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Zoning_ __
Miscellaneous Additions.Repairs.Alterations etc. //Tel.No. _— Alterations
NORTHAMPTON, MASS. Z. /LIUo 19— Additions____
APPLICATION FOR PERMIT TO ALTER Rcpatr _ --
Garage
I. Location_ 'Y, S— ry)c,i n �J Lot No. _
2. Owner's name c r Address ��r Me_ 1 ice, 4 I-A C6Q tt ��(���C,fJ
3. Builder's name 9axrl iq,! ers Address �r T dc'- it, / Xd A I;-
Mass,Construction Supervisor's License No. C,S' P7 0 33 3 Fxpiration Date / / _
4. Addition
5. Alteration r' r' r(,70 c:1EI ce
6. New Porch
7. Is existing building to be demolished?
8. Repair after the Cue
9. Garage No.of cars _Size
10. Method of heating .t �iST I,
11. Distance to lot lines -Z.X,
12- Type of roof -e x
11 Siding house py
14. Esdmated cost411 s'C,Cj
The undersi ed certifies that the above statements are true to the bcci of hoc.
knowled a lief.
Sageatuee of respoeztblt app�Icanl
Remarks
Feb 15 00 12; 45p p• 5
—t1[AMP�
r f lasartcllnsrlta
Q ;aF.PTOF 3d L)EPI OF'BUILDFT;G INSPr:Ci•IONS
MaIL Street ' Municipal Building =
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFI+'Ll7AV1T
(IicenseclPerm;tl.ee)
,with a prtticipal place of business/residence at:
(Phone#) "� S
{s'trr�UcitS'ra-ta-tr'JaP; ��gt��'.
do hereby certify, under the pains and penalties of perjury, ttlat
{' I am an employer providing the following worker's compensation coverage for my
;mploI wori n an this job.
(In�usauct Conapaayy) _ (Folic.Number) (Expuati n Dale
( ) I am a sole proprietor, general contractor or homeowner (circle one) an d have hired
the contractors listed below who have the following worker's compensation policies:
Y {Name of Cool actor) (utirazrct-Compam,Policy Number) (Fxpiratron Date)
(Name of Contractor) (,Insurance CoMPanv/Paf cy Number) (E.xP Iratuoa Date)
—(Name of Contractor) (Lasuranct Company/pabcy Numb:.r) (Expu-norl Date)
Y (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(aoach Additional shed ifnoocsuy to iw-ludc mfcsmatioo peruuoing 10 allO�O� )
( ) I am a sole proprietor and have no one working for me.
( ) X am a home owner performing all the work ,myself.
NOTE:ptcaae be aware thst Atmic ho nmiwo rs who esaploy p xsom to do mA•w�Y c,, vuwxw& i u w rcpau work on a d�tLmg of
dAt more load lbroe traits iII svhicfi the hadwowne rriidea or an the grounds rttCpy77t tbwcw arc not gaorrally comidoed to be
emgtloycs under the wuiceu`s oomgeuu eft Are(GL152,a 1(5))�application by a hourcc wort far a Um=or pans may-id--the
regal ctatssa of an ampioyat uoder tba Worirnre Compens t AQ
underuand dus a copy of this aalcme=may bo forwarded to tba Doparmxst of lad L b,II l Ace,--a&Offioe of raswi for tha
oo—g-a vcrifrcu=and that failure w aeauc caverago under s0W-n 25A 4MGL 152 can iesd to the uapostioa ofcrirninil pedaloes
oocst.» of a f]ae of uP w S 1,500.00 and/or of up to ore ysar and civil pcmhia to the form of a Stop Work orda and a
fine of S 100.00 a day against me
For-dq), a tun only
Permit Numt?ff -
i
Mao Lot it
--
ttu-c of Li crn>y
10. Do any signs exist on the property? YES \9 NO
IF YES,describe size,type and location: iky S i n!�r - -
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 c02== to be filled in
by the Rmi.ld=g Department
Required I
Existing Proposed By Zoning
Lot size
Frontage
Setbacks --Imnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paged parking)
# of "Parking spaces
f of Loading Docks
Fill:
{volume -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
D71TE: '2 0 APPLICANT's SIGNATURE
NOTE: Issrhan6a of a zoning permit does not relieve an p lioant's 61. to oomply with all
zoning requirements and obtain all required permits f m the Board of Health, Conservation
Commission. Department of Publio Works and other appl able permit granting authorities.
FILE if
1 6o
DEPT OF$U �HC QINSP
Fi 1 e
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:`:✓ / ✓Jfsi �, ,'f'r���?€S � c
Address: J�.z Zeo'�e /y?�l �� ��? +_Telephone: jQ/a'—��6 yS'3f
2. Owner of Property: ZZ -Az) 4/ /" '%�L 19
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): Con%r,,c u` ,�i I
4. Job Location: 'rar J7 r'nc.ir� Sf_ I�/a ret7 a�
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Oc-n
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/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW "'\I 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 V 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-2000-0725
APPLICANT/CONTACT PERSON ROYAL DESIGN BUILDERS INC
ADDRESS/PHONE 82 TIDE MILL ROAD (603)926-4566
PROPERTY LOCATION 85 MAIN ST
MAP 17C PARCEL 211 ZONE GB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid C 3 7 2
Typeof Construction: CONSTRUCT NON-BEARING WALL ON 2ND FLR FOR CALL CENTER
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 060333
3 sets of Plans/Plot Plan
THE OLLOWING 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 Co ion
� Z000
Signature of Building Offi 'al 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.
85 MAIN ST BP-2000-0725
GIs#: COMMONWEALTH OF MASSACHUSETTS
ta .B1ock: 17C-211 CITY OF NORTHAMPTON
Lot: -001
Permit: Buildinq
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0725
Project# JS-2000-1342
Est. Cost: $4500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ROYAL DESIGN BUILDERS INC 060333
Lot Size(sq. ft.): 25482.60 Owner: Florence Savings Bank
Zoning: GB Applicant: ROYAL DESIGN BUILDERS INC
AT: 85 MAIN ST
Applicant Address: Phone: Insurance:
82 TIDE MILL ROAD (603) 926-4566 Workers
Compensation
HAMPTONNHO3842 ISSUED ON:2117100 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT NON-BEARING WALL ON 2ND
FLR FOR CALL CENTER
'OST 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 2/17/00 0:00:00 38754 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo