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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 2�3 / Alterations
NORTHAMPTON, MASS. S� a 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location k1 AJ Is i L (J '` �' L� � Lot No.
2. Owner's name I 7-C, J /0 L r;,j4- _ Address ` �l/l�d S)
3. Builder's name GJ A�1 h I- ,�/�1'�f✓�� L �` Address L J/ I':
Mass.Construction Supervisor's License No. Q4/ `J Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire �'�i A C r'L�W/�^°(?'— 7C��C��'� T ktiJ�L i
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost: 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief
Signal responsible app,icnn!
Remarks l� r ���1 /— ✓� /. �l � �
10. Do any signs ns exist on the property? YES NO
t
IF YES,describe size,type and location: Q r1 t r�U
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 column to be fillad 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%
# :pf �Parking spaces
of Loading Docks
Fill:
(volume--& location)
13 . Certification: I hereby certify that the information contained fhein
is true and accurate to the best of my knowledge.
DATE: ✓j % APPLICANT's SIGNATURE
NOTE: 1"ua o® of at zonin g p ermit does not relieve an a
pplioanYs burden to oorywfy wit",,pll
zoning requirements and obtain all required permits from the Board of Health, IC servtstion
Commission, Department of Publio Works and other appliomble permit grantin uthoritles.
FILE #
0.
JON 1 91998
t �• File No i
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_( 11-14,6 M jr K
Address: O �'� N r;) �� Telephone: 6 <q 7
b �
2. Owner of Property: L &iA,0l^rte
Address:_ 9"? 1"1,oib S7 1-46 . Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): 1R U /L.hEx
4. Job Location:
Parcel Id: Zoning Map# / Parcel# District(s): "�
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UseNllork/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/Vadance/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 YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
—4—
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)
1 � �
FILE if Q�' (' ►y �
9 ;993 jj 6 /�
AP LICANT/CONTACT PERSON: 'e��a
ADDRESS/PHONE:
9
PROPERTY LOCATION:
MAP �7 PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION_CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM VULED OUT
IRnildin2 Permit Filled mit
Addition tn Existing
C/
Arrevgnry Strurthrr
-�
T OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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 missio
Signature of Building Inspecto Date
NOTE:Issuanoa 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
Commiaslon, Department of Publio Works and other applicable permit granting authoritles.
?0 V City of Northampton REQUIRED INSPECTIONS
A A
}
if DEPARTMENT 1. Footings and Walls
BUILDING 2. Structural Components in Place*
3. Complete Building*
No.
1730 Office of the Building Inspector
Date 6/19/98 Fee $40.00 Check# 3334
Zoning Form No. 963697
Page, 17G Parcel 214 ,Zone GB
Section 127 ❑ Yes ❑ No
BUI]LDINGPERAHI'I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Walter Marek Jr before Building Inspections
has permission to repair fire damage Inspection on Site—Foundations
situated on 99 Main Street - Mitch Alexander 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 lt! /
provisionsof the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough y� I
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Finish Finish // G'/�(c 194K
Any violation of any of the terms above noted is an immediate revocation P� g—
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 n
** Install per Manufacturers information: windows,vinyl siding,roofs Smoke Detectors(Fire Department)
and woodstoves
Other
THIS CARD MUST DISPLXfEb IN CONSPICUOUS A P,, MISES
.. ..-
Certificate of Occupancy
Building Inspector