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17C-227 (8) a 70 V L.-- r °z N C r ' qm G G= Z 1 y Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. A J11- 9137 Alterations NORTHAMPTON, MASS. a a 19gc Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location I& dd, Maa lP--ST: . �1ar�ac�,�p Lot No. 2. Owner's name�'.r,rv�cx i-�.t I�tt�t�,,�. .�'cE- Cnr�ri Address IL Ehtmc } n,o&,-L,I\ltt 3. Builder's name Address t'1!7 WASI—.T1(. IeLo MA Mass.Construction Supervisor's License No. 0.49 YJL& Expiration Date t=ab. g_aloe 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof I F214..t&l� 13. Siding house 14. Estimated cost:-��d•Da The undersigned certifies that the above statements are we to the best of his. knowledge and belief. Signature of responsible app.icant Remarks o� �OR, :. • I Gift oaf n l�a-n -n 4. AUG 3 . 1999aasac4usflla I L DEPARTMENT OF BUILDIIIG INSPECTIONS 212'Main Street ' Municipal•Building Northampton, Mass. 01060 WOM ER'S CONTENSATION INSURANCE A.FMA VIT . (lict=nsct-lpermiacc) with a principal place of business/residence at: (phone#) AeT —�i9i3� (Strcz-t/ci ty/statdu p) 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 woriang on this job: {Insurance Company) (Policy Numbcr) (Expiration Dau) ( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insuran(--Comparry/Policy Number) (Expiration Date) (Name of Contactor) Onsuuancc Company/Policy Number) (Expiration Date) (Name of Contractor) (Insu aflcc Compau fPoGcy Number) (Ex-piration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (L—ch additioonl shat irnooessary to kWIU a inforraaaoo pertai.mag to all ooatrodon) ( a>ri a sole proprietor and have no one working forme. ( ) X am a home owner performing all the work myself. NOTE plenae be awl xc thzt v;Wa homoowo=wbo aaptoy Palo=to du e•asi^, = cocj:r .oo•w repair work on a dwelling of not may thsn tbroo traits is wtaeh the bomwvmce rcaides a oo the rroua appu ut jzrt thereto arc oot Cco=11y co=k crcd to be employers under tbo wockA e`s compcaiation Act(GL132,=1(S)),aWticatioa by a bomeowu�f far a borax a permit may evideooe the legal atattaa ofaa oWIoy*e uad•cthe Workoes Cowpaczation Act I undaatand that x oopy of tbia ybd meat may b•fotwrrd•d to th•Dop.rm,aA of Ind.uCrial Aoei&W OlSw of Lta<+noo•f«th. oovnage v=i.Ha$on sad that fai mm to$wJte cn=* o tindt l soctica 23A of U0L 132 csa lad to tbd impoaitioa of erim;MA pmal6cs mmladwS ota Saenf vp to S 1,500.00 aadlot of tip to one)w and civil pooa$ics im the form of a Stop Wale Ordw and a fim c(S100.00 allay tplasL • ga je�teoeatal tsae Dory . Permit Number mZP Lot0 :. 4 of x ipc sccJPcrauttAC Vim 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. This columa to be Pilled in by the Building Department Required I Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: Lot area minus bldg &paved parkingi # 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 knowledge. DATE: G""4 CM APPLICANT's SIGNATURE X266 AZMAM NOTE: lasudknoe of a zoning permit does not relieve an applioant's b ru den to oomply witty all zoning requirements and obtain all required permits from the Board of Health. Conservsstion Commission. Department of Publio Works and other applioabla permit granting authorities. FILE if AUG 3 1999 � © /3 File No. - ZTING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: W. 14(?rael,%� Address: 17fl "t. \A/ T&r. 1A4F1 Telephone:!; /tg j_AfI-22:7-? 2. Owner of Property: Address: �{z��rrurn��rr .tiartye►va,Ote,T_Telephone: 3. Status of Applicant: v,//Owner Contract Purchaser Lessee Other(explain): 4. Job Location: /f, InG_ ��r tle�etrp� , (A Ej r Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property �vc�c �Sn,�• 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/Variance/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) 16 NORTH MAPLE ST BP-2000-0131 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-227 CITY OF NORTHAMPTON Lot:-001 Permit: Buildina , Category:roofing BUILDING PERMIT Permit# BP-2000-0131 Project# JS-2000-0195 Est.Cost: $2000.00 Fee: $20.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: W M Brown 038426 Lot Size(sq.ft.): 6838.92 Owner: VALLEY COMMUNITY DEVELOPMENT Zoning:GB Applicant: W M Brown AT: 16 NORTH MAPLE ST Applicant Address: Phone: Insurance: 177 West St (413)247-9937 WEST HATFIELD 01088 ISSUED ON.•81311999 0:00:00 TO PERFORM THE FOLLOWING WORK.-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 8/3/1999 0:00:00 $20.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo