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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No-- -2-J Alterations
NORTHAMPTON, MASS. 192- Additions
' !
• ' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location c1 �/ /7x�.� fJ� Lot No.
2. Owner's name $r / I.> 1, 1f,1/2' Address 3 �� �;-hz ,✓�e�� 1� 7`�/✓r?k.7� �'�'I/�4,(�
3. Builder's name J 19 Address54 r cal" ✓`
Mass.Construction Supervisor's License No. iD/ Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? IV �
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines l
12. Type of roof 'r7�/��
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app.icant
) ��Remarks �' � �C� l/r''./V �� ✓!/✓1'� a A-1[ r
1-74 �/�'✓�'t�i-
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
W OM=,R'S Co-mTENSATION INSURA-NCE A-V IT
N�us�l pc ruii(tom)
vIlt-h a principal place of bugncsslresidcnc,� at
�J�ti ' v Pi�/(�OIZ%f J)42v, 6; -'� _(p h o o eI
(str�U6 t)-/s7L2.LcJn p)
do hereby certi.Fj,, Mader she p,:!ns and p, 00236es of perjury, th i.
O I am an employer proviLn- the follOWL09 t','or'.�_er s cornoeIMuon cove:-aoe For M�,
employees woridDg 00 this)&
Gnsurance Cony) (Policy Dumber) (Expiration DatL)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the Movring worker's compensation policies:
(Name of Contractor) QaSuanc-- Compa-U)'/Pobcf N=hcr) (Expim6on Datc)
(Namc of Contractor) (LDSurmc Compa2y/70!lcf Number) (Ea-pinaon Dzc)
0N2IIlC of Contractor) (tasur--nc C0a412jD)'1P0Lc-)Nu r) ( --\pinoon Dalc)
(Name of Contractor) (Instuznc°Con)pany/Polief Numks) (Expirzdon Date)
aCditiocal cS.:,R ifnco—ry t.o cc'i>d<<ar...E.pc^._.itan�to.0 cz�r:GOn)
(c�/I am a sole proprietor and have no one worl6ng for me.
( ) I am a-home owner performing all the %vork myself.
NOT-plc is be otruc chxi wtxi]o boom v ra.+t o P!oy pc=om w b�� c�a uct oa cpi r work oo G..-_ll n2 of
ant mece tli-o Lbry traits La wfl di Lb-6,- -,a ocr rc:ic:v ct cc LS-E7c-D6:py uct vent tbcmz D arc oee Ecocrylly cc��:dc:c 1 to be
employm UOder tbo vroekcfs,mac l ca filet(G LI52 1(5)x-F7LL°bUO by a bomcnwn r far a Betio-ce pernali-)r
Icga.l rwi .ocon c nptoyx undcc rho WoA-e,Comgo�Arc
I u-t-,rand cb.d a coyy of this n r---A-y bo foclwrd«f to cbo Dcpvr::xot of ln.!u�i cl/.c�dmtl OT,-of lu-ur—
covcr &c vcrificztioo aad th-,t Euuurc to cccuc cove &� 1 ix sect ioa 25A of MOL 152 c,"I'd to tbo- mpanCco of crim a l pcc! cs
coalu=3 of s.'-fine bf upto S m
1-500.00 'Joc impr-:s mcnt of up to.),-x snd ciQ p-16 j in the form oC a Step�1 ork Or"rr and a
t
fimoCS100.003<diy Lpi-t-mc
Signed this '� day of f J 1997
permit Number
Mai! Lot d
Si hu-c of Li czm.iucc
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 ao.1— 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
f f 46 Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
G, is true and accurate to the best of my knowledge.
DATE: 7/V`L Ir �l APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve a applioanYs burden to comply with,.pll
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 f
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT'ALL INFORMATION
1. Name of Applicant: �-✓1 w e,,J
Address: 4elephone:
2. Owner of Property: S 0- �1/v✓t�
Address: `� ��/lam °✓ 5`7- //O ,,4L.Av0A24elephone:
3. Status of Applicant: Owner // Contract Purchaser Lessee
Other(explain):
4. Job Location: /z✓1)0,�
Parcel Id: Zoning Map#_ i) C- Parcel# ( '36 District(s): Cry
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ✓',172 )LZ
6. Description of Proposed Use rk/Project/Occupabon: (Use additional sheets if necessary):
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 Z-� 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 Z� 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 it
APPLICANT/CONTACT PERS N: u
ADDRESS/PHONE:
PROPERTY LOCATION: 3� 3
MAP PARC L: ZONE a4—
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DAI
ZONING FORM M,T,F.D OITT
Fee Paid
]Rnildin2 Permit Filled nut
Fee Paid 77 41—y—9
L/
t,
THE F LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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
!P mit from onsery ation m n
'9�/"0/"0;o;2
Signature of Building Inspector Date
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
} e
BUILDING 1. Footings and Walls
DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 844 Office of the Building Inspector
Zoning Form No. 962727 �' Date 9/9/97 Fee $20.00 Check# 1870
Page, 25C Parcel 130 ,Zone URB X
Section 127 L) Yes Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT James Dawson before Building Inspections
has permission to install vinyl siding Inspection on Site—Foundations
situated on 32-34 Elizabeth St - Sebern Fisher 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 pen-nit.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.
Building Inspection—Finish 8 e
** Install per Manufacturer's information: windows, vinyl siding,roofs
and woodstoves Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISP✓LA D IN A CONSPICUOUS PLACE ON T E PREMISES
`Certificate of Occupancy ./� — �4Z