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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
la,s;o APPLICATION FOR PERMIT TO ALTER Repair
r Garage
1. Location /,J �b'� �,i' � '�` # cVV,�r Lot No.
2. Owner's name
f, 'L 1'�'�G�- Address
3. Builder's name / J �' �lh.i Address ��tr' l?% =
Mass.Construction Supervisor's License No. Expiration Date 17�'%
4. Addition
5. Alteration UA4i CA �l A-9-4"
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- I,9,4 vo
The undersigned certifies that the above to merits are true to the best of his, her
knowledge and belief.
Signature of responsible app icant
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 NO
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
4hia coluam to be filled III
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# .qf -Parking spaces
# of Loading Docks
Fill:
AvoZume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
R
DATE: 7P ApPLICANT's SIGNATURE
NOTE. lssua oe 46f an zoning permit does not relieve an appli cant's burden to comply 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.
=``; FILE #
MAY 1 619% File No.
ZONING PERMIT APPLICATION 010 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L'-
Address: `4 A> K&tV L Telephone:
2. Owner of Property: f f-4 T' 44,q f
Address N 11� 'r` ► Telephone:
3. Status of Applicant: b/ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
�� C�
Parcel Id: Zoning Map# -- Parcel# ;,>�"*7 District(s): —
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
V
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#
9. Does the site contain a brook, body of water or wetlands? NO t/ 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 J �a
r
AP ONTACT��ER S ON• L _
PROPERTY LOCATION:
MAP / PARCEL:
THIS SECTION FOR.-OFFICIAL USE ONLY:
PERNHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM M Y XD 0111
Fee Pn id
iid
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ArCegSnry Rtrrnctnrp
TH�J� LLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM `
�/'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 Couserva io C m 'ssi
Signature of Building ector ate
NOTE:Issuanoa of at zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commisslon. Department of Publio Works and other applioabie permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
BUILDING DEPARTMENT 2. Struct g al Components in Place*
3. Complete Building*
Noy 363 Office of the Building Inspector
Zoning Form No. 960961 Date: 5/17/96 Fee 520.00 Check# 762
Page, 17C Parcel 27 ,Zone URB Section 127 ❑Yes ®No
* Pluml ing and Electrical Inspections required
THIS CERTIFIES THAT Kevin Houle before Building Inspections
has permission to strip & re-roof house, shed & garage Inspection on Site—Foundations
situated on 86 North Maple St. - Philip & June Hall 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 oa 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. r
Building Inspection—Finish
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAY IN ONSPJCVOUS P CE ON THE P IS
Certificate of Occupancy
uilding Inspector
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