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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Sal': G Alterations 1,/
NORTHAMPTON, MASS. Igal Additions
APPLICATION FOR PERMIT TO ALTER Repair
`` Garage
1. Location 3U �wci.l�.c �'1 to d , �Y Cx-w��torr� Lot No.
2. Owner's name vY•�� �V ►�( Address
3. Builder's name Address 1yTIVL9�. (AQ
Mass.Construction Supervisor's License No. D 1"1 T,A 0 Expiration Date I ►C\\a?
4. Addition
5. Alteration ��.S�t�l�� the " L h 1F-)a►S ]' S+Y1,-C+tk- J(91
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-
C1 The undersigned certifies that the above statements are true to the best of his, her
knowI d
and ief.
Signature j response !e appucant
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 —7— to be elIled is
by the Bei7dlmg 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
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information cont fined herein
is true and accurate to the best of my knowl9dge.
DATE: APPLICANT's SIGNATURE
NOTE: Issunnoe of a zoning permit does not relieve an applioanrs burden t oomply with all
zoning requirements and obtain all required permits from the Board of He h, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE if
Ems.
�- File No.
MAY 71997
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ Qt �sQ�c"
Address: Telephone:
2. Owner of Property: y~-hsr si l
Address: Telephone.
3. Status of Applicant: Owner Contract Purchaser Lessee
>/Other(explain):
4. Street Address: TX
Parcel Id: Zoning Map# Parcel# District(s): G�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 39
6. Description of Proposed Use/Work/Project/Occupation: (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 PermiWadance/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 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)_
. k
FILE # 962208 1
'A3.°PLIbM/C6NTAC PERSON: IDM Wvt& ,
A.DDRESSIPHONE: ro
PROPERTY LOCATION:
MAP PARCEL: ZONE C
THIS SECTION FOR.OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM EMLED OITT
lffiiilding Permit Filled opt
Addition t
T`�LOWING ACTION HAS BEEN TAKEN ON THIS APFLICATIOM.
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 Commission
Signatur o Bui ding ector 47 Date
NOTE:Issuanoa of to zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain ell required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioabie permit granting authoritles.
p�° -`�y City of Northampton REQUIRED INSPECTIONS
�' 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
40
3. Complete Building*
No. 371 Office of the Building Inspector
Zoning Form No. 962208 Date 5/7/97 Fee $40.00 Check# 3427
Page, 25A Parcel 186 ,Zone G_ Section 127 ❑ Yes ® No
BUI]LDINGPERMII
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Pioneer Contractors/David Claxton before Building Inspections
has permission to_install(2) windows Inspection on Site—Foundations
situated on 30 Industrial Drive - Amherst Woodworking 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.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
C;'—Build' spector
w