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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.—/4 199 _S Additions
1
APPLICa ATION FOR PERMIT TO ALTER Repair
g ' Garage
1. Location t �b'F �t �� 1 r-' Lot No.
2. Owner's name — � t� E i` e� Address--a
3. Builder's name Address'F)r,
Mass.Construction Supervisor's License No. ` Expiration Date � a
4. Addition
5. Alteration (N-( � �ar>c��(c�t v— /' &qsm m G`, jr--
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-
The undersigned certifies that the above statcments are true to the best of his, her
knowledge and belief.
nar re of responsible app icant
Remarks
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EXIST f N DL
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10. Do any signs east on the property? YES NO l
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 COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Tbis cola to be f122ed is
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
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: /O/n) APPLICANT's SIGNATURE -_
NOTE: tasuano4 of a zoning permit does not relieve an apps oa u en to oomply with all
zoning requirements and obtain all required permits from the Board of alth, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE #
3
File No.
DF
ZONING PERMI T APPLI CATXON
P r.F,4SE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
{
Telephone: SW -2-(
2. Owner of Property:_ Kcli t-4 H� '-2
Address:_ `� � _(� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee f
Other(explain): «
4. Street Address: `r
Parcel Id: Zoning Map# Parcel# [/L District(s): /w # 1,C6
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property C;
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 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' DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO_Y�-,-- 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 # 9r()310
�I I
APPLICANT/CONTACT PE ON.-
ADDRESS/PHONE:
PROPERTY LOCATION: � r _
MAP /02�. PARCEL: ZONE
THIS SECTION FOR_OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
70NINC-FORM FITLED MIT
Fee Paid CM320
�
OLLOWING 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
I/
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 fro C nservation miss' u
O
Signature of Building fiisp&tor Date
NOTE:lssuanoe of as zoning permit does not relieve an applioanre burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubilo Works and other appliomble permit granting authorities. — f
's
o��HAAfp�O City of Nor�thampton REQUWD INSPECTIONS
BUILDING DEPARTMENT. 2. Structural Components in Place*
� P
3. Complete Building*
No.
851 Office of the Building Inspector
Zoning Form No. 960310 Date 10/4/95 Fee$40
Check# 370
Page, 12C Parcel 64 ,Zone URA/WSP ® No
Section 127 ❑ Yes
BUILDINGPER.MIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Jeffrey Bean before Building Inspections
has permission to install 3 X 8 roof over existing deck. Inspection on Site—Foundations
situated on 9 Harold St. — KPjth Mnnrg 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 applicatior,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 Buildiirgs 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 �X, j/-cl-jX;.�
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPL A CONSPICUOUS PLA N MISES
Certificate of Occupancy
Building Inspector _
(,off ?:lil!Silt