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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. j` 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address—"
4
3. Builder's name Address ✓ �; n�.
Mass.Construction Supervisor's License No. 0,- � /' Expiration Date
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
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 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.
This colama 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)
p: _ -Parking Spaces
fof Loading Docks
Fill:
'4v01-time--& location)
13 . Certification: I hereby- certify that the information contained herein
_ is true and accurate to the best of my knowledge.
a
DME: i m. ^ter. APPLICANT's SIGNATURE
NOTE: issuaim e�of in zoning permit does not relieve an applloanfa burde to oompiy.with all
zoning requirements and obtain all required permits from the Board of ealth, Conservation
Commission, Department of Publio Works and other appiloable permit granting authorities.
'� FILE #
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PLEASE TYPE OR PRINT ALL -INFORMATION
.' Name -' Applicant:
Address:
2' O fP rty �-
3' Status of Applicant: .Owner ~- ontracdPunchaaar Lessee
-
Other(explain):
4. Job Location:
Parcel Zoning~ --p.. Parcel. _'--_'`-'
(TO BE FILLED |N BY THE BUILDING DEPARTMENT)
5. Existing Use ofStructure/Property
G. Description nf Proposed Use8Work/Projaot/OocupoUun: (Use additional sheets ifneoeooag):
to
/ ~
7. Attached Plans: Sketch Plan Site Plan ngineen»d/8unveyedP|ona
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has e Special PerrniVVahanoe/Finding ever been issued for/on the site?
NO DON'T KNOW YES {F YES,date issued:
IFYES: Was the permit recorded at the Registry ofDeeds? `
NO O6N7RNO YE
IF YES: enter Book Page and/or Oonunnend
^.
' Q_ Does the site contain a brook,body of water orwetlands? NO DON'T KNOW
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs tmbe obtained Obtained date issued: _
(FORM CONTINUES ON OTHER SIDE)
- '
� FILE
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LO ATION: 7` !�✓ �' G��/ '�l
MAP IM PARCEL: ZONE�.
THIS SECTION FOR-OFFICIAL USE ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7,0NTNG FORM FH,TFD OUT
Building Permit Filled plif
THELLOWING 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 ommissio
Signature of ui g p ate
NOTE:lssuanoa of a zoning permit does not relieve an appiioant'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 authoritles. _
City of Northampton REQUIRED INSPECTIONS
A 8
I. Footings and Walls
BUILDING DEPARTMENT
v 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
NO. 735
Zoning Form No. 961353 Date 8/15/96 Fee$20.00 Check# 961353
Page, 17A Parcel 131 ,Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B & R Siding Spec Inc before Building Inspections
has permission to install vinyl siding on garage Inspection on Site—Foundations
situated on 347 Bridge Road - Robert Torpey 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 woWstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE O�N T ISES
Certificate of Occupancy �
G/a Building Inspector