Loading...
23D-099 (4) 22 NUTTING AVE BP-2000-0587 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-099 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:replacement windows/siding BUILDING PERMIT Permit# BP-2000-0587 Project# JS-2000-1052 Est. Cost: $8000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Ed Corbett Jr 1 16069 Lot Size(sq. ft.): 9191 .16 Owner: SAMSEL JOSEPH A&CECILIA A Zoning.I TR_B ,4w,!i.kant: Ed CorbettJr AT: 22 NUTTING AVE Applicant Address: Phone: Insurance: 4 Reed Street (413) 586-5192 NORTHAMPTON 01060 ISSUED ON:12/14/99 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING & REPLACEMENT WINDOWS 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: C=': E Hill.::a: Final: Smoke: Final: 6K /t ` t 3' e/G THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTIIAM PTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. z '° � ' Certificate of Occupancy signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 12/14/99 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo ("2 9e-79 )/7-69 ?-s-fow !,9cte EJllc6 19a Fi 1 e No./&/°U v 5 O ( DEPT OF BUILDING INSPECTIONS NORTHAMPTON,MA 01060 ZONING PERMIT APPLICATION (§I0 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ca? 4 Address: 177 ,-4421 S}� Telephone: -58V-657/ 2. Owner of Property: TO e✓ S s�— Address: -2,2- 64 /sg A</— Telephone: S&&— 0386 l 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: $ .¢— }. �3D Parcel# 9? / Parcel Id: Zoning Map# District(s): 1,a,"/"' (TO BE FILLED IN BY THE BUILDING DEPARTMEP41) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): `� ✓y s1 Jy _4 /4ce/nc,r U,i'c4 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 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 col= 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 # of Loading Docks Fill: {volume -& location) 13 . Certification: I hereby certify that the information contained herein is truer� and accurate to the best of my knowledge. NOTE: 1sLsu��� a zoning does'S not permitn t relieve an applioanrs burden to comply with elf zoning requirements and obtain ell required permits from the Board of Health, Conservation Commission, Department of Public Works end other applioable permit granting authorities. FILE # ..,:cttAM pi. ! igb l'.L / ►woej t$ r�I of T ti amptoi tt: i• Jiliassarbnsetfts • DEPARTMENT OF BUILDING INSPECTIONS r‘a1 - 212 Main Street ' Municipal Building Northampton, Mass. 01060 r' WORKER'S COMPENSATION INSURANCE AFFIDAVIT I, i (ibi'L'e -- clipermittee) with a principal place of business/residence at: `, � e� :Sf A) 7A✓ Mht. (phone/0 5-6Y" V 571 (sti ect/ci ty/staieizi p) 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 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 ifnecesary to include information pertaining to all contractors) (VI 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 homeownera who employ persons to do Era inrr"anre,construction or repair work on a dwelling of not more than three units in which the homeowner resides or on the grounds appurtenant thereto are not generally ooaridcrcd to be employers under the worlcee's r -rmarion Act(GL152.a 1(5)),application by a homeowner far a license or permit may evidence the legal ststna of an employer under the Wodcor's Compensation Act I understand that a copy of this statement may be forwarded to the Departmca2 of Industrial Aoddect&Office of Insurance for the coverage verification sad that failure to segue coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties oomisting of a fine of up to S 1,500.00 and/or imprison of up to one year and civil penalties in the form of a Stop Work Order and a fore of 5100.00 a day against toe. For departmental use only Permit Number - /,14-99 Map# Lot# Signature of Liccnseefpermittec Date a --vv 'C ° 'a3:1 'v < 7. v -o —. w m o 0m z E c, o Z ^' —1 rv �, 0 0 MVD 717 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a%4 NORTHAMPTON, MASS.Z7ee 19 �� Additions �' `%4' APPLICATION FOR PERMIT TO ALTER Repair -z.era, Garage 1. Location 09& /UC177r✓9 /4VC Lot No. 2. Owner's name Jo cd .SAiis Se Z-- Address -.S a^ — 3. Builder's name�'C-/ C_U,C -11— Address `( �-e-e e/ S T Mass.Construction Supervisor's License No. O(o"7`7 so Expiration Date t/-30--.?s 'C' 4. Addition 5. Alteration 6. New Porch 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 WA/ ( Si eF/ /,,/G/O:/f 14. Estimated cost- The undersigned certifies that the above statements are true to the best of hip knowledge and belief. 4 Signature of responsible applicant Remarks