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25C-219 (4)
i �o is v C 3 z CD > cn O r 0 O r7 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. Iqfq'� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location (C�GG � (. . Lot No. 2. Owner's name Tl M ��IIs��� cJ Address f 1'U�` 3. Builder's name A S Address AD ew e CS �QS Mass.Construction Supervisor's License No. 19 Expiration Date 3 t 9 `�8 4. Addition a 5. Alteration N v 6. New Porch i ��d�`/ f-<��;� �� r�Tt� ��`9 � 1���i5 , S{-�s 7. Is existing building to be demolished) 8. Repair after the fire 9. Garage N Z� No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof C-111 r-t- 13. Siding house lt�S 14. Estimated cost:- 3 6D The undersigned certifies that the above statements are true to the best of his, her knowled d belief. Signature of responsible app icant Remarks 10. Do any signs exist on the property? YES NO t� 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 coltmm to be filled in by the 8nildimg Department Required Existing Proposed By Zoning Lot size Frontage Setbacks side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) -Parking Spaces fof Loading Docks Fill: (vol-ume--& location) '13 . Certification: I hereby certify that the information 'contained herein � is true and accurate to the best of my knowledge. j D70E: '' l47' 'b APPLICANT'S SIGNAT NOTE: Issuanoe of at zoning permit does not relieve an applioant's burden to oomph►_witiX,;e zoning requirements and obtain all required permits from the Board of Health, ComServation,s� Commisslon, Department of Publio Works and other applionble permit granting authoritles: ,21 �,�. FILE File No. , �Z ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: P, `1 rgo t, 'S C ct-t 5 Address: Z r� YZ i b ZO 5( �bU(ZtV- Telephone: u i-Z 15 L 2. Owner of Property: 'T i V✓\ Sd-( O-C) Address: J"( 6 GQ(AA Aj A Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: Parcel Id: Zoning Map# o�.�Cf Parcel# District(s): .����i (TO BE FILLED IN BY THE BUILDING DEPARTMENT) a 5. Existing Use of Structure/Property (t—>e S <)-e (-u A 0, lvubl' 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 1'c� - ci we Ft 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 YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO t` 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) FILE # �� APPLICANT/CONTACT PERSON: z j ADDRESS/PHONE: �J PROPERTY LOCATION: MAP rS C3 PARCEL: c,11q ZOME THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED MIT Fop Pn*d 13iii1ding Permit Filled ollt 0 Arressnry TH., OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION' 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 Ins or Date/ NOTE:Issuance of a zoning permit does not relieve an applicant's burden to oomply 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. - p�° -may City of Northampton REQUIRED INSPECTIONS g 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 865 Office of the Building Inspector Zoning Form No. 961500 Date 9/20/96 Fee $40.00 Check# 146 Page, 25C Parcel 219 ,Zone URC Section 127 ❑ Yes ® No BUI]LDINGPERmir * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Raymond Scott before Building Inspections haspermission to repair front porch(ceiling, floor,railings,steps) Inspection on Site—Foundations situated on 46 Walnut St - Timothy & Denise Saldo 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 ISES Certificate of Occupancy Building Inspector t 1� 41� i 1� .F P i Y; 1 r k V mgy Ott oi a's p +* r - t - "o r mtvp a R Of shj, ro t yf "� 1,01.: 4 ar`s ,�" ° '-'xa, low;'s, 'i#,' s`><"s" ��.:r� � `_r i, _ >-�c'a c - - At Quay, x IVY A IN TAW 0 lot To QQ s s a P sY £ jj"TWO ' - ' 4 p.. � i looks man y s s z j + S o a gym + of, Lf City of Northampton REQUIRED INSPECTIONS 1' 1. Footings and Walls BUILD-1, NG DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 865 Office of the Building Inspector Zoning Form No. 961500 Date 9/20/96 Fee $40.00 Check# 146 Page, 25C Parcel 219 Zone URC Section 127 ❑ Yes ® No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTHUES THAT Raymond Scott before Building Inspections has permission to repair front porch(ceiling, floor,railings,steps) Inspection on Site—Foundations situated on 46 Walnut St - Timothy & Denise Saldo Inspection of Plumbing—Rough provided that the person accepting this perrnnit 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 terns 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 ©K Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLA IN A CONSPICUOUS PLACE ON ISES Certificate of Occupancy f . Building Inspector