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18D-059 (5) P 195 INDUSTRIAL DR BP-200.0-0 +.. GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-059 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0043 Project# JS-2000-0074 Est.Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: David Clark 000635 Lot Size(sq.ft.): 87120.00 Owner: YANKEE WOOD INDUSTRIES INC Zoning:GI Annlicant:_pa!id AT: 195 INDUSTRIAL DR Applicant Address: Phone: Insurance: Rockland Hgts (413) 586-4347 NORTHAMPTON 01060 ISSUED ON:7/19/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR PARTIIONS FOR DEPT OF MENTAL RETARDATION 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: (9? Footings: Rough: Rough: 71 House# Foundation: Final: Final: ,Z2`/7G„ / Rou h Frame• . �l l g �9 9 Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: O k II-2Q•qq- THIS PERMIT MAY BE REVOKED BY THE CITY OF N THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. r ifi f u n nature: .-244de4/ Fee Type: Receipt No: Date Paid: Check No: Amount: Building 7/19/1999 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo • 195 INDUSTRIAL DR BP-2000-0043 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-059 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0043 Project# JS-2000-0074 Est.Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: David Clark 000635 Lot Size(sq.ft.): 87120.00 Owner: YANKEE WOOD INDUSTRIES INC Zoning: GI Applicant: David Clark AT: 195 INDUSTRIAL DR Applicant Address: Phone: Insurance: Rockland Hgts (413) 586-4347 NORTHAMPTON 01060 ISSUED ON:7/19/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:CONSTRUCT INTERIOR PARTIIONS FOR DEPT OF MENTAL RETARDATION 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 7/19/1999 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo • File#BP-2000-0043 APPLICANT/CONTACT PERSON David Clark ADDRESS/PHONE Rockland Hgts (413)586-4347 PROPERTY LOCATION 195 INDUSTRIAL DR MAP 18D PARCEL 059 ZONE GI THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid ,.V6Z5-c Typeof Construction: CONSTRUCT INTERIOR PARTIIONS FOR DEPT OF MENTAL RETARDATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 000635 3 sets of Plans/Plot Plan THE/FOLLOWING 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 ,-�d ' 4Ltt 7/ 9 Q9 Signature of Buil Offici� Date gn g 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. o •N& 16 ifs9 11 File NodF0� I3 DEPT OFFBUILDING II PEC IONS ING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: *aN c� S Address: W9S f I4iIJV-I(44 Nk, l l' 1telephone: N `4 1 a`i` 2. Owner of Property: YANk ` it3ST? • i Address: r6 [IAA0501L-bk..110ifveliNtht. Telephone: `t (44( 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): -fir _ R. 4. Job Location: k -1c ttibUS1 ,1 , AcYrAkkot44-1044,‘ , AAA, Parcel Id: Zoning Map# Parcel# . District(s): (T Q B�FILLED IN N BY THE BUILDI�G DEPARTMENT) 5. Existing Use of Structure/Property OFf lC£ °- IMV:tav v-ih3 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): (:)-( C42- 0-AN-1) C-C)"T t.ls -i- s er 4-ei-- ci 0 s "\-- W . q-11\39/0:(6 '4,PcolictiLed 7. Attached Plans: j 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? q NO DON'T KNOW YES IF YES,date issued: I° - 10- 1a IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES D` 7 IF YES: enter Book _ Page and/or Document# /r 0'73 9. Does the site contain a brook, body of water or wetlands? NO A 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) f/p .fix Tf A. i 0.2 4-L 7�24T(O' /Ls Pi_A-A/Ai6-6 fti fe/ 'o ie- f4-/Z.T fr/Del! d Ail-y , 10. Do any signs exist on the property? YES k NO 400 JUL IF YES,describe size,type and location: S $. y►1 n� S r`�A�� e►'J ewJ t 6 ` -�►-rMr,. �N(X ( % P K ALL E x/ST/A/C-- U 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 a 4c.S Frontage Setbacks - frnnt 1-L5 --CPS l S—Of 3' - side L: R: L: R: - rear €` Building height IS Bldg Square footage ag3( „ i %Open Space: (Lot area minus bldg 5 O/ &paved parking) d # of -Parking Spaces 50 #` of 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: ? -16` l APPLICANT's SIGNATURES t„..j NOTE: issuanoe of a zoning permit does not relieve an appiloanrs burd n to mply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit gra authorities. FILE # - r _;: • '^" lw.'1[y) Agi {Rr (��/(/ - '..