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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�-