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31B-273 (9) 9 CENTER CT BP-2000-0153 GIS#: COMMONWEALTH OF MASSACHUSETTS Ma :B CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:roofmg BUILDING PERMIT Permit# BP-2000-0153 Project# JS-2000-0247 Est. Cost:$1000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: TODD BOYNTON 126807 Lot Size(sq.ft.): 1698.84 Owner: GAEV BENNETT N&LILLY Zoning:CB Applicant: TODD BOYNTON AT: 9 CENTER CT Applicant Address: Phone: Insurance: 83 SILVER ST (413) 772-8829 GREENFIELD 01301 ISSUED ON:8/12/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:SHINGLE ROOF OVER EXISTING 1 LAYER 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: 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: Building 8/12/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 01 AUG 1999 File No._/1,00/5-3 Flectnc, ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: O ,a4 et 3o/ Address: _57,/ U 1er 7 Telephone 3��- .F7-42177 2. Owner of Property: /,,ay �4et/ Address: 7 ��7 ' (Qi7T Telephone: c//3 - Shy 3. Status of Applicant: Owner Contract Purchaser Lessee V Other(explain): / F76 cT/f 4. Job Location: Parcel Id: Zoning Map# 3i Parcel# 2 7 3 District(s): G i3 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): fi-/6/2/C. ove7 o?e (a*, w. Fiez- ss/, .4Cr 5-4 IS 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 ✓ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW L/ 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 ba 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 &pa.ved parking) # of Parking Spaces # of Loading Docks Fill: {voI-ume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowled e. DATE: 7 APPLICANT'S SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve en app oants burden to comply withall zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities. FI TJ? # :z4 • • v' Nl�h$ntp1Qn 1\ =��u ` • tv•�,~�t t� Rit RCaatrlll t`S 1= ( VI DEPARTMENT OF BUILDING INSPECTIONS �� _,_A i 212'Main Street ' Municipal $uilaing Northampton, Mass. 01060 �eso" WORKER'S CONTENSATION INSURANCE AFFMAVTT • , �%I ,a>/�n U� • (liccasceJpermittec) . with a principal placr of business/residence at: ::� _�a/e leP4/e-Alf Cr(phone#) // --7Zo?- rr-T7 (st t/citylstatdap) 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 Nnmix•r) (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) (anaeh additioml shoet ifnoocaary to nc}u&e information puhisring to.1 ooa don) I ani 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,boaxostnacra who crap Ioy pczsom to do tr•%+hn•,,r„cornucrioo•or rsrair work on a dwelling of not tuoc'o than throe tmita is which the borne rrsidci or on tbo grouncy appurtenant t e do arc cot ccauully coosidcrod to be employers trader the wafcct`i oomccaserica Ad(GL152,sr t(5))..application bra bot cowo i for.Goeaae cc prstnit may evidence the legal swam of an employee uod.rthe Workers Coatpomation Act • I uadastsnd that A.copy of this msemeat may be forxnres ed to the Department of Ioc atrial Mcideotal Oirvo.of Iaatxsooe for the . ooverage.verificatic4 end that failure to scant:oovasso trader souion 25A o b(OL in can lcud to the'imposition of aiminil.peadtics consisting of*(me of up to S I.560.00 warn imprison of of tip to one year sod sunk pcaaltics is the form of a Stop Work Order sad a :a fins o(5100.00 a dry against toe •. For dep.atwcai iuseGay / Permit Number (�. ----77--- ________________--.. b Mapli Lot;�••_ •— • . - .. .rj i;4: S. of Li uiuittoa x es m to ° MI o• Xp = m E.' 3 •0 a 7 Z m -3 p oc 7i 0 o• "I i„ Z 0 9 col z '_' m r' t21 O xi VD c a 1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ilk) NORTHAMPTON, MASS.lc 1 q Additions APPLICATION FOR PERMIT TO ALTER Repair Garage G� 1. Location // I�N%Te/ co/v?7_� Lot No. 2. Owner's name l� f e✓ Address 7 ='n/�-•(I 3. Builder's name �GO ,I o�T'1 Address 1 e- / 'Y6' Expiration Date -7-/F ip 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 �C- /4- ovel O,. La G4.(77 A6elss/ �� OC�' 13. Siding house 14. Estimated cost- f 7oo0 The undersigned certifies that the above statements are true to the best of his. knowledge and lief. .__2---,.....„„ Signature of responsible appicant Remarks