`4 3'''t !� ;to,.) Cris iaf Nerfilanr.3fon _**_i, 11 t ♦�, 101 .i: • '• 6 ilf*c usClt/ r _raapt `" �; 'y i EPART1vfENT OP BUILDING INSPECTIONS '41C 1 ' EPT OF BUILDING INSPECTIONS =�i�_ • NORTHA�f rC'1 Mai;,O1u60 212'Main Street Municipal Building _ • Northampton, Macs. 01060 r' WORKER'S COMPENSATION INSURANCE AFBTDAVIT • I, DA\J ' C LI R,K, (Iicensulpermittec) with a principal place of business/residence at: tV RC,C.114A+) liorAel"-npfcril ©(PIOOe#) 55 {3r7 (strct/city/staierzap) do hereby certify, under the pains and penalties of pelJury, that: V ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) V/ ( ) 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 sdditioad sbect ifneoen.a y to include infocmutoo patsimag to all oodrs ors) 3)16 I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE:plcsse be awlro that while homcowecn who caaploy pereoes to do n••;,a.+,, oocssuction•or rcpat work on a dwelling of not more than throe units in which the homeowner resida or on the grounds appurtenant thereto are oot gaoaally ooesidacd to be employs under the wade-eel o aspeasation Act(GL15Z=s 1(5)),application by a homcownir fora liecn c oc perms snag evidence the legal status orals ecrployec wades-the Wo ko a Coc pemation Ad. I that a copy of this ctaleseinsirbolbcxardad to the Deparmaced of Laois trial A Office of lnsutwoe for the courage• cation wd that failure to secure coverage ocsiots2SA of MaL 151 can lad to the imposition of criminal penalties consisting of nrup to S 1„500.00 and/or imprisonment of one year and civil pmsltia is the tots of*Stop Wa1c Order and a Imo 0'3100. 'Oast me • For dcportuteutal • 'G 3s' /, ,7 9 q Permit Number Map# . Lot N "4: Si emu i a1mtlrimb-- z v a n• rn to cii O XI m c 3 O r- R -1 zz m � --t v . a. +- U -1 c O O to a -i /�.► 0 110 0 �I ,o >oo 52 I -, Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.5BY"4/R tf Alterations ;ilk%�� NORTHAMPTON, MASS. .-3-7--7 1. ( � I9c? Additions P 'o^-11..,`,'A' APPLICATION FOR PERMIT TO ALTER Rc air '" _ � Garage 1. Location 6 -1-1AWS `k n,Dgf No.irlikl-vvtP"cck MA Q Lot No. 2. Owner's name ( &k oC) Zotoo` es Address t'g-pp�����CxC,� �t_ k t1C., b Q t t3. Builder's name Lp Address Ik( Q�pt� lct� MS. ,c� h t4A Mass.Construction Supervisor's License I4 X 635 Expiration Date Akkit olinCn 4. Addition -- 5. Alteration 4—c-e-3 6 (a'f-ed-c�jyeX V4cW- � 6. New Porch — J 7. Is existing building to be demolished? Alb 8. Repair after the fire N(1 d 9. Garage NO No.of cars , Size—"10. Method of heating C Sl-'t j / (/e 11. Distance to lot lines 12. Type of roof 'i 13. Siding house 14. Estimated cost- 4:Z e.):0 �J The undersigned certifies that the above statements are true to the best of his. knowledge and belief. 1 J Signature of responsible applicant Remarks TG.e Co CSPud `'( c ) z) GGvTeR-(Q ?Q12'7-c'Tfd(e S /N .4Q1 (STf 0G- VC e. r AJO f T IV 41 wo t vc is i LI-tk., (U e .D , `` D C ( OW E 11 j> 1 6 91,3 DEPT OF BUILDING INSPECTIONS • . NORTHAMPTON MA 01060 dw g . 1 ADS designers office - 195 Industrial Drive, Northampton Ma. — Existing wall�� / —1 Fabrication Area O&M — New Wall / '• S / r Sky ht Ip `,,, / / rCto / New Office . --K!' • .,:„,.,..,..,..,.4...„..q 3 `7 / 4, / ee i'a' Server Area :, e -, i i--5 i 18'V