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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