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10D-006 (2) r � � a 3 0 0 -1 maw AMC, FRI Z m Z � me r, Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 3 3 -'1 t<l Alterations NORTHAMPTON, MASS. M 1 19_(, Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location SS S� ✓ t S C, e { S Lot No. 2. Owner's name L ti w r c c c,-- %— d3 v u l r Address ;2?-2' r°,ct c,e- (R-ct 11lc1 r ems.-c c- (-7,1 D t c&O 3. Builder's name Cb a, b S F c Address /1- 0 10 2 Mass.Construction Supervisors License No. L f 6 9 Expiration Date r-A9 -`3 L 4. Addition J / 5. Alteration 6. New Porch 7. Is existing building to be demolished? Al 8. Repair after the fire /V 9. Garage /V No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- _ �S U d �' The undersigned certifies that the bove statements are true to the best of his, her knowledge and lief. SaBnature ojre p ns ble&icanl Remarks 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 colIImm to be filled in by the Building Department I I Required Ex'I3ting Proposer 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 t of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein Ir, is true and accurate to the best of my knowledge DATE: S— APPLICANT's SIGNATU ;1 NOTE: Issuanoe of as zoning permit does not relieve an applioanV bu en to m j zoning requirements and obtain all required permits from the Board of Healt 2 n rvation Commission, Department of Publio Works and other mpplloable permit grantin a orities. :'.'.; FILE # ' � 0 ° `' MAY 4 File Nolk. 7,01 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: A/- le4 r Address: z v,v ke r 17Z,// ✓t:� Ec f K 11 ZZ Ljelephone: `/13 S j"`/ ,? 2. Owner of Property: 63 Address:-O ') ? ,fir. d e Ock I% , sac 1714- Telephone: 411,f r / d-6 o 3. Status of Applicant: Owner Contract Purchaser Lessee _�.Other(explain): "I T 1'0r r Fv /-_ 4. Job Location: �S- G✓,W'4 c I S I- /,, t W,, /-;?^ G/v J-3 Parcel Id: Zoning Map# ,/40 V Parcel# 6 District(s):---25e-,46` (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 KNOW ✓— YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW t�� YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO i- ^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 # MAY 41996 A{ a C,, N`74CONTACT PERSON: a, �aF: ���ecOvE• o a y� 1 PROPERTY LOCATION: MAP /O PARCEL: ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee PAid IRTiilding Permit Filled ap THELLOWING 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 Permit from Conservation Com s ' n - S—lzl-.7/'� Signature of Building Insp or Date ` NOTE:Issuance of a zoning permit does not relieve an applioant's 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 authorttles. - City of Northampton REQUIRED INSPECTIONS B e BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 373 Office of the Building Inspector Zoning Form No. 960961 Date 5/17/96 Fee$20.00 Check##8838 Page, 10D Parcel 6 , Zone URB Section 127 ❑ Yes EJ No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Charles Ragoza before Building Inspections has permission to install vinyl siding Inspection on Site—Foundations situated on 85-89 water St. - Lawrence Bouley Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCJOUS PLACE N T P ISES Certificate of Occupancy Building Inspector _ '