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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 7'? Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 135- 0414 S i I e--4-j—/ i�'Gd/L iK.✓G� Lot No.
2. Owner's name 1'h/C/-//? F_ L 60 Y dl Address
3. Builder's name y T Y, 1Vr-5Ca Address _ o e >, /,.�'/4,7 5
Mass.Construction Supervisor's License No. -'"�d'lr(�� Expiration Date,/2�9�
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? 0
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof /h 47712- I 54�D�K
13. Siding house
14. Estimated cosL- • p��
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. Q
za
i�figtflzure of responsible app icanl
Remarks
�y
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 coJu= to be Pilled in
by the Building Department
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)
pf -Parking Spaces
of Loading Docks
Fill:
4vo1-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
DATE: f `q� APPLI CANT's SIGNATURE
NOTE: lasuan e cot a zoning permit does not relieve an a
9 P pplioant' u to oomplyr with ail
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applioable permit granting authorities.
FILE , y
~
Lwa
/ File No. `
DEPT Of BUILM!.
� q� ��� ���� �� °� �
�r��z��� ��� ���~=^�����" « �r�= ^ ��
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name mfApplicant:
-
Address: Telephone:
2. Owner mfProperty:
Address o(ephona:
3. Status mfApplicant: {wner Controd Purchaser Lessee
Other(explain).-
4. Job Location:
Parcel Id: Zoning Mu Parcel u/str/nqs/'
(TO BE FILLED |NBY THE BUILDING DEPARTMENT)
G. E)dsng Use ofStmdure/Pmper-ty
^g '
G. Oenohpbonof Proposed Use0&ork/,xojecVDcrupadon: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan ngineemd/SurvoyedP|ons
Answers m the following z questions may be obtained uy checking with the Building Dept o,Planning oepartrnentFiles.
8. Has a Special PermiVVahunoe/Finding ever been issued for/on the site?
.�
N DON'T KNOW YES |F YES,date issued:
IF YES: Was the permit recorded ot the Registry ofDeeds?
NO DON'T KNOW YE
IF YES: enter Boo Page and/or Document
Q. Does the site contain a brook, body of water orwetlands? NO DON'T KNOW YES_______
IF YES, has a permit been or need to be obtained from the Conservabon Commission?
Needs tob* obtained OLtaine . date issued: _
(FORM CONTINUES ON OTHER SIDE)
`
FILE # 960772
3, ? ,.
PLICANT/CON 1 �T PERSON:;�' 2� �lC' L4
PROPER?L CATION: �� _ 'l'_ � � — � / ✓ !'- � �!��
MAP ' PARCEL: Z NE_.CC2 e"
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee PAid
Building P"it MUM nixt
New Constructinn
=o,- Etc
Additonn fn Rusting
Arreqqnry Structure
I
THEE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION'
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
I/
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 Consery i Commission
Signature of Building Inspector Date
NOTE: lasuanoe of a zoning permit does not relieve an applioant's 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.
. 04UNN City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 180 Office of the Building Inspector
Zoning Form No. 960772 Date,.,3/28/96 Fee$20.00 Check# 124
Page, 17A Parcel 254 , ZoneURB Seclt (-n 127 ❑ Yes 0 No
BUIULDING PER,.MT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Yentsch before Building Inspections
has permission to strip old tarred metal roof replace w/double coverage Inspection on Site—Foundations
Mett lower roof onl )
situated on 135 Oak Street - Michael Goyda inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinan,;es relating to the Construction, Inspect,on of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspect ion of Wiring—Finish
of this permit.Expires six months from(late of issuance,if not started. Buildi gig Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Buildng Inspection—Finish
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Deteci.ors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCVOUS PL ON P MISES
Certificate of Occupancy
�'' Building Inspector _��.