31D-148 (48) 16 CENTER ST-SUITE#527 BP-2000-0152
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31D- 148 !CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0152
Project# JS-2000-0246
Est.Cost:$500.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DOUGLAS DONNELL 052446
Lot Size(sa. ft.): 9278.28 Owner: FOWLE EVENT N&TRUSTEE OF CEN
Zoninfz:CB Applicant., DOUGLAS;DONNELL
AT: 16CENTER ST - �UITE #527
Applicant Address: Phone: Insurance:
109 W CHESTNUT HILL RD (413) 367-0377
MONTAGUE 01351 ISSUED ON.8/16/1995 0:00:00
TO PERFORM THE FOLLOWING WORK:DEMOLISH & REMOVE INTERIOR FREE STANDING
PARTITION WALL/ARCH IN SUITE #527
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W'� Inspector of Buildings
Underground: Service: Meteri
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 $Janature:
Fee Type: Receipt No: Date Paid;: Check No: Amount:
Building 8/16/1999 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2000-0152
APPLICANT/CONTACT PERSON DOUGLAS DONNELL
ADDRESS/PHONE 109 W CHESTNUT HILL RD (413)367-0377
PROPERTY LOCATION 16 CENTER ST-SUITE#527
MAP 31 D PARCEL 148 ZONE CB
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: DEMOLISH&REMOVE INTERIOR l REE STANDING PARTITION WALL/ARCH IN
SUITE#527
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 052446
3 sets,&Plans/Plot Plan
T 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 s 'on
O
Signature of 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.
s
File No, �W 1501—
Electric, F
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: )QH H C,L- -
Address: %O"i Irl, �NCSTN 0T N I L L Telephone: 4(3 - 3 e.? O 3 7
t4omT4GoG �Y1.A 6 t 3 S 1 _
2. Owner of Property: C6a+gmMJL5 F-i5ACTy 1 R jy ;' C,q17Z-OL N�LAI`t
Address: t( '5T Telephone: .5"33, -61 q-4 I^'Iar�A�✓c�
3. Status of Applicant: Owner Contract Purchaser Lessee
k Other(explain): C�LTI E A �tJ►R-ACXb St.
4. Job Location: ? l/
Parcel Id: Zoning Map# 'V J!:) Parcel# . 7 District(s): elb
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property_ tIUV 5-i' (.IU X1+4► R—c'l ►Q,(_,
i
6. Description of Proposed Use/Work/Project/Occupatiilon: (Use additional sheets if necessary):
A�h1 ALS Sia i t3U1'� =htT� fZ.�o IC *Z-<S 5- A N,D I hj (e
fAR-I Ott 1,AL,/,4 g_Cu 1 Su I T 6 -FP S z7
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_:� (4 YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of,Deeds?
NO DON'T KNOW X YES
IF YES: enter Book Page_ and/or Document#
9. Does the site contain a brook, body of water or wetlands? NOS_ 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)
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 NOZ_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This COX== to be filled is
by the Badding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# ofParking 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: $ ' "I`� APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an_applio s burden to oom wlth-all
zoning requirements and obtain all required permits from th Bo rd of Health, Co servtation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE if
O���O •
s ;• ,l�ttarat>iasttb i
e
DEPARTMENT OF BUILDING INSPECTIONS
212'Main Street ' Municipal-Building
Northampton, Mass. 01460
WORKER'S CONTENSATTON INSURANCE AFMt A.VIT
L.,
• (licca-su/l�csmittoc)
With a principal place of business/residence at:
JOS GJ = Com}i�STa�t JS 1a 1�.�, Sz rj i�ti3.l s oy u (phone#) 3 - 3 t�r7 3'7 7
(str�t/c�tylstatdxig) j� 0 13 Si
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:
(lnsurantx Company) (Policy Number) OExpiratfon Dau)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hued
the contractors listed belowwbo have the following worker's compensation policies;
(Name of Contractor) (Insurance Com-pazylPolicy Numbcr) (Expiration Date)
(blame of Contractor) (Insurance Compa4y/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compaay/Policy Number) (a-piration Date)
(Name of Contractor) (Insurance Compagyipolicy Number) (Expiration Date)
(an.at31 a.idi$ooal:hoct irnooc n.1y to iacludc 6rcc oa pat,.:ciag to ,u 000'mn )
I am a sole proprietor and have no one working for me.
( ) I am a hoarse owner performing all the work myself
r
NOTE,plwa be awutc thAi vJhilo homcawncn wba c>xploy Pcsom to do e�!~ oaa::j ion•or rcpair work on a dwelling of
not mor.clan tht"unit.,in WWc4 the honsoowncr ttssdca a oa tbo P-46 V urkniot tha do arc oot Cco=lly ot,o Wcrcd to be
amploym ucder tbo wodccex cowpc=&iora Act appt1=ePoa by a homcowui r rot a Gema¢oe pammd may evid—tba
legal sisters OC84 amployar undw the workces t:.omip000alioca Act.
I uadast 4,d flat s►copy of this ttat�may bo faeww w%W to tbs Dap.rk a o f Ia,,l tahgd A-d am y ofr—-Ct---fx d-
o-Ter vaisotioa,tad that fa ktM to socurc Sa ttacler soetion 2 loCI,tOL 232 can!ad to tbd iacpoaitioa of stimlaslpea+ltin
oomuting art Sox ufttp to st"100.00 omdrar impruoenxnt chip to ace fym and ;,a pms .$as the fotao oft Stop work or k r and a
fim*(51.00.00 i►,eay a last me ,
(`� Fordky+attax�+Jtueaoly '
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.`�f 3"��2- 3�7 Alterations
NORTHAMPTON, MASS. ( 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
aGarage
//
1. Location (b C.�'-N T&�-- S t 501 T t S ;?-7 Lot No.
2. Owner's name C15,'T l'-AC CNAN^3n 'F-6p" 7 TR-OT Address CAMA H - S'6
3. Builder's name boN Nit i-1-- Address i cM, W, CH"r oT- l-At t-L P—j M O W A6.Jc
Mass.Construction Supervisor's License No. _ d Z `¢ p Expiration Date l 1 2 lot
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? - i 6 R�t 6 'T..A-T k b l"=Atz, ti- 6 x 8 tx 8 t
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 it
Oi7
14. Estimated cost- j 0 p
The undersigned certifies that the above statemen are we to the best of his.
knowledge and belief.
Signature of respons ie ppicant
Remarks �`h�6 1ST t r1 `J�t.�� �R-t a fL- '�a a.-T 10 lA r=_C, k 1 S
j Ji 4 Dl's 1 S F-L-E STA!J C)i" w 1-i 1-1', t IBJ i Irl D kv! o 5T F-u r R-,A C�
c5 ?AT(-N ► t•� a�'1 xkst,ry tsOap fLDOR. MA`i
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