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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. J r�7 A Alterations
NORTHAMPTON, MASS. S %�� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �'� �� S( Lot No.
2. Owner's name Cam/ yyk"'M f L Address 12-/ L..-4-Kr- S 7 cz
3. Builder's name V'�'.�f;�v`.2 E�, TT�f C . Address JF6 C 0c/I✓7—V /J:> S7-V I✓
Mass.Construction Supervisor's License No. d s 0G 3 3 S 5� Expiration Date 7//q ,,7
4. Addition
5. Alteration //-J &A IS 77 WC Id 2�H
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:- � v The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,lcant
Remarks 2>(C-f Abq "'y 1-1 741 V//3 C) i✓ J /,1�'C-ltie•L'°�.--
fi�y Y1� �rvc�f's-a-ti 4 � — C' -elwi� cF
n1&1L gi-
c' cam` -mac
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10_ Do any signs exist on the property? YES NO U"
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.
xnis �ai� to ba fi 1Sea in
by the BniZdinq Dcpartmont
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)
of Parking Spaces
# of Loading Docks
Fill:
':0vo1-tzme--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DAVE: Sa'/�6 APPLICANT's SIGNATURE ��
NOTE: Issunnoe of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtaln exh required permits from the Board of Health. conservation
Commission, Department of Public), Works and other npplloable permit granting authorities.
FILE if
MAY 7 W6
File No
ZONING PEPMI T APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: C o 7 `:7--4c
Address: I � CJ yA(T-Y tic"D 5 f °'� Telephone:
2. Owner of Property: C F-{t Y
Address: I �'1 ! 5 �� (!Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain):
4. Job Location:
Parcel Id: Zoning Map# /r1 Parcel#_ District(s):
(f0 BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property _S//JCS r /¢/''l /e-V 4 E S f b6,4 r`C-
6. Description of Proposed UseANork/ProjecUOccupation: (Use additional sheets if necessary):
� LC—) S �� i � i /j f 'ec /V 'z
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 O. 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 k _ 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 it 1/
71996 I�
APPLICANT/CONTACT ICANT/CONTACT PERSON:
ADDRESSIPHONE:
PROPERTY LOCATION:
MAP f PARCEL: ZONE G �--
THIS SECTION FOR.-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
/ tip
S
THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: <
Approved as presentedfbased 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 Conserva 'on Commission /
to
Signature of Building Inspector ate
NOTE:Issuanoe of a zoning permit does not relieve an applioanta 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
Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
337 Office of the Building Inspector
Zoning Form No. 960930 bale 5/8/96 Fee$40.00 Check# 2271
Page, 17A parcel 225 Zone URB Section 127 ❑ Yes ® No
BUIU,LDING PER.[NM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Cody ventures Inc/Charles yalencik before Building Inspections
has permission to close existing porch w/aluminum windows & (2) doors. Inspection on Site—Foundations
situated on 121 Lake St. - Al & Chiyo Hammel 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 Q k'.
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA IN CONSPICUOUS PLACE ON REMISES
Certificate of Occupancy
Building Inspector _
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