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$ e Office of the )n5ptrtor of 'Puilbings W
212 Main Street•Municipal Buildings
Northampton, Mass. 01060
CERTIFICATE OF OCCUPANCY #583
July 20, 1987
Page No. 36 Plot 77-1
Building (Name) New Single Family Dwelling Address Lot #1/Houas #35 Winterber y Ln
Owner Henry Fairlte Address 58 Winterberry Lane
Applicant Same Address Same
Use: 1st Residential Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building Existing Building
Elevator Electrical
Plumbing - - A J";4- Fire
Building —��.� GAS: Other -''' k G
Inspector of Buildings
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. a�L"T 'l 19 a-1-1 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �+ r-' '�+�-� L Lot No.
2. Owners name ��--�'r` �-� Address S42MV-
3. Builder's name �I�T IN"� 1C� Address `� ty (�M-2AAt-
Mass.Construction Supervisor's License No. Q�-7 Y;3 Expiration Date
4. Addition I
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage tA3L'-""—'� No.of cars ® Size ------
10. Method of heating
11. Distance to lot lines
12. Type of roof U M�9"L`T �' r4
13. Siding house //i
14. Estimated cost:- t 2.4,.1 U�
The undersigned certifies that the above statements are we to the best of his, her
knowledge d belief.
Signature of responsible appicant
Remarks
A. . .1
"
0 4'SttAMP�O
a Gift oaf Worf4ttntpt.an
8 �=SERCI�ttE[ltE
OCT7 .1998
UAP76TMENT OF BUILDING INSPECTIONS
,} 1
�Er Jr 0t G It'P E h s�J
2 ain Street ' Municipal Building '
NORTWAPTON AAA 01660 Northampton, Mass. 01060
WORKER'S CONi TENSATZON INSURANCE AFMAVIT
(li censecJpermi tree)
with a principal place of businesslresidence at:
AAA ,f
lP I`-MAJ -to (phone#) ��1-—�2 Z
(sire-�t/ci /statr/riP)
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following worker's compensation coverage for my
employees working on this job.
(Insurance; Company) (Policy Number) (Expiration Date)
O I am a sole proprietor, eneral coint%ra�ctqrj or homeowner(circle one) and have hired
the contractors listed below who ve following worker's compensation policies:
L
(aY"ST(WCT- �+K s �� t1�.+2�cr� �'�S co WC- lot /'I�
('lame of Contractor) (Ins i —nca Corn auy/Policr Number) (E.-pimtion Date)
(Name of Contractor) (Irstlnmcc Compmi)vTo!ie' (F-�:oiratioa Date)
(Name of Conmactor) (Insurance.Comparry/Policy Numb--r) (Expiration Date)
(Name of Contractor) (I=mnc;.Comparry/Poticy Numb-.r) (Expiration Date)
(altarh additicnil sl� f naccizary to inGlkX =fbmu iw pa�w nll adzac on)
( ) 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 aw-.uc that wht-'lo homcoxacra wbo aWloy persaw to do mi r,-„�,rr cots ructioa or repair worst on a dNvclling of
mot mono than throa traits in which the hom c-o -ncr rrsidn or oa tba grounds appurtcnurt t4a,,o arc oct ga a1 ooesidctcd to be
employ=undo the worl<&s c ocaVcas4ca/uY(GL152-sa 1(5))�appticaEon by a homcowna for a license er Permit maY cvidcnoc the
legal etaiva ofan e mployoc undertho Workcea Compcoaxtion Ad
I undcrxt=d thzt a copy of this as f e a2 may bo foratudod to tho Dtpnrtmco2 of j.&utinl Ac-i&-&Olfioo of Inwrmoo for the
cov=gc va ificatioo and that failure to s�==coy -o under soc6oa 25A of MOL 152 can ucad to the'impcui -of cri-b-'l Pcna -
ooausfing of a fine'of up to S1,500.00 aMNot iIIttxizomnent of 4 to oat ycsr and civil pemltia i0 the form of n Stop Worie Order and a
fi>m 0(5100.00 a day against the
Epermit mcnexl use aaly
• N11mber
Lot# ,
Signature of T.iccnsce/Pciiuitice
the on roe
10. Do any signs exist property?rty? 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 L""�
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB To
LACK OF INFORMATION.
This co2vma to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size dv, , ' �� DJ
Frontage Q0 l'
Setbacks C) CL r -�
- side L:� R: L: R: P2 D
- rear
Building height . t Zt 5
Bldg Square footage �d rj tom '
%Open Space:
Lot area minus bldg
&paired parking)
# of 'Parking Spaces
f of 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 know edge.
DATE: b APPLICANT's SIGNATURE
NOTE: Issua oe t a zoning permit does not relieve an appiioant's burden to oomply wltt�,�pll
zoning requirements and obtain all required permits from the Board of Health, Coiseervation
Commission, Department of Publio Works and other applioabla permit granting authorities.
FILE #
a
;1
OCT 71998
#` ` .ii M
File No 7.
ZONXNG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: ?)(t 7 e--.,y 0 k Cc CC A'I–f4t Telephone: S��—`� Z-z G-
2. Owner of Property: tL
Address: WteQ U' LA41c N(r-Telephone: '4--
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):__
4. Job Location:
Parcel Id: Zoning Map# Parcel# OD District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessa ):
7. Attached Plans: v 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 Perm iWaria nce/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 ument#
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)
File#BP-1999-0372
APPLICANT/CONTACT PERSON Robert Walker
ADDRESS/PHONE 36 Service Center (413)584-1224
PROPERTY LOCATION 35 WINTERBERRY LANE
MAP 36 PARCEL 200 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out f
Fee Paid G�
T e of Construction:
New Construction J�
Non Structural interior renovations
Addition to Existing
Accessoly Structure
Building Plans Included• -
Owner/Occoant Statement or License# `�
3 sets of Plans/Plot Plan
THE F,QLLOWING 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
i'sAp (13oars bfiealth Well Water'Potability Board of Health
Permit from Conservation mmission
Q Z L
Signature of Building fficial 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.
# Reference No: BP-1999-0372
Department: ..................................
Building, Electrical & Mechanical Permits
.................................I.......................................................
Fee Type: Receipt No:
Building- Renovation REC-1-999-000968
P
aid B y: Pa.id..i.n.F.u.I.I.0n:
..........
Robert Walker
Wed Oct 07,1998
......----•--•--••-•...............................................................
.. . ...... ......
ceiv y: .C.h.eck.No:...................
Linda Lapointe 7069
.........................................................................................
.............•••••.•••.•..•••••.......
DEPARTMENT'S COPY Amount: $96.00
---------- ..............
DEPARTMENT FILE COPY 35 WINTERBERRY LANE
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits 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-1999-0372 $96.00
GIS Man Block: Lot: Address: Zoning: Use Group: Lot Size:
7278 36 200 001 35 WINTERBERRY LAN SR 68389.2
Contractor: License Type: Insurance:
Robert Walker CSL Workers Compensation
Address: License No.: Insurance No.:
36 Service Center 034783 WC78341808
Qiu State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 584-1224
Pro iiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0748 alteration-addition $24,000.00
Description of Work:
ADD 11'X 15'PORCH W/EXT DECK&HOTTUB
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: