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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
J� Garage
1. Location ���N. z 1�7�/t 'Sc� S f��/?e �t'T / r7��i�1 . /— /G��� r Lot No.
2. Owner's name ']�� Ci`1 f,FS 4-1h11 cr/zit£ f�/€X r+,jj)0 qs
3. Builder's name��/Z`ZUG �f�-s //I ZrC7-/[>� Address
Mass.Construction Supervisor's License No. G S° �/� Expiration Date
4. Addition
5. Alteration "'/A W —f coo Cy f c t b()C z ! " 1.4"L c C" 'r l i S */►n�P f�ti - .
6. New Porch
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 cost
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief
77-
Signature -responstb p. cant
Remarks
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10. Do any signs exist on the property? YES j'' NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO G---
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLE'T'ED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colt to be filled 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
' &paged parking)
# pf Parking Spaces
j� of Loading Docks
Fill:
4 vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge. /
DATE:. -, } APPLICANT's SIGNATURE
1" NOTE: 1"uanoe of at zoning permit does not relieve an appl' a s b den to mp ill
Z9 ning requirements and obtain all required permits from t e oa of Health. Co s rvation
Commission. Department of Publio Works and other appllomble permit granting nut o itles:..
.`:„ FILE #
251991 File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
}
1. Name of Applicant: Weglc--t;-
�✓�! i �E�' � ���
Address: Telephone: `) L/ ` J//' /
2. Owner of Property: lz&c/ /ijs r`/ Cr/Z
Address: Telephone:
3. Status of Applicant: Owner L/ Contract Purchaser Lessee
Other(explain):
4. Job Location: z1&-X'4-17 DFfi 5 :-- ce 1,4.,? 7- '1--lole f 7c
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 Use/Work/Project/Occupation: (Use additional sheets if necessary):
//
/?
1*4 A �(I-- C"/7 ' (iti c X CA—)
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 L- 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 if 9621
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APPLIC T/CONTACT PERSON:
�f HONE:
TM PROPERTY LOCATION: CGC�C �,,�
MAP LZU PARCEL: _ ZONE (,�,-)
THIS SECTION FOMFFTCIA.L USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM Eff LED OUT
Fee Paid
Building Permit Filled ont
✓�
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T TTY F 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
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 WeU Water Potability-Bd Health
Per ' from Consseerv/atio om is 'o
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Signature of Building for Date
NOTE:Issuanoe of a zoning permit does not relieve an applioant•s burden to oompty with all
zoning requirements and obtain all required permits from the Board of Haalth, Conservation
Commission, Department of Publio works and other applioable permit granting authoritles.
Ado '�y City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
a : BUILDING DEPARTMENT 2. Structural Components in Place*
so
3. Complete Building*
No. 329 Office of the Building Inspector
Zoning Fonn No.
962165 Date 4/28/97 Fee $40.00 C heck# 656
Page, 17C Parcel 214 ,Zorie GB Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT xP_rzaa conGrr„cr i an before Building Inspections
has permission to install replacement windows & enlarge (1) window Inspection on Site—Foundations
situated on 99 Main St - Florence - Alexander's 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOOUS AT MISES
Certificate of Occupancy
Building Inspector