23D-061 (7) 20 LONSDALE AVE BP-1999-1083
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23D-061 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-1999-1083
Project# JS-1999-1808
Est.Cost: $2000.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: David Ouimette 059132
Lot Size(sq.ft.): 12588.84 Owner: SAUTER JEAN M
Zoning:UP.B Applicant: David_Ouimet o
AT: 20 LONSDALE AVE
Applicant Address: Phone: Insurance:
P 0 Box 1038 (413) 527-5469
EASTHAMPTON 01027 ISSUED ON:6/17/1999 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE EXISTING 8' X 10' DECK & STRIP & SHINGLE
PORCH 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: 0 k (o , a.a_q q—, 4_1,i
r ;;10.t:
THIS PERMIT MAY BE REVOKED BY THE CITY 0 ORTHAMPTON UPON VIOLA T ON OF
ANY OF ITS RULES AND REGULATIONS. ��
11C ,r--- •!o' Si nature:
/7 _,cf.,kege"
Certificate of Occupancy l J:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/17/1999 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
,
File#BP-1999-1083
APPLICANT/CONTACT PERSON David Ouimette
ADDRESS/PHONE P 0 Box 1038 (413)527-5469
PROPERTY LOCATION 20 LONSDALE AVE
MAP 23D PARCEL 061 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled o t �
Fee Paid 1 tt 6
Typeof Construction: REPLACE EXISTING 8'X 10'DECK&STRIP&SHINGLE PORCH ROOF
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 059132
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 Co ission
61-Zer---- . _
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.
V 1.] O 1.1 `J
ail 01999 3 j )
E File No.4/5/94011
DEPT OF BUILDING IN!'""'.
NORTHP,h"PTON, ► A,-ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: V,A1 ci/.D CT G7i.'ism` 77-.i
Address: /2 y6'37 9 :?/?• .Gh,q;vl, Telephone: ,$2 'l ,. y6
2. Owner of Property: CTE,'►/V
Address: 02o /6ot'577/94 c /9/E Telephone: s£�5'' ?7 Sly
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 9G (
Parcel Id: Zoning Map# , 3 P Parcel# `3 I District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
9 ,ex z
7. Attached Plans: r/ 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 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
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 - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of -Parking Spaces
# fof 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.
DATE: G ?- ! 9 APPLICANT's SIGNATURE a - l_ '
fld_
NOTE: Issuanoe of a zoning permit does not relieve an applioant's den to oompiy with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applloable permit granting authorities.
FILE #
t
, ............:__________T—\,.)\ ,
iti,it1oi:l*
1110 I.�� 1 0 rIlsrcri Cr'zir nx#tlttnt # n
`.':;- �';a olasiacilusctts
" ti: ''HppAPTON -- DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 �" '
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, PAV/77 c7 OJi s .F 7 iE -
(licensedpermittee)
with a principal place of business/residence at:
z.-f p4 :7-'i2 ,e'�inM,, /VA•- O74'2 7 (phone#) $ 2 7- -55' ,?
(sti c et/city/statelzip)
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:
(Insurance Company) (Policy Number) (Expiration Date)
( I am a sole ropriet , general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
�i2fl,,,,-,%ERs ic"/ZvpR27Y t%4.>4,44,7).
/G `areV,V C.1! 75-C a 5Q y"- 3 01
(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)
(anadt addition/shod ifn.-r•-cary to include information pertaining to all contactors)
(v)/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 homeowners who employ person to do mainter,arw Y construction or repair work on a dwelling of
not more than throe units in which the homeowner resides or oa the grounds appurtenant thereto arc not wally considered to be
employers under the work is compensation Act(GL152,ss 1(5)),application by a homeowner for a license or permit may evidence the
legal status of an employer under the Wocicola Compomaaion Act.
I understand that a copy of this wlemeai may be forwarded to the Depertmeot of Industrial Accidents'Office of Irnursnca for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to than imposition of criminal penalties
O0 of a fine of up to S 1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop W orit Order and a :1
fine of S100.00 a day against me-
For departmental use only
tt� —�- Permit Number -
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. -5-'il- 8a 94, Alterations
els.
� NORTHAMPTON, MASS. (7-4,,,? :, 19 99 Additions
,:, Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location oz 4 /c o i? fi DA/,i Ai/ Lot No.
2. Owner's name (TEr0?i'1J SA a TFf� Address do ite);/s7.1,i4A,i /90.0'.
3. Builder's name ),9i,'>.D tT /74/im07?F. Address /.1 :Puyi4 PR- £Ji, -v'
Mass. Construction Supervisor's License No. cz5-9/3 0,2 Expiration Date 3-/o -- boa c7
4. Addition
5. Alteration
6. New Porch ? x/a .26c-,K •
7. Is existing building to be demolished?
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
14. Estimated cost:- oZ v c7 c°, . 0 0
The undersigned certifies that the above statements are true to the best of his.
knowledge and belief.
4_260,4,-4-cac:79 (-2 .442.., q-,s
Signature of responsible appicanl
Remarks iir ovi y2V d I.)6 /O P 6 0/ti f'/=O 1u'S/ , T i s /to i✓! /9)4:27
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''` , , DEPT OF BUILDING INSPECTIONS
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