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17A-188 (5) T ,.y :1 r > Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ->�� Alterations a NORTHAMPTON, MASS. aZ Z.- 192—,7 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �/ .fi ,e j Lot No. 2. Owner's name Address wai/ 3. Builder's name �� F:+=+�°L Address a v 0/O Mass.Construction Supervisor's L' ense No. Expiration Date 4. Addition 5. Alterations A 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 cos4 �,�qzv oo The undersigned certifies that the above statements are true to the best of his, her knowledge an lief. $1 pure of responsible app:icani Remarks Z;;c/,� CifS /.d✓e'r>.o .,� i; i4 fact�/J,Pvr r I I e�i"� FEB 1 1 1997 el A p a I � i a i 10. Do an signs exist on the roe YES NO Y 9 property?� IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO y IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola 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) o.,f -Parking Spaces # of Loading Docks Fill: _(vol-time--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my know dge. DATE: // 7 APPLICANT's SIGNATURE ?" NOTE: lss anoe of a zoning permit does not relieve an a lloant' urden to oom wit "'..41,11 >M,,.4L1. zoning requirements and obtain all required permits from the Bbfird of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities:.. ?' ,, FILE # y 4l YuEB I File No. i ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: p Address: �pX /o?o' &; 4, Otdj�S' _Telephone: 2. Owner of Property: g 4 /O Address: Telephone: 6w- Odlyd 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: / �� Parcel Id: Zoning Map# Parcel#� District(s): f %� (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): 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 KNOA/ 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 l// 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) r` �U FILE if EB APPLICANT/CONTACT PERSON: ADDRESS/PHON'E: Z-1 c- / �! ��� cis 3 PROPERTY LOCATION: MAP PARCEL: I ZONt ,�- THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FH.T.F.D OUT Fee P-gid Mdldin2 Permit Filled mit Fee PAii Type of Constmirtion- v` L4Z l L THEYOLLOWING 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 it fr con ion Signature of Building e for D to NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioable permit granting authoritles. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls V a 2. Structural Components in Place* 3. Complete Building* No. 100 Office of the Building Inspector Zoning Form No. 961923 Date 2/11/97 Fee $40.00 Check# 1292 Page, 17A Parcel 188 ,Zone URB Section 127 ❑ Yes 0 No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Craig Marney before Building Inspections has permission to Remodel closet area into new bathroom Inspection on Site—Foundations situated on 21 Kimball St - George/Margaret Tobin 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 ofissuance,ifnot 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 Smoke Detectors(Fire Department) Other r THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON SES • Certificate of Occupancy Building Inspector