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16B-008 r •, 119 BRIDGE RD BP-1 999-0841 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16B-008 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-1999-0841 Project# JS-1999-1487 Est.Cost: Fee: $20.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: All Star Insulation & Siding Co Inc 101858 Lot Size(sq.ft.): 10018.80 Owner: HEBERT MARK A Zoning:URB Applicant• All Star Insulation & Siding Co Inc AT: 119 BRIDGE RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON 01027 ISSUED ON:4/13/1999 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALLATION OF TRIM 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 4/13/1999 0:00:00 $20.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo „,fliz\---•-i--(-t----.-in / ii \--A APR 13 igaig g (P9/ \.\\ ��, File e No. OEPT OF a INSPECTIO” . f�r`+Otc�F --- ONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ALL STAR INSULATION & SIDING CO., INC. Address: 56 FRANKLIN STREET, EASTHANPTON Telephone: 527-0044 2. Owner of Property: MARK HEBERTR 'r Address: 119 BRIDGE ROAD, FLORENCE Telephone: 586-5735 3. Status of Applicant: Owner Contract Purchaser Lessee X Other(explain): CONTRACTOR 4. Job Location: 119 BRIDGE ROAD FLORENCE, MA Q' Parcel Id: Zoning Map# Parcel# Z.- District(s): 6,/�/" B— D IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): • INSTALLATION OF TRIM 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 .en issued for/on the site? NO DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Regist 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) • PrtP { ►+`yiri 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 cols 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 # fof Loading Docks • Fill: .Avol-tune--& location) 13 . Certification: I hereby certify that the information contained herein G1 is true andnd accurate to the best of my knowled e . DA�'E: --I a- 1 1 APPLICANT'S SIGNATURE C'}�R1-+(� ALIttattrd- NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commission, Department of Publio Works and other applicable permit granting authorities. -;' FILE # > xl Iv < et T tt: K T1 ,-v- 3 —� o Ic. ) § e,�NJ, c r Z m R. o C7 cm, ., 74 , —• '7 c,, Z two —' z 5 H r -a z ° W F p p "S Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-5735 Alterations iikr•t NORTHAMPTON, MASS. April 12, 19 99 Additions "•}ir-, APPLICATION FOR PERMIT TO ALTER Repair � � Garage g 1. Location 119 BRIDGE ROAD FLORENCE, MA Lot No. 2. Owner's name MARK HEBERT Address 119 BRIDGE ROAD FLORNCE, MA 3. Builder's name ALL STAR INSUATION & SIDING CD., INC. Address 56 FRANKLIN STREET EASTHANPTON, MA Mass.Construction Supervisor's License No. 101858 Expiration Date 6/00 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? S. 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 INSTALLATION OF TRIM 14. Estimated cost- The undersigned cenifies that the above statements are true to the best of his, her knowled an belief. -,,,,,--„,, A...a,. i Signature of responsible appicant Remarks INSTALLATION OF TRIM • }o�„HAMPTQy • s•_ ; o f Northampton ► _* ti is )i;Ll „:• �,`_�fj• C �iaeaschasctle = �` `'rt a • APR 131999 "�4' DEPARTMENT OP BUILDING INSPECTIONS• OFF OF RU ' INSPE(�'22"Main Street • Municipal Building w`v,`' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO., INC. (licensce/permittee) • with a principal place of business/residence at: 56 FRANKLIN STREET, EASTHAMPTON, MA (phone#) 413-527-0044 (street/city/state/zip) do hereby certify, under the pains and penalties of perjury, that: . (X) I am an employer providing the following worker's compensation coverage for my employees working on this job: EWER 3l-1042527-00 8/12/99 (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 if mooesaary to include information pertaining to all contractors) ( ) 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'that witilo homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than throe units is which the homeowner resides or oa the grounds appurtenant thereto are Dot generally considered to be employers under the worker's comp—malice Act(GL152.ss l(5)),application by a homeowner for a lictnx oc permit may evidence the legal status of an employee under the Worketea Compensation Act. I understand that a copy of this statement may be forwarded to the Depererucot of industrial Accidents'OfEoe of Imurusoo for the coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the inxposition of criminal penalties consisting of a Eno of up to S 1,S00.O0 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of 4100.0O a day against tine. For dcpartmcdil use cob, clj Permit Number 1% . - I fl,d�L(�t, Lj..J 7 9 Map# Lot# Si • L'vr. of Licertc/Pe ttee Date