17C-074 (5) n'
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 9 E' Alterations
NORTHAMPTON, MASS. Id / 0 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
I. Location J,- ",e. Q Lot No.
2. Owner's name Address3 -�
3. Builder's name A r JU Address
Mass.Construction Supervw is License No. !a Q Expiration Date k 21;
f
4. Addition
S. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
0. Method of heating
1. Distance to lot lines
2. Type of roof ,1.� rc-(ifA y d Vi[ �.►.wt�b C � J�1 c»-C-'� - " �J CSI')` '
3. Siding house
4. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ign re of responsible app,icanl
temarks
10. Do any signs exist on the property? YES NO
IF YES,descjibe 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 _ NFORMATION.
This colua to be filled in
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 m-inus bldg
&paved parking)
#
of -Parking spaces
f f'of Loading Docks
Fill:
4volume--& location)
13 . Certification: I hereby certify that the information contained herein
�t. is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE IA r�-
NOTE: Issuanom of as zoning permit does not relieve an applio nra rden to oomply with all
zoning requlrennents and obtain all required permits from the Boa of Health, Conservation .
Commission, D®partment of Publio Works and other applioable permit granting authorities.
FILE #
V
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Fi 1 e No. ��&'2 a OM
ZONING PERMIT APPLICATION (§10 44 ; t �~
Low z.E, . ..., .M,
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �%fie L2
Address: " 747Q Telephone:__
2. Owner of Property: p
Address:,-A? . 0-JeLA Telephone: S'Y;,-J S~ S
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): �f
4. Street Address:
Parcel Id: Zoning Map#9 Parcel# U -/ District(s): Z�'�f O
(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):
Y
I�
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 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 #
t
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION: -
MAP /`] PARCEL: Q ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
o Ile,
Fee Paid
/
Addition to Existing
THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedibased 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 f7t Conservat' n ommi 'on
/6 /df
Signature of Build' for Date
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply 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.
City of Northampton REQUIRED INSPECTIONS
$ 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 867 Office of the Building Inspector
Zoning Form No.
960324 Date 10/10/95Fee$20 Check# 1418
Page, 17C Parcel 074 , Zone URB Section 127 ❑Yes ® No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Paquette before Building Inspections
has permission to re-roof house, aluminum roof on porch. Inspection on Site—Foundations
situated on 33 Garfield Ave. - Raymond Fournier Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCPOUS PLACE ON TtWP MISES
Certificate of Occupancy
Building Inspector m