36-179 (8) a
2
7o V
+ < d
70 M
N i E � �+ Z mm
j v: 70 1 Z
Q , a °_ cn 0
Z -• 'v -j
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. gg Alterations
NORTHAMPTON, MASS. 19 <T! Additions
' Repair
' APPLICATION FOR PERMIT TO ALTER
C Garage
1. Location F7 o a v v v ` ��� '��� L Lot No.
2. Owners name #6q,76 r, 19°U T 0 3 Address 8� DUN t0'x "0 2&u Gtr
3. Builder's name '- 5"/O>i S �Z c' Address�8� � '' A-P' ,410)9 k,,O 7UPJ
Mass.Construction Supervisor's License o. 0.4/914-16' Expiration Date L- a7`9=0 0
4. Addition
5. Alteration
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- 30oo
The undersigned certifies that the above statements are true to the best of his,
knowledge and b//elief�.
Signature of responsible appicant
Remarks
qt)r
21999 � . iaf �ttntnn _
S 9 n - •
DEPARTMENT OF BUILDING INSPECTIONS
212'Main Street ' Municipal Building
Northampton, Masi. 01060
WORICEWS COMPENSATION INSURANCE AFMI AVIT
/?fit)f to L
with a principal place of business/residence at:
7.9, , ate, N6 lxc w, A`a pbone#) �� 1
(str�tici /statrliip}
do hereby certify, under the pains and penalties of perjury, that:
-(k� I am an employer providing the following worker's compensation coverage for my
etoployees working on this job:
�►3r SVA X4.5 i0wt;0
(Insurance Co-mgaDl (PolicyNumbcr) 01xpiraaon Date)
( ) 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) (Insuran=Company/Policy Number) (Expiration Date)
(Name of Contractor) (htsivanc-, Company/Policy Number) (Expiration Date)
(Name of Conuactor) (Insurance Comparry/Policy Numbu) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(.rta.cb additioaal shed ifn000sary t.o i CWc 6&CU Ld0a palRlniag to.11 oodx�)
( ) I and a sole proprietor and have no one worEng for me.
( ) I am a home owner performing all the work myself.
NOTE:please be avrarc that WOo homeowner wbo c mpl oy paso=to do m.;H,,, o= m=zru oa•ec repair work on a d-11;nr of
not more than throe uaitr is which the bomoowncr reside&oe oa the rtouz6 VV4dcaant tbcndn ue not Ccoa-&Uy ooasidaed to be
cmploycn under tba wockce%coaV=&aiioa Act(GL152,sa 1(5)).appUcl6m t7 a homeowner for■Gcax c cc pera�d may cvidmoc rho
lcs;4&tams*ran.mployoc unaw tb.s w«*.ee&c4avooaatioa Ant.
1 noderatwd th.i a Dopy olttia ttttemerd m.y t»foexand.d to eb.Dep.&�aot of Indatatrial Ax+doot�OfSo.aC1+v'�°°'to�'
o 18-vais"don tr.ad that fi.tlum to soar&=coves-Ap+ratite souion 2SAofUGL 152 as Ica to tbd imp*szdon of aimiast p—W- •
oomuCCg oft doe orup to 21,5W.00 aad/a 6pcis0a of tip to toe yore mod cha pcea$ia is the focm of a Stop Wodt:Ordce and a •-
5ao o[SLt)O.t�a tiny e.gr�iaA taG
•
FPaecrdmcpt Number
7-E;MaP4
t o
' - Sipaturc t�f LioctiscdPcsn ✓.
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 cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved park.ingi
# of -Parking Spaces
#rof 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.
WOE: la ;'a APPLICANT's SIGNATURE'S
NOTE: lssua oe of a zoning permit does not relieve an applioanre burden-Ito oomply wit4-all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
ja
f ??, Al)(1 I 1 File No.A
r---PT`'FG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: .Sir, jo� '„�� ,p�j; Fe4
Address: 7 iJpz) /tiC V 1X 1`o D Telephone: 626 J / C 7
2. Owner of Property: /je'-ro ,
Address: u>J P� �IQ AFA)C—C Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: �^
Parcel Id: Zoning Map# (G Parcel# District(s): JA�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
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/Variance/Finding ever been issued for/on the site?
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 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)
87 DUNPHY DR BP-2000-0155
G1S#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36- 178 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:vinyl siding BUILDING PERMIT
Permit# BP-2000-0155
Project# JS-2000-0249
Est.Cost:$3000.00
Fee:$25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: B & R Siding 100465
Lot Size(sa ft.): 14984.64 Owner: SANTOS HECTOR L
Zoning: SR Applicant.--5—&B—Si dina
AT: 87 DUNPHY DR
Applicant Address: Phone: Insurance:
781 Bridge Rd (413) 586-4167 Workers Compensation
NORTHAMPTON 01062 ISSUED ON.-811211999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING
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 8/12/1999 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo