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17C-289 II I II II > Z < I � � � m r � Z m Er > cn O Z my I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.S$�?$�� Alterations ��/� NORTHAMPTON, MASS. � 6!284 1C�_ Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 13p,1 0�1 Lot No. 2. Owner's name �111LU R M J.- c J L eTF_Hp 'LE Address SA>M PE 3. Builder's name W 1 j h A wL N Dy'l L Address V A Mass.Construction Supervisor's License No. C S 0200110 Expiration Date 12 I (o ZOO O 4. Addition Z CA -1 G E 5. Alteration L Ex i,ST i t, 6 G -1,q Ce ez. 6. New Porch F r10 NT PO &,A C-t„ 7. Is existing building to be demolished? O 8. Repair after the fire N o 9. Garage No.of cars 2- Size 7_230 X 3Z- 10. Method of heating 6&s S W rq It VA 1 h 11. Distance to lot lines 12. Type of roof Iq S 67 IJA LT 13. Siding house 14. Estimated cost- �3 The undersigned certifies that the a ve statements are true to the best of his, her knowledge and Signature oFespons ble appicant Remarks City of Northampton, Massachusetts Office of Planning and Development City Hall • 210 Main Street Northampton, MA 01060 • (413) 586-6950 FAX (413) 586-3726 •Conservation Commission •Historical Commission •Housing Partnership• Parking Commission • Planning Board•Zoning Board of Appeals NEIGHBORHOOD MEETING DATE: MONDAY, MARCH 2, 1998 TIME: 7:00 P.M. TO 9:00 P.M. PLACE: FLORENCE COMMUNITY CENTER CLASSROOM 6 PURPOSE: FOR MEMBERS OF THE NORTHAMPTON HOUSING PARTNERSHIP AND STAFF OF THE OFFICE OF PLANNING & DEVELOPMENT TO GATHER INPUT FROM THE NEIGHBORHOOD ABOUT HOW THE DEVELOPMENT OF THE PARCEL DEPICTED ON THE BACK SHOULD OCCUR BACKGROUND: THE PARCEL HAS BEEN PURCHASED BY THE CITE'. THE PLAN IS TO DEVELOP IT FOR AFFORDABLE HOUSING AND OPEN SPACE. CONTACT: PLEASE ATTEND THE MEETING TO EXPRESS YOUR IDEAS. IF YOU HAVE ANY QUESTIONS, CONTACT PEG KELLER, HOUSING PLANNER, AT 587-1288 AT CITY HALL, TUES.-THURS. ORIGINAL PRINTED ON RECYCLED PAPER v PROPERTY FIELD AVE P AST & BAR N VERON oRTVIAMPTO -. CITY Of low- WOO ` ■ 16 * _ ■ 4 . . �, Am WIN a �-(1tAa1P�. O O �aSa aCh IiSrlta m ggPkRTMENT OF BUII. NG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licensee/pem]ittee) with a principal place of business/residence at: ONE OLD O (phone#) Sxzvnwo (street/city/staLe/a do hereby certify, under the pains and penalties of pegury, that: ( ) I am an employer providing the following workets compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) 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) (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 Company/Policy Number) (Expiration Date) (attach additicml sheet ifneocsssry to include informsrion pertaining to all oo&taet Ts) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE,please be aware that while homcrnnxn who employ persom to do mainimaace,eonstruuion or repair work on a dwelling of not utoKe than throe units is which the homeowner resides or on the grounds appurtena&thwcto an not gcxiaily oo=dcrcd to be employcra under the Wmic`a.compcamtica Act(GL152,ss 1(5)),application by a homeowner for a license or Pcm*a may-id--the legal stabs of an employer under the Wo keez compemation Act I uadetttaad that a copy of this cut-11 may be forwarded to the Depertmcoi of Industrial Aocidea&Oiiioo of Inuuaace for the coverage verification and that failure to&cove coverugo under soetion 25A of MGL 152 can kid to this inxposition of criminal pcna - 00-utma of a fine of up to S1,500.00 andfor imprisonmcnl of up to one year and civil pemitia in the form of a Stop W otk Ovier and a fine of 5100.00 a day me For dial uao oaty Permit Number Lot# Mao Suture of Lac&ee ermittee 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: 7� 11 . ALL INFORMATION MUST BE COMPLET.OD, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thia coluam to be filled in by the Building Department Required I Existing Proposed By Zoning Lot size /9 Frontage / 7 i S Setbacks - frnnt � po ' goo - side L: Too R: 3o L: Soo R: 30 Imo' - rear a 300 " 300 Building height .