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23D-020 (3)
• 508 ELM ST BP-1999-1008 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-020 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-1008 Project# JS-1999-1707 Est.Cost:$1600.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Mark Sarafin 053434 Lot Size(sq. ft.): 7013.16 Owner: FRENIER OWEN P&GAIL L Zoning:URB Applicant: Mark Sarafin AT: 508 ELM ST Applicant Address: Phone: Insurance: 81 Russellville Road (413) 527-7812 Workers Compensation SOUTHAMPTON 01073 ISSUED ON:5/27/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE FRONT PORCH DECKING,REAR PORCH SONOTUBES,SUPPORTS & DECKING 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: ,o ugh: House# Foundation: Final: Final: Rough Frame: Gas re Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY P, . kEVOl;,:D BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES A. ; REGULATIONS. Certificate of Occupancy Signature: Fee Type: "-ceipt No: Date Paid: Check No: Amount: Building 5/27/1999 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 13uilding Commissioner-Anthony Patillo File#BP-1999-1008 APPLICANT/CONTACT PERSON Mark Sarafin ADDRESS/PHONE 81 Russellville Road (413)527-7812 PROPERTY LOCATION 508 ELM ST MAP 23D PARCEL 020 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 ' I $lQ Typeof Construction: REPLACE FRONT PORCH DECKING,REAR PORCH SONOTUBES,SUPPORTS& DECKING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 053434 3 sets of Plans/Plot Plan THE LLOWING 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 Commission 9 Signature of Building 0 cial 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. MAY 2 61999 ililiJ DEFT OF BUILDING INSPECTIONS_____ ,16/24 File N.If 77/0a' i NORTHAMPTO ! MA 01G60 ...... ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: V\"wsrz It . a•vrz v4 F‘ Address: ' I ' o c-P ((LA'1 4 t.9 Telephone: crl']' 7?) 2. Owner of Property: (3- W. l in 1 tz Address: 61 b ✓1 w, 3-k re t=t'4- Telephone: 3. Status of Applicant: Owner 74 Contract Purchaser Lessee Other(explain): 4. Job Location: - \b C=(vim -51- A I 1-0---‘ Parcel Id: Zoning Map# 93 % Parcel# A 0 District(s): �°,�iL�V— (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property r-Pw-e1‘, 6. Descrip i 3n of Proposed U e/Work/Project/Occupation: (Use additional sheets if necessary): K^t.seck 2 Vo rt.e\-I 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 PermitNariance/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 X 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 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 A IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paned parking) # of -Parking Spaces # (-Of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the informatio contain d herein G is true and accurate to the best of my knowledg . DATE: 5'= --9 9 APPLICANT's SIGNATURE a . NOTE: Issuanoe of a zoning permit does not relieve an appiioant's burden to comply with all zoning requirements end obtain ail required permits from the Board of Health, Conservation Commission, Department of Public Works end other applicable permit granting authorities. FILE # 't:ra"nr:::1 �o oy s-"�` I �� Cris n artI nptan �Y _* 1 e MAY 2 6 -:r' = $:_,0j ,t• ,-t• p ' assxchusetta _;_ �_ DEFT OF BUILDING ME T OF BUILDING INSPECTIONS ^, _;r`- iVO�Th"p,'�PTo,1NoPECTivrV =— rvbi 01QSp2 Mai Street • Municipal Building = INSPECTOR �" ow' orthampton, MA 01060 Applicant Information Name •2 `�vI��2 W F� `�---- -------- Location IS v 5�� `� v` ,I-Q Ml ----------- City 6n li.c. „ per LY\..rS.0 O\D'11'3---- -- ❑ I am a homeowner performing all work myself Cl I am a sole proprietor and have no one working in any capacity tat'fir»`'.avo—.:v.r.z..;iii4v. :4fi:o.-o.$tavFt�Gw+a��'dFg` 10..tZ?1 ".;;hate kw.�X.tv ...r's .• �a t .:..er'$ +i:e�i'Cs(.'��,5.'ti`+.L:'4 sty' 17: I am an employer providing workers' compensation for my employees working on this job. Company Name '4)ww21 FykA. L,A,,G.er5 ------ -- Address 5 v"."....„ e City-- --- ----------- Phone# St)i-750 Insurance Co.— � ,2 c^ D -�• —_—Policy#_v4wC Q . 1 1 ‘5--(1,1 *---- .-""....-S:+i*isw'.x-m4?7K'r--w:,:wxk'^•q.+: 7.iti. e., F::..:Ya:«,:•n;•:•Fw,d:+, Company Name • Address City Phone# Insurance Co. Policy# 64-w.,74--s•.Rsti•'L.7CtiF"--np'N!:.*Aq.w=t!ICoovut e.k.a YXMwF rf.9.4-gsp. opst dRU.vs2t•..-4:04.IY.'--Alf:`;A!fir,:01;==•t?+,KVrry;)4�;!! Failure to secure coverage as required under Section 25 A of IvIGL 152 can lead to the imposition of criminal penalties of a fine up to$1500.00and1or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t pai and pen ies of erjury that the information provided above is true and correct Signature 199Z ��, Date 5- Q 1 "qq Print Name VV\l Zl . 3NAvIZNAtCk✓N Phone# ,501 7- 'ers j -a c Official Use Only Do not write in this area to be completed by city or town official City or Town Permit/License# ❑ Buildinc Dept ❑Li ensinc Bond Check if immediate response is required El Selectmen'Dept. Contact Person Phone# 0 Health Dept. � -a ° po v C '9 3' w ©- 1 O rri = rn �jv 3 p O rn Les', c .. O `b ; S tr (;r c E Z C (0 0 z Q= o -s in Z © ._am• ` O tri mo N -,-:1 Z �, o -1 t , Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Sal- 7'i ? Alterations iikr("?:� NORTHAMPTON, MASS. `? - d 7 -`1 19 Additions r%4' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ) l C) C(t.'-, `J.4--P E-e Lot No. 2. Owner's name ( ,w,, i \ Address 'Si b An J 1-���� 1 ., VIA ,n,, 3. Builder's name )N\vatZ w 5 .r7ukFt N Address 'SA2175 1 5,f11.�.1\4_ lg<c `J14ov Mass.Construction Supervisor's License No. C) 1-1 3L-1 Expiration Date q/ K/61 4. Addition 5. Alteration (� 6. New Porch 1C-e et,‘a n.v\cy �,ee,,z C0 2(\A-.r 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 1 I. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- l DO The undersigned certifies th the above state ents are true to the best of h knowledge and belie Signature of responsible app'icant Remarks -< Qt•-2C r0v2 -50-.6 likes reY pi(tc G 51/4.)pre2k anc-` le CA '2•c% c ,eCNNA-C ,, ir17-1- POrzc 4 (oveY2) 0r )acG Alkee '' iDC,a-rIdQS