18D-004 (37) .,
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
( ter. NORTHAMPTON, MASS. 1 9 Additions
• Repair
:4 ;; APPLICATION FOR PERMIT TO ALTER
=rte' Garage
1. Location I 0% /1G ill 0 fr') A._ Lot No.
2. Owner's name \■l 1 1 1 eke\ D, Plot I'- Address /(7 f isicvn A %Ile/h 4/
3. Builder's name f (�rvl it ra Address Si AI T (Oar/1 e— /S</
Mass. Construction Supervisor's License No. L. 0 S 3 ) b f 7 Expiration Date .5 "` ) d - `i 5
4. Addition
5. Alteration 4e,4%i'/ W',o e iSr goo/ C 11 R/ C
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire e �7
9. Garage J No. of cars Size
10. Method of heating a S
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost: •*r 5 0 op
The undersigned certifies that the above statements are true to the best of his, her
knowledge
7e t.e/y11424.1
lief.
Signature of responsible appicant
Remarks
• 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 colmma to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks front
- 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
c is true and accurate to the best of my knowledge.
}r ; DATE: N--5 y' . APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve a applioan s bur to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
=r' •,1. FILE #
S
t II !
d
2
File No. % `� / 1 , , o r s! i
7
i
�
ZONING PERMIT APPLICATION (S1 �. J F� £ y i i! 'F;i�r ��I � S
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 1 , , • ;
r
Address: •
�,� ;,., / ;, . �' ,. _� ,�� �- Telephone: ,,... ,
c
2. Owner of Property: — . '"'r , ii . / s ,
Address: Telephone:
3. Status of Applicant: ✓ Owner Contract Purchaser Lessee
Other (explain):
4. Street Address: /Z7 171/.-- / ����/ � '
Gam ,..
Parcel Id: Zoning Map# �w Parcel# D istrict(s): y; �j
(TO B E FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ';:.. ' . ;:. L
6. Description of Proposed Use/Work/Project/Occupation: (Use additional'sheets if necessary): •
r
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 DONT KNOW YES
IF YES: enter Book Page and /or Document #
9. Does the site contain a brook, body of water or wetlands? NO V 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)
,
FILE # 9 6 0 � � �It •
431
. - •
--- .
l u�-! � . �;' �' ` G -e�'
APPLICANT /CONTACT PERSON: l - 21 n
ADDRESS/PHONE: ' 40
PROPERTY LOCATION: /(v 1-C 9 � 'L � " l� ,, aj _e 9) z rz ?ilerLe
MAP //V V PARCEL: ` ZONE &
THIS SECTION FOR-OFFICIAL USE ONLY: .
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM PM:I,F.T) OTTT L---- L-------- J ', ' 7/ 96 -
Fee Pahl
Building Permit Filled nut
Fee Paid ( //f/ , 4/ 40 L,
Type of C'nnctrurtinn•
, Ne C'nnctrne inn faL<- 7 ./ -eAeTZ -e-F� ,
R em nil elin Tntern `
i /5 � :e3-f°-'r
Addition to F'icting
Arreccnry Structure
Building Planc Tnrluded•
f)wner /Occupant Statement n (i ,irence� 4.'5 3 %U 7 E -er
3 Setc of Planc / Pint Plan
LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: e
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
,I
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 Approv : -Bd of Health Well Water Potability - Health
ermit f • C a <ervation Commission
MO% �_ _......f....— /// 4 / : / 7 - 5 - - -
i y attire Of : lding Inspec �/ Date
NOTE: lssuanoe of a zoning permit does not relieve an apploent'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 applioable permit granting authorities. —
Ole 6 • : •
4 11
P, i ps
UIRED iNS TI
fill
Oct' il
r4 3A
IF
and
0, A A 111
I ‚ 1 1 2 Structural Co 'ne ts in Place
's
• • ..r.
3. Complete B• g*
11 Nj iceofth 9" Inspector
No. 967
ZoningFomiNo. 960431 Date 1l//95 Fee $60 Clieck# 1181
Page 18D Parcel 4 , Zone ___ LL
GB \• Section 127 Yes No
* Plumbing and Electrical Inspections reqired,
THIS CERTIFIES THAT Quin1n ui1ders/Tom Quinlan Jr. before Building spections
h asperm i ss i on . to repair & replace ire damaged 1st floor. Inspection on Sites—Foundations
situated on 108 Damon Road -f W] & Evelyn Mock Inspection of Plumbing—Rough - frog
provided that the person accepting tiis permit shall in every respect Inspection of Plumbing—Finish f'
conform to the terms of the applica ti n on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordiiances relating to the Construction, Inspec of Wiring ii L-? ! -V4 i
Maintenance and Inspection of Buil4ings in the City of Northampton. g ' -
Any violation of any ofthetermsabovnotedisanimmediatere 0% � Inspection ofWirmg—Fimsh
ofthispermit. Expires six months fro date ofi une, I Building Isp�non—Rough
Note: A certificate of occupancy will be issued by thiS office upon return Insulation Inspection
of this card signed by the Plumbing, and Building Inspectors. BUg liretion—Fii '04
Smoke Detectcs (Fire Department)
/ Other
GI P R
THIS CARD MUST BR DISPLA I A V. NSPICUQ. S 'LACE ONJHE PREMISES
Certificate of Occupancy , 4"
Building Jnp@ctor