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17A-211 w I a o � Z m R "d i S CJ C: in Z Ln > I 1 h S g Zoning Miscellaneous Additions,Repairs,Alterations,etc. I el.No. /' �� Alterations NORTHAMPTON, MASS. q 7 19 Additions % - � ' APPLIa CATION FOR PERMIT TO ALTER Repair Garage 1.1. Location ✓10 r7 /y1 l S 7 Lot No. 2. Owner's name A 1(r,, / V c y\ h e Address ��-WvrTh t2 3. Builder's name h 6oxa t 4 G�� Address f Y L 2e S; f a hcfr��rGh 2401 Mass.Construction Supervisor's License No. 0'7006 ( Expiration Date 3 G ^O 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 S ?r.p �-trd i s7Cl aS Yeti'' d. ►^^cnS lQ�►c7 ( Sh�h�fe 13. Siding house T^S7c4 I, V 'A J`vt`�_� Y S/-a// 1/r V1 dig S 14. Estimated cost:- 4 O The undersigned certifies that the above statemcnts are we to the best of his. knowledge and belief. P�z . Signature of responsible app,icant Remarks •op �o e � i Git d W>nf 4$IItV?f 0U e • yn k3ttkC4 Wlttt � DEPARTMENT OF BUILDDQC INSPECTIONS 212'Main Street ' Municipal•Building Northampton, Mass. 01060 WORKER'S CONTENSATTON INSURANCE AFMi AVIT h l �lQrlclS 1 7CCC-�• S . (1;ccnscrJperm;U.cc) . with a principal place of business/residence at: S -7, C4 �Ljhum p1Q� �ti (phone#) Q / (tt�v�ity/stat�ap) 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 CQmpaIIy) (Policy Number) OE.xpiratfon Dana) ( ) I am a sole roprietor eneral contractor or homeowner(circle one) and have hired the con actors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Numbcr) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) Qnsurance Company/policy Numbu) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) ( sdditioml,hxt if nooeaary to mc]%X&inrocmiti oo pczo,iaing to all ooatr c ) f I and a sole proprietor and have no one worldng forme. ( ) I am a home owner performing all the work myself. f NOTE:ple=se be aware tLd Whilo homoowom wbo employ pasooa to do�;c•oce mcziuctioa•or noa r work m a dwelling of not moce thaw throe units in which the bomoa%,o r residn or ca the Vouaca appurteaant tha,de arc Dot Ce oc n. 000zidaed to be conplaym under tbo wockcei Aompenratioa Act(G Li52.=1(5)).appUmsoo by a homce wnia for a Gocnx or perma may evidc ooc the legal Axt', of as employer uodw the Worrcaea Compemalioa AzL I uodcrstaod that a oopy of this shtemad may be focw ardad to the Departn-cat of lnd•ia d Aeeid*-&OPSoe of locum—ford- .odvaage vrrification>Aadthat faihtreto socuut oovass k under soction 25A of UOL 132 c=k►d to the iMposidd of aimiasl penalties • - oomuting of It 65e bCup to S I,A00.00 m&-impcno=meal of tip to one year and dQ pemWes in the fear of k Stop Wo•le Order and a fine of Sloo.00 a air&PInA lac •. Fordep=taamhluw ooy t ley Permit Number -��i--a )&PI Lot I : a Signahac of LQpatsscelperm.ittac . 10. Do any signs Oast 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 N0_2�- IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colwa to be filled in by the Rui.ldinq Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lotarea minus bldg &paved parking) i# of Parking Spaces f of Loading Docks Fill: l vo1-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. n DME: APPLICANT'S SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an appiloanra burden to oompty wRlp_all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # AUG 61999 IaEPT OF`SkiF FyS File No. atS� �.. .��,0rtT ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 7-60mu S '>'!:� Gins Address: i(q L y C J z Telephone.Ly d ) S')-9 �a f 2. Owner of Property: cr ed V Z` n''t e Address:[ 1Z- AlO r'7k1 1"upl(f Telephone: S S S Lr f-/ 3. Status of Applicant: Owner _Contract Purchaser Lessee Other(explain): ,/ 4. Job Location: I �� AlUr Y6 �I ' tQn�� r 6f e''1 C e -/mil Q . Parcel Id: Zoning Map#_ 1'214� Parcel# y2f District(s): (TO BE BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property Ott 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): �S1u11 Ines.- � QS SZrt)� o [d lkl 'vlL2 Tei s7a 1I UL'VXYI V 11,i er.7 "ndpu. 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOtN' 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) i A 122 NORTH MAPLE ST BP-2000-0150 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-211 CITY OF NORTHAMPTON Lot:-001 Permit: Buildina Category:replacement windows/siding BUILDING PERMIT Permit# BP-2000-0150 Project# JS-2000-0243 Est.Cost:$22190.00 Fee:$25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THOMAS BACIS 126116 Lot Size(sa.ft.): 19209.96 Owner: VENNE ALFRED J Zoning:URB Applicant: THOMAS BACIS AT: 122 NORTH MAPLE ST Applicant Address: Phone: Insurance: 114 LINE ST (413) 529-0801 EASTHAMPTON 01027 ISSUED ON.'811111999 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL VINYL SIDING, REPLACEMENT WINDOWS & STRIP & SHINGLE ROOF 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 8/11/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo