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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
aNORTHAMPTON, MASS. 19— Additions
APPLICATION FOR PERMIT TO ALTER Repair
y-e-- /4/ Garage
1. Location r Lot No.
2. Owner's name z6T—� L/ Address
3. Builder's name Address V i A-z-,C-
Mass.Construction Supervisor's License No. 4c"G
Expiration Date Z//-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 cosL-
';;7
a7, The undersigned certifies that the above statements are we to the best of his, I
knowledge and belief.
Signature of responsible app.1 I cant
Remarks
g l5 6 t5 0 U l IZ Xl aZ•t��ii1T�7�DIi
OCT B �X3f X[tl tlfcl(6
7 W9 _
'IRTMENT OP BUILDITIC INSPECTIONS
DEPT Of BUILDING INS 212 Main Street ' Municipal Building _
NORTHAMPTON,MAO C,60 _j Northampton, Mass, 01060
woolUCER's Co;�ENsATION- INSUBjl-NC i , AVIT
(Licensee/permi ttcc)
%vith a principal place of business/residence at:
(StFe-z /city/staloriP)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am as employer providing the following worker's compensation coverage for my ,
employees wor-king on this)ob,
(Insurzncz: Comfy) (Pokey Nlrmb, r) (E-xpimtion Date)
( ) I a-m a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies,
-tom C',Ia le of Cog(,--3ctor) Corno3a-)'/pollCi N'Lun? cr) (H\-)Lraboa Date)
(IM-me of colwa clot) -- (1hS�_.�CC Conloam-Ro!ae�Nlll:]C2f) (EYDlrnoo Date)
(Name of Contractor) (Insurance Company/Policy NumNr) (E),-puatioa Date)
(Name of Contractor) (Insurance Comoauy(Policy Numb--r) (Expiration Dau)
(-(Lad,=dd,6C0A z!•.c if nCC.=n ry LO iariv,&iCFCfta tic..Pc=t to all ooa�aCO:�)
VI am a sole proprietor and have no one worLoo for me.
( ) I am a home owner performing all the work myself
NOTE:please be awitt L4xt w!xilo homcoKnm wbo c play pcc"=Lo do maixii coosuvcxioa-ar repair work oa 1 d.%cuing oC
not most th_n Lhr—traits in which the b,,mo ocr r=a-' oc oo the grounds applutca.nt tbecto arc col&,*,r lly oomidcrcd to be
cmPloym LLpdC[tba wockrr`a onaVc=-&ticn Act(GL152,=1(5)),application by s homcowvcr for a license o<Permit may cyid the
lep l etahs�of an c=vloyec under d .Compomaiioa Act.
I u nJcrsixnd th..:t a copy ol.thu ct u—ni my bo fory—rdnd to the Dcparrmcot of L&sa J A,.,;&&Ofgo of Imunooe fa tb.
oovcsagc vcn5cazioa and that fallum to S4==covcmv undct s.tC60a 23 A Of b(OL 152 csa Ic d to tbd iarposi -of a-iminsl PC-16-
ooaiisthtg oC a&ne bf up w S 1 500 p0 anrYoc ilaltt nocmc>zt of tip to ooe yor and an7 pemriics io the form of a Stop W ocfc Ocda and a
find 0($100.60 a m-y LPInA Me
Ford enb1 uio on1X
mss-�� ...-••---L_ Pcimil Ntunbcr -
°" Lot#', t
.. a �:��[ty••`'
f
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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Thi= —1== to be filled in
by the Building Depam nt
-` Required I
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
&peved parting)
# of -Parking Spaces
# of Loading Docks
Fill:
_(volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: `Q ,5;;�APPLICANT's SIGNATURE �-
NOTE: Iss anon of a zoning permit does not relieve pp1ioant' burden to oomply with oil
zoning requirements and obtain all required perms rom the Board of Health, Conservation
Commission. Department of Publio Works and other appiioable permit granting authorities.
FILE #
n nra F
File No
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �TG vl� C
Address: -.5 e &Pneyc-rC S Telephone: S-7-Y 5,F-Cl
2. Owner of Property: /"' -s�+�,�•�� oiylll�t9�
Address: Rr.? Al Telephone: 4-9- 3 3726
3. Status of Applicant: Owner Contract Purchaser X Lessee
Other(explai'n)`:
4. Job Location: 27- /'��� �f
Parcel Id: Zoning Map# Parcel#� District(s): zzl� _
(TOD IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property hw S C LC_4
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 PermitNariance/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)
► 1
80 HIGH ST BP-2000-0381
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C- 156 CITY OF NORTHAMPTON
Lot: -001
Permit Building
Category:windows replaced BUILDING PERMIT
Permit# BP-2000-0381
Project# JS-2000-0626
Est.Cost: $707.00
Fee: $510.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: John Corbett 104000
Lot Size(sa ft.): 13590.72 Owner: BONNEAU ELAINE M&ROBERT P&
Zoning:URB Applicant: John Corbett
AT: 80 HIGH ST
Applicant Address: Phone: Insurance:
56 Dimock St (413) 584-5807
LEEDS 01053 ISSUED ON.1010711999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 2 REPLACEMENT WINDOWS
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 10/07/1999 0:00:00 $510.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo