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18D-063 (15) 168 INDUSTRIAL DR BP-2000-0719 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18D-063 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: renovation BUILDING PERMIT Permit# BP-2000-071 9 Project JS-2000-1334 Est. Cost: $8000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: . Const. Class: Contractor: License: Use Group: William Mazuch 010936 Lot Size(se. a.): 435600.00 Owner: KISSELL, INC. Zoning: GI Applicant: William Mazuch AT: 168 INDUSTRIAL DR Applicant Address: Phone: Insurance: 1411 Westhampton Rd (413) 586-8749 FLORENCEMA01062-9751 ISSUED ON:2/23/00 0:00:00 TO PERFORM THE FOLLOWING WORK:FRAME 2 BATHROOMS & 3 PARTITION WALLS FOR N'TON PLUMBING STORAGE AREA POST THIS CARD SO IT IS VISIBLE FROM THE STREET 0 Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough:2/151.0 U r_Rough: belikA S ,O House# Foundation: Final: , , ,r•(;,..Tv.? Final: Lip Rough Frame: n� 3l Gas Fire Department Fireplace/Chimney: *Rough: Oil: Insulation: i Final: Smoke: Final: Oirii7OporrIliSt, i•i THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ..----- ...--</1 .e- Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 2/23/00 0:00:00 2978 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo File#BP-2000-0719 APPLICANT/CONTACT PERSON William Mazuch ADDRESS/PHONE 1411 Westhampton Rd (413)586-8749 PROPERTY LOCATION 168 INDUSTRIAL DR MAP 18D PARCEL 063 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 p,P9,7Z Typeof Construction: FRAME 2 BATHROOMS&3 PARTITION WALLS FOR N'TON PLUMBING STORAGE AREA New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 010936 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 om Conservation C ission 7 2....0:40d Signature o 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. . .. Is � � �� II \ PECS \ File No.�!/ NING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1./l i 1 f J,4 4 PIA 2 0✓ { Address:M (',YEE'T))-4`N ',/ A f 1`l fl?iv Telephone: 6 I " 1-9 Property: sa `2. Owner of Pro e i c deg Address:J '6 gi.UL" O7 N '/d/il Telephone: 6-Y11 L 1-101 re 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): C0AfT/?,4 c /,2 4. Job Location: i t g L ,yn O'57 1.41 0 e Ale R7"MA /iP reitJ', /77 , Parcel Id: Zoning Map# /f p Parcel# 3 District(s): �Y�__ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property cr eIRAO 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Ft/TI)RF 170I4g 0i A1 'RYitAMPreN PL,ii(jiIW. c're RA L3 E Te9&c' A-RE,4 7. Attached Plans: Sketch Plan X 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 )C 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 ;c DON'T KNOW YES _ _w 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 A. NO IF YES, describe size, type and location: N.C'' 2-Au) 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 Jront - 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: {vol-ume -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: j/ji�/;Zc�1k' APPLICANT'S SIGNATURE ,0,44/45....1pri� NOTE: Issuenoe of a zoning permit does not relieve an applioant's bij#4le,to comply with all zoning requirements and obtain all required permits from the Board of Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # 0-91 FEB 14 2�0 DEPT OF BUILDNG INSPECTIONS NORTI-IP,McION MA01660 04J IYLS.Ho7 r c' 01 S 11 V/"! - O3? Ca ' t 0. a WN 1.4 SN.1 W 5N3Wo11+. 1 1 1 91*4' . tea L5 (I1 t CY QZ I �IIII fIIII =*_� 8'�I:r14:151 FEB I A 2000 11 �assac}1n5[ll6 _`_'i'— :.shy :—� EPARTMENT OF BUILDING INSPECTIONS '� __'_._ puT or-P' - INSPECTIONS ',.;;.GO 12 Main Street ' Municipal Building M� � Northampton, Mass. 01060 `", WORKER'S COMPENSATION INSURANCE AFFIDAVIT I-, 42/ 11/4/1 M2 tiv/I (licensuipermittee) with a principal place of businesslresidence at: l4 Pm) ) /U /i n) - (phonei#) �$��-�'Al'/9' (st1tzt/city/stales zip) do hereby certify, under tbe,pain.s,.and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: .R v 4Rs 'I—GW-aq9 31--oof 67/i/o-e (Insurance Company) (Polio N 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) (attach additional sheet ifnecessaryto include inform atioa pertaining to all coaractor3) ( ) 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 persons to do r*:*mtrn• construction or repair work on a dwelling of not more than throe units in which the homeowner resides or on the grounds appurtenant thereto are Dot generally considered to be employe under the worker's oompcasation Act(GL152,s5 1(5)),application by a hotneowne-for a license or permit may cvidcaoe the legal status of an employer under the Worker's Compemaiion Act I understand that a copy of this stateme t may be forwarded to the Department of Industrial Aaade b'Office of Insurswoo for the 1 coverage verification and that failure to segue coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to S1,500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine 0(5100.00 a day against me. For dcputmcnsl use only ����A� �// Permit Number - � rr Mali Lot Signature of Li cg}s ,c "ace e a • z 70 'v c.lc--'1 1 to '•r• W 1 ° • r- Lug o Cr,. . m r,„ 11 w C p > Z m ... et z Q) Ic2- w z o u m NU ~ tt p z w .o v - >. I r�r Zoning Miscellaneous Additions, Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair coikr`3.1.) Garage g 1. Location / t rA,J,C 7 RIA-) DR Lot No. 2. Owner's name /<!S.S E )1 &'A P Addressed/sir )OA/f UT n�d RTii+,4A4 AloN A Builder's name 1 21///kf1 n A ZU&11 Address 1 /1 L}EST1tAMP%o ill RA Fie), Mass.Construction Supervisor's License No. Expiration Date 6 —q— P-' 4. Addition D is C'f.34 5. Alteration FRAN1E FOR ,,,` (j,4T/7'R04ns ,( pi/D L.. P 77T 'N �,4J/14- f4 P/ oJe4 6. New Porch fie) 7. Is existing building to be demolished? /Vt) 8. Repair after the fire fli,e 9. Garage ,VO No. of cars Size 10. Method of heating 6/4S 11. Distance to lot lines 12. Type of roof gG'6Bci2 pigM13J'AME 13. Siding house f E TA I ti 5R IC 1< 14. Estimated cost-p Ol ,,,, The undersigned certifies that the above statements are true to the best of his. knowledge and belief. ....5-1,im zei-#Z, ignature of responsible appicant __2marks .C:==....0§Inif ' f zo 1' 41. ilk 0)111.8,- iL;;...?. b 1K ---\ /: rti �� li Ill kil .,:� /-0" i lf-&N ! 1 ...1111,111k 0 A ik. • \ /`b G„ G" �.` g OS 31 0 lit'a 0 .54-Ow 7* 4 - \ 7` tom" �,o, �,o„ �,o, L • • CD 0 MIrJ. l'�'1C2 1 Mr ;o O •1' 1 -71' ' 4 I I 1 I I .-.--7\. \ 'N a o /h0 Y • 0 \ i- Wca I N ' Northampt o \ I 3�G' I=o" ►-till MAY �e8 JI� taknF�.t✓tot.ts 1681ndustrial tL., o_•- gip, _�-\----- ` Scale: )4�11 p' General Notes: Date: Z,MOD • This plan is diagrammatic in nature and it's intent is to show bask requirements&scope of work to be performed. -All conditions and dimensions are to be field verified by contractors on site before pricing and/or implementation. Revised: Do not scale bran-Written dimensions suoersede scaled dimensions. -. Zo_S — Sob- oQg_/ 9'c; gn/(--) 0-6 toY3 =-7/o_� s0'2 c a ozz - 2/6, Tom , / mr_ o a