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17C-111 (3) a > z 3 0 0r 1 N .f ?c ' Z .�► tr7 A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ti NORTHAMPTON, MASS. 19 Additions • APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location .Z ST 1 SUo) toe F;l�C-f-- _Lot No. 2. Owner'sname V'\ a- F'(R i i _ \&V'N S-Qr-1 Address Z S'Ti L—SOc-j\ 3. Builder'sname 4 Address \37 c�P+r a S-s—( 1�+A�tJE�J iL�E MA Mass.Construction Supervisor's License No. CA K((o 2-1-A Expiration Date Df 16 `17 4. Addition 5. Alteration 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 SN , <-I=C 2tP Z LAitE(L S 'J.tiS ►A,\ tiU `t2 5rr Q>_I-4wc)on� 13. Siding house 14. Estimated cost:- .3 cc> 1 Th ersigned cent ies that the above statemc are to the best of his, her kn led and belie . JSignature of response !e a p icant 1 Remarks 10. Do any signs exist on the property? IF YES,describe size,type and location: YES NO Are there any proposed changes to or additions of signs intended for the property?YES IF YES,describe size,type and location: NO 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This c02— to be filled in by the Bni.l i-ng Department k..c.L ( iiicazion: 1 hereby certify that h-�-- is true and accurate to the best of m k. DATE:- ` -� (o G S APPLICANT's SIGNATURE_ NOTE: Issuanoe of a zoning permit does not relieve an zoning requirements and obtain all required permits fr Commission, Department of Publio Worms and other at FILE I formation contained h in l edge.t 11 ioanVal burden to ply with all ha Board of Heal 6n -rxuthoritios.conservation ibla permit grant 5 Existing Proposed Kequired By Zoning Lot size Frontage Setbacks - side - rear L: R: L: R: Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) .of Parking spaces of Loading Docks Fill: `4vol-time--& location) k..c.L ( iiicazion: 1 hereby certify that h-�-- is true and accurate to the best of m k. DATE:- ` -� (o G S APPLICANT's SIGNATURE_ NOTE: Issuanoe of a zoning permit does not relieve an zoning requirements and obtain all required permits fr Commission, Department of Publio Worms and other at FILE I formation contained h in l edge.t 11 ioanVal burden to ply with all ha Board of Heal 6n -rxuthoritios.conservation ibla permit grant 5 i'JO����Iyy}I}gqq t,it tE 'r 4 File No. S ZONING PERMIT APPLICATION (§10 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: N1,6 C2 Sty Address: \,3 7 r�(� , S T /I-1 A iOC4J -WC Telephone: 2_C ,;K - "�`�S 2. Owner of Property: y-�R, �_ p-�(2. Address:_- 1oa-CtJC E_ iMATelephone: 3. Status Ican Owner ✓Contract Purchaser Lessee Other(explain): 4. Street Address: Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed UseNVork/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 Per iwanance/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 V 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) 960440 ' FILE # �� APPLICANT/CONTACT PERSON: �� ADDRESS/PHONE: PROPERTY LOCATION: X4'' MAP 7s PARCEL: /// ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERK HT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee Paid Addition tLExisting �- c T��FOLLOWING ACTION HAS BEEN TARN 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 ermit f Co servation Commission Signature o ding Inspector D e NOTE:lasuanoe e of a zoning permit dos not relieve an pplioant'a 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 appiioable permit granting authoritles. 'S►�Pj. City of Northampton REQUIRED INSPECTIONS ' BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 977 Office of the Building Inspector Zoning Form No. 960440 Date 11/6/95 Fee $20 Check# 395 Page, 17C Parcel 111 Zone URA Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT J. Morse & son Roofing before Building Inspections has permission to strip & reshingle roof. Inspection on Site—Foundations situated on 32 Stilson Ave. - Florence - Carl Johnson Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJC VLA N THE PREMISES Certificate of Occupancy - nspector 1 0