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25C-217 (3) .ru !�1 E ; 1 tfr 1 1 4 , dew ��:` ,;-��, �; � / ,,,, i �.. / � �1 � l r' �',, i I �`• r � �' �. �. ;� r� , �\ ,�' ; \., /� ' �'�; � II ,r; / +� 'I. ,� y, ,,,; ,�; ,� �; ;� ill ;r ., i <<; �; -� r ;/ ,f t� /,,' �' - ;: _ ---� �; `` '�,` �; �� r. li � �' r �,, I �V. '•�,, �,�� , �'�> ,�\ �/ '�:' •,�; j'� �`,. /� l�i� \'.. ';1 r , i i,` ,'' i! r��% i !� �. ,'� �'r rr --ti" Tx4' Dout 19, 30681/2 Coq / a �o T v � z 3 7 Z v Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. g NORTHAMPTON, MASS. V�f 4 19, • ' APPLICATION FOR PERMIT TO ALTER o' -h 0 1 O a 2 0 Zoning_ Alterations Additions_ Repair_Garage_ „ a Z m � Z r m 70 II 1. Location 3V Lot No. 2. Owners name Tn H n fh Address � T- 3. Builder's name \1o.AC —j Address '�� it,`' Mass.Construction Supervisor's License No. 44 �)`tD Expiration Date 84 G-7 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire �y 9. Garage I 1 k c7r�1 `S„,C- S4E�k� %mo o.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of •• 3iai vep�j:LC►7 �•Rrl��tC�L"tZA'CiL1�L�► Siding 14. Estimated cost- 1� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 'ZI O j of responsible app,icani 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 IF YES,describe size,type and locatio NO 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. This cols to be filled in by the Building Department 1j . Ueriizicaz.ion: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge . DATE: APPLICANT's SIGNATURE NOTE: Issuan a of a zoning permit does not relieve an applioanYs burden to oomply with all zoning requirements and obtain all required permits from the Board of Haalth. Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # Existing Proposed Kequirea By Zoning Lot size Frontage Setbacks - - side � L:.,� q R:_�W �rn L: R: - rear Building height l �� Bldg Square footage u t %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: . (volume & location) 1j . Ueriizicaz.ion: 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge . DATE: APPLICANT's SIGNATURE NOTE: Issuan a of a zoning permit does not relieve an applioanYs burden to oomply with all zoning requirements and obtain all required permits from the Board of Haalth. Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �i�C�bty �G ,�� C�E. Address: �Sb � �M`� ��W � l Telephone: 2. Owner of Property:_- c-) Address: Telephone: 2 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Street Address: 73 v y —L Parcel Id: Zoning Ma p# �''��(— Parcel# (:,Q District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property t�v 0 IC)f 'V I 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): C-" 19— !� r\r k�t e ��ern n _r-, . c—, rZ rx c°r-. O 4 A 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./Variance/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 DON'T KNOW YES IF YES: enter Book Page and/or Document# i 9. Does the site contain a brook, body of water or wetlands? NO ✓ DONT 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) APPLICANT/4 ADDRESS/PH FILE PROPERTY LOCATION: MAP ( PARCEL: ZON] '" THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST V1VrT.n4ZV' 1 RP(ITTMFn DA'iTi 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 fromjC�gnservajtion Commission Signature NOTE:Issuanoe of a meWIng permit does not relieve an applioanVa 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. i 11r 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 fromjC�gnservajtion Commission Signature NOTE:Issuanoe of a meWIng permit does not relieve an applioanVa 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. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Structural Components a in Place* � 3. Complete Building* No. 745 Office of the Building Inspector Zoning Form No. 960181 Date 8/31/95 Fee$48 Check#912 Page,_ 25C Parcel 217 ,Zone Section 127 ❑ Yes ® No BUI]LDING PERAW * THIS CERTIFIES THAT Harlow Builders - Scott Harlow Plumbing and Electrical Inspections required before Building Inspections has permission to rebuild existing 2 car garage. Inspection on Site--Foundations situated On 38 Walnut St. - John Kowcenuk 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 ofissuance,ifnot 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 P13EMISES Certificate of Occupancy Building Iins*tor .� 161)61 r Gui11