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25C-132 (4) r... F iAJ' D � ^► 3 o Zm r, O ,4 Z m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Z- 7 Jr-P Alterations 41�A? NORTHAMPTON, MASS. 19; Additions Repair ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location L d IV Lot No. 2. Owner's name Address _f 3. Builder's name J )L� / Address /Y 7 Lt1��1/i4.�to 9f>tJ /�(./ .• �/ � Mass.Construction Supervisor's License No. 4&I"rdl �'Yl��llS yl_�Expiration Date 19f�J 4. Addition 5. Alteration Al < 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 13. Siding house 14. Estimated cost:- 0 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signazure of responsible appicanz 1' Remarks AJ S L��'/r fS �tJi / 4f r-Al, ro A Z 9 �,o 4 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 —7— to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: L• � - rear Building height _ Bldg Square footage %Open Space: (Lot area minus bldg ' &paired parking) # of Parking Spaces f %f Loading Docks Fill: (volume--& location) 13 . Certification: I hereby certify that the information contained herein is tru a d accurate to the best of my knowledge. .1 DATE: APPLICANT'S SIGNATURE r NOTE: 1 e of a zonin g permit does not relieve an a ioant's burden to oomply zoning ut ements and obtain all required permits fro the Board of Health. Conservation Commission. Department of Publio Works and other applioable permit granting authorities. FILE # , .u1 9 S7 J DEPT OF BUfLC)MC,INSPECT�C ' I File No. a ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ ,, - l_. �fl 7 - �Gc r /l�1i11 C Address: !K-7 6iF, �"C/ /y Telephone: 2. Owner of Property: CL.11-/I L&�S /� 1 �Sd ti Address: F,4,c, Sr Sc)• SY�/A&w' 2a Telephone: -3—k y `7 3 l _ 3. Status of Applicant: Owner tl Contract Purchaser Lessee Other(explain): �,/ ,{ 4. Job Location: ! "—y �!Lj Z-,+/6% -7 !� 1 if - Parcel Id: Zoning Map# 5 C., Parcel# 9- District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 1-'/l At c 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): Vt- L S < < L S 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/Vadance/Finding ever been issued for/on the site? NO DON'T KNOW v 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 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) r f FILE # . j ( 1 "� JUN 91997 APPLICANT/C N�'ACT PERSON: PROPERTY LOCATION: MAP I (_, PARCEL: ZONE, K,( THIS SECTION FOR-OFTICIAL USE ONLY: PER ffr APPLICATION CHECKLIST ENCLOSED REQUIRED DATE flididing Permit MUM cilit Fee Paid /Dy Addition . (F T LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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-Bd of Health Well Water Potability-Bd Health !Permit from Conservation mission Signature of Building hit ate NOTE:Issuanoe of at zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiioable permit granting authorlties. s } Cit y of Northampton RE UIRED INSPECTONS 4 BUILDG DEPARTMENT 1. Footings and Walls IN � 2. Structural Components in Place* 3. Complete Building* No. 521 Office of the Building Inspector Zoning Form No. 962371 Date 6/16/97 Fee 520.00 Check# 1083 Page, 25C Parcel 132 ,Zone URB Section 127 ❑ Yes ® No BUI]LDING PERTVH * Plumbing and Electrical Inspections required THIS CERTIFIES THAT J C Pratt Builders before Building Inspections has permission to install vinyl siding & soffits Inspection on Site—Foundations situated on 40-42 Elizabeth St - Charles Robertson Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. ** Install per Manufacturer's information: windows, vinyl siding,roofs Building Inspection--Finish and woodstoves Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS ACE N MISES Certificate of Occupancy _ Building Inspector