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23D-123 (6) AUG-17-99 08:24 AM ALMER.HUNTLEY.ASSOC. 413 586 9159 P.03 MORTGAGE LOAN INSPECTION THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY 20 50.00 1300_ t �tC, 150.00 z srotn I/ 6273 t HOUSE \ o �a°o1 150.00 QA \ '°,o. •,o A P�V WpY A 4^p0' yADE THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS, AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. '-" AND THE _._ _ FIRST AMERICAN TITLE INSURANCE COMPANY - ONLY c T . irforrnation and belief, frorn information supplied to me, I hereby report that the premises have been examined and (net th r.;r shows the improvement or improvements as located on the premises described, that Inc improvement or improvements are ee ti,e;y lot lines, that there are no er�cfocchments upon the premses described by the improvement or improvements of cny ad�2m-; crel,srs. cad that there are. no ease^rents of record affecting the tract shown hereon, except as shown. r c Of =e; "`-,t the premises shown on the plan :s nut located wittdn a rond Hazard Area as shown on `H D 'J.D. Federal Ins!rrance Admin stratiaa Mops. PAUL 250167 0002 A _ LU8SIER APRIL 3, 1978 29MMO PZSs CfStf4 A, .12AIN HUNTLEY OWNER AGNES A. VALENTA ALMER HUNTLEY, JR. & ASSOCIATES, INC, LOCATION 184 FEDERAL STREET Surveyors • Engineers • Landscape Architects NORTHAMPTON, MASSACHUSETTS 30 Industrial Drive East Northampton, MA 01060 JOB NO. DATE SCALE voice(413)584-7444 fax(413)586-9159 99-671 8-16-1999 1"= 40' > � � m 3 °s Z m G Z fA O n W � v ¢ / Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel o. ' U ' �O S Alterations NORTHAMPTON, MASS. 124r I9 Additions Repair APPLICATION FOR PERMIT TO ALTER o Garage 1. Location L, e 5'` Lot No. 2. Owner's name ' Address 3. Builders name Address Mass.Construction Supervisor's License No. Expiration Date d 1-2 ov-a 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? Q 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines �' �f°'L �, a-y Ile pig a-V- 12. Type of roof k t~b v-- 13. Siding house 14. Estimated cost:- J �-o The undersigned certifies Ot the above statcmcnts are true to the best of his. knowledge belief. Signature jresponsibleappicant Remarks a 11 S: #a L �� S� c 42 3% 1 d OEPAATNENT Of PUBLIC SAFETY o CONSTRULTION SUPERVISOR LICENSE Nusber: Expires: Birthdate: CS 999289 85126f289e 61261195e Restricted To: 1G r A BENTON 0 COU 13 GROVE Sl NAYOENVTtIi, MA Aie'9 " i � B �:saarkasrtts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT 0 - C-0-6k (liiermittee) with a principal place of business/residence at: (phone#) �f/�j 6�C6� (stmel/city/statr/2* 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 Company) (Policy Number) (Expiration Dale) ( ) I am a sole proprietor, eral :::Z ctor r homeown circle one) and have hired the contractors listed below ve following r e>'s compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/PoLicy Number) (Expiration Date) (Name of Contractor) (insurance Compa-uy/Policy Number) (Expiration Date) (attach addit oml sheet ifneocssary to mchsde informaIIoa pertaining to all coatmc ore) ( ) I am a sale proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plcaae be aw=that wbido homoowvcn who employ persons to do m__�__,^n mast oa or Yr work on a dwelling of not more than throe traits io which the bomeowner rcsidn or on tba groin appurtenant tberdo are not generally 000sidard to be employers under the workeez oompmsation Act(GL I52,Ts 1(5)),application by a homeowner for a Gorse or purnit may cvidrooe the legal statrra of an employer under the Workoes Compansalion Ad I underdind that a Copy Cf this rutcmmt may be forwarded to the Dope ftucot of Industrial Aocidmt�Ol�oo of Insunooe forth. coverage vaificstioo and tbat failure to sate covuago under socdon 25A of MOL 152 ran lad to the imposition of aimmal