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17A-244 (7) APR 1 7 W6 0.40 .r J J c I V V �I � E.i�i%mow{• �I \ � M ►G � SNED .31, �I *s s U82 �i 1 _ _ • 31± LAKE Sfe6"E-' ° t� " Fa WR 1 7M6 rtc i i t��Gk LIP " 6 Roo PC L p-ry7t jr ��..rr (A GONST f�c7 io ki •"K t/e CL"NCRl. Tr` GrsC sit dt�C G - Y .- Y P7- pvs�s 2, . 6 P.O.ftX W2 SiG� CGOsi.✓.s > ? T � i Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No5Y Y V0 0-1 Alterations NORTHAMPTON, MASS. � r`7C /�7 19` Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location -S:-/— Lot No. 2. Owner's name :7;2/1`7`WEr Address 3. Builder's name `✓�'l�hJ < `�'� � .r'S/c/ Address l'o df-< d-"-yam Mass.Construction Supervisor's License No, Expiration Date 4. Addition 5. Alteration 6. New Porc t4O P� k -7V �/ST/.-4 4Lb el C- 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 cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Sign tune of responsible app icant Remarks 10. Do any signs exist on the property? YES ND 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 cols to be filled Zn by the Bnildinq Department Required Existing Proposed By Zoning Lot size Frontage z� .1q- Setbacks - frnnt 3r 3 - side L: OP R::2-`7 L: ' R:"�'7 45� ,rl - rear Building height mss, 2� I Bldg Square footage ;Sr P?z %Open Space: g � (9z s&-r-�- Lot area minus bldg � g l`7 C°�h� 50-r=r,) &paved parking) i of -Parking Spaces 43 of Loading Docks G Fill: '4vol-time-& location) 0 G° 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge . DA'L'E: Y /7 �6 APPLICANT's SIGNATURE L I CF NOTE: Issuano of n zoning permit does not relieve an a ioanvn burd n to oompty with ali zoning requirements and obtaln all required permits fro he Board Health, Conservation Comminalon, Department of Public, Works and other app ' able ermit p granting authorities., FILL File No. 9� ;j'�' ZONING PERMIT APPLSGATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 'T�l* ' /�/ /vG�.a7�rl��av mod` Address: 'Q xa"e �GGZ�� 10/06-0 Telephone: 2. Owner of Property: Address: 9-2- 4��977 J _ ��� ` Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee X Other (explain): C---, natTe ,= 4. Job Location: 9 2 C-" S"i e�-cl'10-C­�` c-C- Parcel Id: Zoning Map#-- // '�— Parcel# D (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property3� LAG 6 Description of Proposed UseM'ork/Project/Occupation: (Use additional sheets if necessary): 7Z� /.Z-,< /4� 1 e 4f>C.- 7. Attached Plans: �< Sketch Plan X Site Plan --V0911- 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/Vahance/Finding ever been issued for/on the site? NO DON'T KNOW X YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW X'` YES IF YES: enter Book_` ____ Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO X 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 # .. � 9S58 # 706 �- APPLICANT/COT � CT PERSON: -A PRO PE LO ATION: MAP PARCEL: ZONE THIS SECTION FOR.-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7,0NTNC_FORM VEILED OITT i ✓ 1 TH FOLLOWING 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 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 C nservation Co ission 12- Signature of Building or ate NOTE:lssuanoe 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 applioabie permit granting authorities. K , A# City of Northampton REQUIRED INSPECTIONS a 1. Footings and Walls e 2. Structural Components in Place* BUILDING DEPARTMENT 3. Complete Building* Office of the Building Inspector NO. 295 Date 4/24/96 fee $40.00 Check* 1735 Zoning Form No. 960858 Page, 17A Parcel 244 ,Zone URB Section 1.27 ❑ Yes 0 No BUI]LDING PERIN41T *Plumbing and Electrical Inspections required THIS CERTIFIES THAT John zieminski before Building Inspections has permission to add a 12' X 16' deck to pool. Inspection on Site—Foundations situated on 82 Lake St. - Joanne Katz Inspection of Plumbing—Rough Inspection of Plumbing—Finish provided that the person accepting this permit shall in every respect 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 pen-nit.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 or---;�26 9 Smoke Detectors(Fire Department) Other THIS CARD MUST,BE DISPLA CONSPICUOUS PLACE ON SES Certificate of Occupancy Building Inspector �-�Jl�j I�-