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10D-040 (4) 7° a wi 3 o Z rm Z > cn 0 ..l m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location -7g Gd''9 T,C-'Gig 6-T1Z.P6 %� Lot No. 2. Owner's name 2r1L /mil DES Address 1,V4 3. Builder's name 414A-/ Z6',V75C11 Address /�� G� `I<'` � �T/Z ;3, L+ '�'•.�� Mass.Construction Supervisor's License No. 6'19 d 66 Expiration Date -5'�/s-�Q 4. Addition 5. Alteration R 1-7S<<l<e✓G l c E<ri�,Gc-St%� k paves / C�y Y/51-- 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 46,5 P/-/AiT 13. Siding house 14. Estimated cost:- 4/,A.0.00 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. e!el . a ignature of responsible app,icant Remarks Y 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 cola= to be filled in by the Building 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) ;pf. -Parking Spaces rof Loading Docks Fill: ':(volilme--& location) 13 . Certification: I hereby certify that the information contained herein a is true and accurate to the best of my knowledge. DATE: - , ` APPLICANT's SIGNATURE " NOTE: Issuan6e of a zoning permit does not relieve an applicants, to comply ply with all zoning requirements and obtain all required permits from the Board of Health, Conservation ._ Commission, Department of Public works and other applicable permit granting authorities. "_' FILE # -~ , ` ) File No' ` »� ��� �� � � - � ���.��.� � ====~� =� � ===����� � ���� . �� PLEASE TYPE OR PRZNZ` ALL MFORMAZION � 1. Name of Applicant: Address: Telephone:- 2. Owner of Property: /«xormmm Telephone: 3. Status mfApplicant: Cxwnmr -~'- ronbaotPurchooerLaosee Other(explain): 4. Job Location: Parcel Id: Zon6mgMa Parce (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use nfStructure/Property G. Description 7. Attached Plans: Sketch Plan -Site Plan nginaared/8un/eyodP|ans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Departnent Files. 8. Has a Special ParnniVVahanoe/Finding ever been issued for/on the site? '/ N DON'T KNOW YES IF YES,date issued: rFYES: Was the permit recorded ot the Registry nfDeeds? NO DON'T KNOW YE IF YES: enter Book Page and/or Document S, Does the site contain o brook, body of water orwetlands? NO ^' DON'T KNOW YE IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs tobe obtained Obtained— .date issued: (FORM CONTINUES ON OTHER SIDE) _ ~ - FILE # - W,Y30 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: 1� 1 MAP 16),l PARCEL: ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM YU.T.F.D 0111 Iffifflding Permit Filled ant 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 Conservatio o mission Signature of Building for Date NOTE:Issuanoa of to zoning permit does not relieve an applioant's burden to oompty 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. y Northampton Cit of REQUIRED INSPECTIONS - - 1. Footings and Walls BUILOING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 430 Office of the Building Inspector Zoning Form No. 961036 Date-5/31/96 Fec$20.00 Check# 137 Page, 10D Parcel 40 , Zone URB Sectio a 127 ❑ Yes ®No Bulf,,-JDING * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Larry Yentsch before Building Inspections has permission to shingle over (1) layer on house. Inspection +inn Site—Foundations situated on 99 water St. - Kaye:!. Kares Inspection ,)f Plumbing—Rough provided that the person accepting this )ermit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application o.i file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinanc,,-s relating to the Construction, Inspectir�n of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above no.ed is an immediate revocation Inspecti:>n of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Buildin Inspection—Rough Note:A certificate of occupancy will be i&.ued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiriiag and Building Inspectors. Building Inspection—Finish Cli' � ** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYE IN A CON$PJCIJOUS OAT MISES Certificate of Occupancy - Building Inspector W * City of Northampton Sys ,r. .sf # ' Massachusetts - `t DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ! ;' "- " Northampton, MA 01060 INSPECTOR Louis Hasbrouck Phone: (413) 587-1239 Chuck Miller Building Commissioner Fax: (413) 587-1272 Assistant Commissioner FAX THIS TO: 413-587-1272 REQUEST FOR PERMISSION TO VIEW RECORDS OR HAVE COPIES OF DOCUMENTS MADE *PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER* DATE: MAP: BLOCK: 1C) (�q FILE ADDRESS: W (Cv- NAME' ���( A\42 ADDRESS: I° 2J 1�1 e C fig PHONE #: UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.