peaallics Com%st mg of a"fine Of Up to S1,500.00 and/or impaisorm>erd of up to one y=and civil penalties in the form of a Stop Wait Order"a ' lute ofS hoo Uo a nay against � For dcpataY�wO only j pcXmit N1I11 bq ellMapP Lot# guature ernaittce LrLe 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 cclma to be filled is by the Buildi.ag Department Required Existing Proposed By Zoning Lot size Frontage `7 Setbacks - side L: 9Z R: L: R: - rear n a Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parkingf � # of Parking spaces f of Loading Docks o Fill: {volume--& location) 13 . Certification: I hereby certify that the informatilo contained herein is true and accurate to the best of my know ge. I APPLICANT's SIGNATURE NOTE: 1 uanoe of a zoning permit does not relieve an plioaWl s burden to oomply wittx,au zoning requirements and obtain all required permits from the Board of Health. Conservtstion Commission. Department of Publio Works and other applioabla permit granting authorities. FILE if raj 710 u L 9 File No. �i' Electric PI Jr _ R�ctions ZONING PERMIT APPLICATION (510 . 2 PLEASE TYPE OR P T 7:� RMATION 1. Name of Applicant: 0 1� Address: Telephone: © t0 3 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other `(explain): OZ--V &0-C&Aj 4. Job Location: ' 7� 't Fe&e- t &) 13+. 1J c S�� iYIl� Parcel ld: Zoning Map# � Parcel# District(s): c-./�/- r-- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 5F/4 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): S I1 LX \ " • 1✓�0 C� Q V� 'S Q` 1yK C- (w VIP I\- W b o- C c.g c s i w t © L e', 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 s;+°' L NO (< DON'T KN0%A' YES IF YES: Was the permit recorded at the Registry of Deeds? NO L DON'T KNOW YES IF YES: enter Book Page and/or 9. Does the site contain a brook, body of water or wetlands? NO—Z-- � IF YES, has a permit been or need to be obtained from the Conservat Needs to be obtained Obtained ,d (FORM CONTINUES ON OTHER SI File#BP-2000-0211 APPLICANT/CONTACT PERSON COOK&PIASCIK CONSTRUCTION ADDRESS/PHONE P O BOX 319 (413)268-3265 PROPERTY LOCATION 184 FEDERAL ST MAP 23D PARCEL 123 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REMODEL ENTIRE INTERIOR&ADD 3/4 BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 049209 3 sets of Plans/Plot Plan THE F FLOWING 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 Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation mmissio v 9 Signature o Building Official 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. q y f y V 3�0 defA / r .: 184 FEDERAL ST BP-2000-021 1 GIS#: COMMONWEALTH OF MASSACHUSETTS MV Block:23D- 123 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0211 Project# JS-2000-0341 Est.Cost:$65000.00 Fee:$325.00 PERMISSION IS HEREBY GRANTFD TO: Const.Class: Contractor: License: Use Group: COOK & PIASCIK CONSTRUCTION 049209 Lot Size(sq.ft): 9278.28 Owner: COOK BENTON D 7sninx URBy A �licunt: COOK & PIASCIK CONSTRUCTION AI: 184 FEDERAL S, ApLa'licant Address: Phone: Insurance: P O BOX 319 (413) 268-3265 ASHFIELD 01330 ISSUED ON.gal1999 o:oo:oo TO PERFORM THE FOLLOWING WORK.-REMODEL ENTIRE INTERIOR & ADD 3/4 BATH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector ofPlumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground• Service: Meter 'Z"/ � 6� .Footi't't"t: Rough:t 't� Rough:k!��1w ous.�r Foundation: Q 4 Final: ,r �� �� Fin tt�%w Rough Frame:©�, 11�3d0��DJ r Gas �/�'� Col.' Fire Department Fireplace/Chimney: Rough: Oil: Insulation: d1,� Final: Smoke: Final: Q/f THIS PERMIT MAY BE REVOKED BY THE CITY OF NOI 'I` ANI�I�O1PO1V VIOLATION OF ANY OF ITS RULES AND REGULATIONS.01"Of ifficate of n i > - Fee Type: Receipt No: Date Paid: Check No: Amount: • Building 9/1/1999 0:00:00 $325.00 ` 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Conunissione,-Anthony Patillo