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17C-098 (4) c� CF) M D a " N C Oz r`a'n f H c c _ Z `� O e _a —7 (� Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Z / `� Alterations at""" Toy NORTHAMPTON, MASS. Z 19� Additions a � y APPLICATION FOR PERMIT TO ALTER Repair C r Garage 1. Location V t Lot No. 2. Owner's name t e Address r7 M 3. Builder's name G c, Address J a� >i co Mass.Construction Supervisor's License No. O �Y —Expiration Date 4. Addition \ ._ 5. Alteration qr--�r-"-P C, 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:- (a V The undersigned certifies that the above statements are true to the best of his, her knowledge and 4elief. J� Signaiuk of responsible app,ican! Remarks 1 10. Do any signs exist on the property? YES NO IF YES,describe size, type and location: �4 Are there any proposed changes to or additions of signs intended for the property?YES NOS` IF YES,describe size, type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colu= to be filled in 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) # c)f -Parking Spaces jr of Loading Docks Fill: 4vo1-time -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge . DATE: �- Z APPLICANT's SIGNATURE y� NOTE: Issu noe f a zoning permit door not relieve an applicant's burden to comply with all zoning requirements and obtain call required permits from the Board of Health, Conservation Cammisalon, Department of Public Works and other applicable permit granting authorities. FILE .1 e i MAR 2 91996 Fi l e No.W9 Or aEPT jF �MPP-3sG i S c;;: °_J PE=T APPLICATION (§10 . 2) PLEASE TYPE OR PRSNT ALL INFORMATION 1. Name of Applicant: Address: e(Telephone:_ 2. Owner of Property: �-),. L� � r 'i1\ Address: V e Telephone: �/ 3. Status of Applicant: Owner / Contract Purchaser Lessee Other(explain): 4. Street Address:_ 1 n;� ✓ q Parcel Id: Zoning Map#_ / <L Parcel?" ��2 District(s):_ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property s i(} 6. Descdption of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): v tr� (� } 1(�C ►� 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 PermiWadance/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 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 # PP ` fOIT�A T PERSON: PROPERTY LOCATION: MAP PARCEL: ZONE--Z,/,,, i-- THIS SECTION FOR�OFFICIA.L USE ONLY: PERNIIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM Eff LED 0111 Fee PAid Ryiildin2 Permit Filled n1lt '7/ � 'Fe;Paid New Cnmtriiefinn THE LOWING 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 Co scion Signature of uilding for ate NOTE:Issuance of a zoning permit does not relieve an applioants burden to oomply 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. 1 e�°��'°"•e Cit y of Northampton REQUIRED INSPECTIONS e 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 189 Office of the Building Inspector Zoning Form No. 960780 Date 4/1/96 Fee$20.00 Check# 5871 Page, 17C Parcel 98 Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT S. J. Gabriel before Building Inspections has permission to rebuild chimney top & install clay liner Inspection on Site—Foundations situated on 43 Stilson Ave.- Helen Lennon Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJC1JOUS PLACE ON THM)"NJISES Certificate of Occupancy Building Inspector _ GcY' I�:li'lI!Silk?