° Z ST✓hies S4 I" c 3 J Bldg Square footage Cov %Open Space: , (Lot area minus .bldg � � °l //) � �/ �•� &p=eed parking) # of Parking Spaces i # fof Loading Docks _ Fill: Avolume-& location) 13 . Certification: I hereby certify that the informati n contained herein (,4 is true and accurate to the best! of my know dge. DATE: APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not;relieve an applioanrs burden to oomply With 4111 zoning requirements and obtain all required,permits from the Board of Health. Conservtation Commission. Department of Public Works and other applicable permit granting authorities. FILE # 91 / File No. 2C)NING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: W I l l 1 ,A V0 pj --'Lr- Address: OH G O L'7 q J_.I✓l-Y R-� Telephone: 2. Owner of Property: w i l' I A, S I ►'7 N�- L Tt-Hp vL C Address:- 0H & O Lp Q j)q vt rte A:� Telephone: 1�371a 7gLe 3. Status of Applicant: _Owner Contract Purchaser Lessee Other(explain): 4. Job Location: e6de A ,C Parcel Id: Zoning Map#� Parcel#_2 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property S I N G(-cz— IPM M) L- lI w ME: 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): C M r1 w9 Gr-_ 7. Attached Plans: T Sketch Plan T 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 x IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO2X,._ 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) rt T� r FILE # - MAR 919% 4 J 1 APPLICANT/CANT CT PERSON: TU PROPERTY LOCATION: MAP 1 % C' PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FULED 0111 Fee Pn if] Fee PAid 9,, l C � 71c} � THE -UnLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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-Bd of Health Well Water Potability-Bd Health !Permit from Conservat' n ommiss" n - J//L c� Signature of Building Inspector ate NOTE:Issuance of a zoning permit does not relieva an applicant's burden to comply with all zoning requir®ments and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS ! $ 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1347 Office of the Building Inspector Zoning Form No. 963281 Date 3/12/98 Fe090.00 Check# 335 Page, 17C Parcel 289 ,Zone URB/WSP Section 127 ❑ Yes © No BUI]LDING PERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT William Letendre before Building Inspections has permission to construct 30' X 2 car garage & porch Inspection on Site—Foundations situated on 391 Bridge Road Inspection of Plumbing—Rough provided that the person accepting this pen-nit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS L,AC Old P ISES Certificate of Occupancy •-�' Building Inspector r City of Northampton RE UE[ ED INSPE NS BUILDING DEPARTMENT 2. S��ntt�l Walls Components in Place* 3. Complete Building* No. 1347 Office of the Building Inspector Zoning Form No. 963281 Date 3/12/98 Fee$90.00 Check# 335 Page, 17C Parcel 289 Zone URB/WSP Section 127 ❑ Yes L1 No BUI]LDINGPF,RMIT ` *Plumbing and Electrical Inspections required THIS CERTIFIES THAT William Letendre before Building Inspections has permission to construct 30' X 3W 2 car garage & porch Inspection on Site—Foundations 0 yk 4'a g situated on 391 Bridge Road Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office,and to the Gas Inspection / provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the-terms above noted is an immediate revocation ; Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not siarted. zo-----wilding Inspection—Rough �'� `` g-4ez4 Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. a6t Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST DISPL CONSPICUOUS C O P ISES Certificate of Occupancy Building Inspector