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17A-306 (3) � o X T � D r Z m = Z _ �• X �• v � O r r� Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. y 7— Alterations 1 NORTHAMPTON, MASS. t1,2;Z- 7 leiv, 19 Additions APPLICATION FOR PERMIT TO ALTER Gaapa Rgr � ) � rage 1. Location Sh I 1 C J- ��t C% }�► Lot No. r� 2. Owners name �- Address 3. Builder's name , c- C �- Address--471 Mass.Construction Supervisor's License No. %� Expiration Date 4. Addition 5. Alteration X -t t h. rhn rn 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 statements are true to the best of his, her knowledge and belief. Signature of responsible appucant r C 1 Remarks k)0L-Xk 1 � � � .� � I r ��. u �,� �,� � L `L%t j ---�� fi �� I " � �� ,� �� A ..._ �___. ��. r 4 � ��4- �. ��y s'� 3 M � ��7 ------- � � ,�,� �� `'��1f'� 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_X, IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. • This column 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) # of Parking spaces # fof Loading Docks Fill: 4 vo1-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: 2-7 (6 APPLICANT's SIGNATURE ,( k NOTE: lssuanoe of a zoning permit does not relieve an applioant's burden to oomply witlar,. ll zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio works and other applioable permit granting authoritles:;. .'. ,, FILE # a File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: . c' t- (' Address: 71 :S� L,4 r,% _Telephone: X17 9n � 1 2. Owner of Property: '5i e I,,e Address: .7r2 ��-r s t ��C Y�� t Telephone: 3. Status of Applicant: Owner Contract PurchaserLessee tf Other(explain): rO 4. Job Location: 77 -t di- Parcel Id: Zoning Map# / 'l lq Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/ cupation: Us dditional 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 Fifes. 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO_X DON'T KNOT:� 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 k 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 # : 2 t P� APPLICANT/CONTACT PERSON- ADDRESS/PHONE:— – f 7 PROPERTY LOCATION: ��C ��- �' MAP % 7/j PARCEL: d ( ZONES, THIS SECTION FOR OFFICIAL USE ONLY: PERNHT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FH,T,F.D OUT irk J� 0 Fee Pnid lRid1ding Permit Filled mit Addition to Existing O � THEE 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 Conservation ission z 96 Signature of Building hitpAtor OF Date NOTE:lssuanoa of a 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. City of Northampton REQUIRED INSPECUONS e BUILDING DEPARTMENT 2. S��t�lWalls ntsinPlace* 3. Complete Building* No. 1162 Office of the Building Inspector Zoning Form No. 961825 Date 12/30/96Fee$40.00 Check#805 Page, 17A Parcel 306 ,Zone URA Section 127 ❑ Yes 0 No BUI]LDINGPERMI r-I I *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Gerald Archambault before Building Inspections has permission to remodel bathroom & add closet Inspection on Sits—Foundations situated on 77 Hillcrest Dr - Steve Goldstein 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. -k�— 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. uilding Inspection—Rough /;V-3 O-QG Note:A certificate of occupancy will be issued by this office upon return RTC Insulati 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 P ISES Certificate of Occupancy Building Inspector �� _ (City of Xort4ampton _ Office of the 'Insputor of Isailbings 212 Main Street 0 Municipal Building - Northampton, Mass. 01060 - March 2, 1982 CERTIFICATE OF OCCUPANCY Page No. ?s Plot --306 Building (Name) LQ 50 Address Hillcrest Drive Owner Seven GoWtein Address Same Applicant ________Paul D. Burns Address 22 Knight Ave. . Easthampton_ Use: 1st ___ the faTnity dwelling Occupancy 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District 11RA Required Inspections: New Building _X__ Existing Building Elevator _. Electrical Plumbing 1z Jam— Fire Building Other Inspector of Bu Idling r"S.C""77JCP mSsa City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* I Complete Building* No. 1162 Office of the Building Inspector Zoning Form No. 961825 Date 12/30/96 Fee$40.00 Check#p 805 Page, 17A Parcel 306 ,Zone URA Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Gerald Archambault before Building Inspections has permission to remodel bathroom & add closet Inspection on Site—Foundations situated on 77 Hillcrest Dr - Steve Goldstein Inspection of Plumbing—Rough 1-17-f SEM provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish 3^6 K•7 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 IV -:3 4 Note:A certificate of occupancy will be issued by this office upon return ((/I k TI"i Z of this card signed by the Plumbing,Wiring and Building Inspectors. Insulation Inspection Building Inspection—Finish C91-, f Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYIW IN ONSPICUOUS PLACE ON P MISES Certificate of Occupancy Building Inspector (,oft,1:1;11 iilUl