t a oopy of bean shtemmt may ba forward.od to tbo Depart. of Indirstial Ateideu&o fioo of lascu.noo for ttm covccago vcrifieatioa and that faience to enure covcraso tardcr section 25A of MGL 152 can lad to tbd impositioa of aimmnl pcaaltics ooaustm of a'fine afup to S1�OO.f)0 md/oc imprisoamcat of tip to one year and avta pcmltia in the form of a Stop Work Otdcr and: firm o(S100.00 a dty tpinst mot: Foe dq=ft>CoU1—C931Y Permit Number Lot# Signature Liccnsce/Pcrmitiee 6 �'htr 10. Do any signs exist 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 MIDST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This columm to be filled in by the Building Department 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 parkingi # of -Parking Spaces # 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: -6 -15--y f APPLICANT's Sl'GNATURE NOTE: Issuance of a zoning permit does not relieve an appli ant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applionble permit granting authorities. FILE # e .,. JUN File No. �6 % /� PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: cvll1 �,qj e- Address: ,3/`1 Pie- V Telephone:__ CSS/9-S`iSl 1 Owner of Property: Tvvte C' Save/•Q Address: 23-1 ar;—e4(,,- c,'zc 1 Z Telephone: 3. Status of Applicant: Owner \—XContract Purchaser Lessee Other(explain): 4. Job Location: 235 Parcel Id: Zoning Map# Parcel# District(s): .'Ialufl (TO BE FILLED IN BY THE B ILDING DEPARTMENT) 5, Existing Use of Structure/Property Dr, 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): a, 7. Attached Plans: �etchPlan 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/Vahance/Finding ever been issued for/on the site? NO DON'T KNOW t/ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW G� YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO _z 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) File#BP-1999-1104 APPLICANT/CONTACT PERSON Gale Home Improvement ADDRESS/PHONE 319 Pine St (413)549-5951 PROPERTY LOCATION 239 BROOKSIDE CIR MAP 36 PARCEL 109 ZONE URA THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit FiIledqjjt Fee Paid Typeof Construction: CONSTRUCT ROOF OVER EXISTING DECK New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 060020 3 sets of Plans/Plot Plan { THE LLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: t/A roved as resentedibased on information presented. pP P 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 Commi n Signature of Building Officia 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. 4 • 239 BROOKSIDE CIR BP-1999-1 104 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36- 109 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:renovation BUILDING PERMIT Permit# BP-1999-1104 Project# JS-1999-1834 Est.Cost:$3200.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Gale Home Improvement 060020 Lot Size(sa ft.): 24306.48 Owner: SAVINO SCOTT A& Zoning:URA Applicant' Gale Home Improvement AT• 239 BROOKSIDE CIR Applicant Address: Phone: Insurance: 319 Pine St (413) 549-5951 AMHERST 01002 ISSUED ON.•611711999 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT ROOF OVER EXISTING 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 Shmature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 6/17/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo w�_.._. _.�-„�_. .,...�. _ . ._ _- 239 BROOKSWE CIR SP-1999-1104 GIS#: COMMONWEALTH OF MASSACHUSETTS Eck-34-109 CITY OF N©RTI AMPTf)N Lot:-001 Permit Bµitdina Category:renovag BUILDING,PE: T I-won Permit# ids-(i ft99# A-1999-1834 Est Cost•$3200.00 g S40.90 PE)WIS'S.IONIS HEREBY GRANTEI? T roast.chn Contractor: Licenser KN Cr oon: Gale Home Improvement 06(}020 ' Lot jg"—ft..): ?4. 506.48 4W gL.*—, AVRL0_WATT A Zoning:URA r _t•,t, 3.home Improvement ATE_ 9 BROOK-SJ E D-aR Iicant A Phane. Insurance: �!�Pine% X413) 549-5951 'AMHERST 01 002 ISSUED TO PERFORM THE' FOLL *7NG WO .`CONSTRUCT ROOF OVER EXISTING DECK P C Sal►a YS MMU FR4M STREET bsoeew ofl g l peetor of Wiring D.P.W. Inspector of Buildings Underground: Servlccc Meters Footings: Rough: Rough. House# Foundation: minah Final Rough Frame: Gas re .pRp e t Firephee/Chitabey. i Rough: Insulation: Final: Final:Q. THIS PERMff MAY"VE REVOM0 BY TAE CITY NUR tfl�f`UP'ON iTi!©LA ON 4F ANY OF ITS MUM AND REGtJLATI S. -- e: gee eee• N Da Paid: Check No: uut: Bi g 611711999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo