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23D-052 (4) 63 RIVERSIDE DR - LEGION HALL BP-2000-0682 GIS#: COMMONWEALTH OF MASSACHUSETTS ; . CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2000-0682 Project# J S-2000-1024 Est. Cost: $30000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: EARL F. ROLLAND 062404 Lot Size(sq. ft.): 10410.84 Owner: AMERICAN LEGION POST#28 HOME, Zoning:URB Applicant: EARL F. ROLLAND AT: 63 RIVERSIDE DR - LEGION HALL Applicant Address: Phone: Insurance: 285 PROSPECT ST (413) 584-1361 NORTHAMPTONMA01060 ISSUED ON:2/1/00 0:00:00 TO PERFORM THE FOLLOWING WORK:RENOVATE BATHROOMS HANDICAP,HANDICAP RAMP,2ND FLR EGRESS & INSTALL VINYL SIDING MOST THIS CARD SO IT IS VISIBLE FROM THE STREET nspector 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: 3uilding 2/1/00 0:00:00 3627 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2000-0682 APPLICANT/CONTACT PERSON AMERICAN LEGION POST#28 HOME, ADDRESS/PHONE 63 RIVERSIDE DR ma obi, 5?' - 2Y7b PROPERTY LOCATION 63 RIVERSIDE DR - LEGION HALL MAP 23D PARCEL 052 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 L.3k.V Tc — Typeof Construction: RENOVATE BATHROOMS HANDICAP,HANDICAP RAMP,2ND FLR EGRESS& INSTALL VINYL SIDING New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan TH OLLOWING ACTION HAS BEEN TAKEN ON THIS AP 6( proved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: §_ PLANNING BOARD Received&Recorded at Registry of De Finding Required under: § w/; Received&Recorded at Registry of De Variance Required under: § w/ Received&Recorded at Registry of Deeds Proof 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 Commissio 2—//_<XD 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. . To 6 (e 6 11 r, i. bill 4' � 82000 /R I �] ^FAT ._,,/ File No, / of 1 —or- - I !gar ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: _ /Z /_ /,7aczLisii)4, / Address: . ..7 (// �s0�'ff/ 9-167i0.111‘);') Telephone: .��9 a 4-(7C 2. Owner of Property: /21,4-'/G c-d _X.f c�,,�v ��S r �/- --- Address: C /4/ rJ-/-c// ,Vie Telephone: -5---8 S..,// 3. Status of Applicant: Owner - Contract Purchaser Lessee Other(explain): / 7 ' �rGC,,,C 4. Job Location: ‘. ,//e u/C �/' Parcel Id: Zoning Map# 23D Parcel# 5 3- District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /fc-c-Xl -z /717.7�L:9 /464/7 6. Description of Propose Use/Work/Project/Occupation) (Use additional sheets if nece ary): �f G(,t.G' c C.c� .4.G.E--f "57.?l/l7, i � 4_C s/t-1 p(l- / 4if: /`// 4 . /t,V 2(4= ice•' „,,/t./ /,,%_,,e,i,-7— A/f e,,,e. jo 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 X 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 x 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 coin= to ba fillad in by the Building Department Required 1 Existing Proposed By Zoning , Lot size Frontage Setbacks Mont - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) ____ # of Parking Spaces ~ it of Loading Docks -Fill: {volume -& location) . 4 13 . ertification: I hereby cprtify that the information contained herein L.7 is true and accurate tp--the best of my knowledge. DATE: /ATE7O ' APPLICANT'S SIGNATURE �i - NOTE: Iss//uanoe of a zoning permit does not relieve an applioant's burden to 000mp y with ell zoning requirements and obtain all required permits from the Board of Health. Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE I , . =� --vv it las ` = o o �` 3 z m `ti 4..- ... :4o R -:.d C1 ---_ 4^ _" f S CO s � o Y 4.s o z G ^ r v 0 rri NO a 1 Zoning L"'/§ Miscellaneous Additions,Repairs,Alterations,etc. Tel.el N."'1 58 If .�) q Alterations %r. NORTHAMPTON, MASS. O '//�/t•J ��� Additions igir t'} � APPLICATION FOR PERMIT TO ALTER Repair 4 :'' Garage 1. Location ‘$ 44.6Sip` sg , Lot No. 2. Owner's name n. %rG G /��'CC (7S . c,Address iit/3. Builder's name%//� vh.0c c" Cu., n 7 Address Z- �/t/ �d • j / �� J ✓IGfass.Construction Supervisor's License No. Expiration Date 4. Addition /fo 1/ /�X- /a` �� 5. Alteration �'/C/ ✓, !�//Zy/ /a/Ti/ ,&/h�4l' 5 i /✓c�i / 6. New Porch / /?/C°ei4 4. /4,i d i ACG451 i 11/1;7{4<OE%eeoitJe44.0,e 3ZZ..55 7. Is existing building to be demolished? /-2 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_ 3 o c O The undersigned certifies that the above statements are true to the best of his, knowledge and belief. J ,-r-R-.--. .--7-L� Signature of responsible app,icant Remarks S�j .4r.9 C( xis t^o/r 4'fe PO , . • . --.'—"7"-ie 11 T 1- F1 t OR1LAMp2 :. 'ff, u ____.....u.7 .11 , FEB 12000 rzf af North-am nfl *= If LN =s ^ , $ a 4 , • _= "— basahnsra�% `; �: E^T— - __1_,---=_-=1__. "� . DEPT OF 8E°°^' f1N"SF aT�` NORM tt 'v4 DEPARTMENT OF BUILDING INSPECTIONS • 212 Main Street ' Municipal Building Northampton, Mass. 01060 NW' WORKER'S COMPENSATION INSURANCE AFIi'LDAVIT CC; I F ii(c,, ii -Ai . *- C .c (upermittee) with a principal place of business/residence at: O'S Pr GJP F c 1 S '7)- Q A*11/4o11 /I- 1 (pboner#) ,.5 ` \.I ' 13 "/ (sti tzt/city/stateJnp) 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) J (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 additional sheet if necessary to include information pertaining to all ooatrectors) . XI am a sole proprietor and have no one worlang fOr me. ( ) I am a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ persons to do wwamtensprr construction or repair work on a dwelling of not more than throe units in which the bomoowner resides or oa the grounds appurtenant thereto arc not generally considered to be employers under the worker's comp ,,tion Ac (GL152,a 1(5)),application by a hotneowar for a license or permit may evidenoe the legal status of an employer under the Workkor'a Compensation Act_ I understand that a copy of this statement may be forwarded to the Department of Industrial Accident?Ofoe of Insurance for the coverage verification and that failure to secure coverage under section 25 A of MOL 152 can lead to the imposition of criminal penalties consisting 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 Work Order and a Imo of S 100.00 a day against tee. For departmental use only Permit Number r•---"7 -4\-/A4,/4/ Map# Lot# Signature of Licensee/Pernuttee LTe