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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
a APPLICATION FOR PERMIT TO ALTER Repair
I Garage
1. Location
o t—Tr 1 I t'V rll"C a+/e—t, Lot No.
2. Owners name Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Llo g l 3 Expiration Date /,//e
4. Addition
o „:
5. Alteration
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:-
undersigned certifies that the above statements are we to the best of h
` knowledg and belief.
Signature of responsible app.icant
Remarks
e
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 'columm to be filled in
by the kuil.ding Depnrt,eat
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear ---
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parkinrr
# of -Parking Spaces
# 'of Loading Docks
Fill:
-(volune -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowledge.
DATE: APPLICANT's SIGNATURE
NOTE: Is ua oe of a zoning permit does not relieve an applioant's burden to oomply With 4til
Czoning requirements and obtain all required permits from the Board of Health. Conservation
ommission. Department of Publio Works and other applicable permit granting authorities.
FILE #
File No
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: &2ZLI) C
Address: Telephone: SSG pQ g /g
2. Owner of Property: A,7441�,94 2
Address: / f?1l'/_��}/3�1 G2e�r2iL'i Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: ��'/�
Parcel Id: Zoning Map# Parcel# (T✓y District(s): &,�( --
(TO BE FILLED IN,BY7lTHE BUILDING DEPARTMENTS
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
, ash m 1 .,1 1
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.
6. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO V, DON'T KNOW 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__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)
A
51 NORTH MAIN ST BP-1999-1009
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map_Block: 17C-250 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofma BUILDING PERMIT
Permit# BP-1999-1009
Project# JS-1999-1708
Est. Cost: $1000.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Andrew Church 104480
Lot Size(sa ft.): 21780 00 Owner: CHURCH ANDREW A
Zoning.URB Applicant: Andrew Church
AT: 51 NORTH MAIN ST
Applicant Address: Phone: Insurance:
174 Spring St (413) 586-0918
FLORENCE 01062 ISSUED ON:512711999 0:00:00
TO PERFORI I THE FOLLOWING WORK.-STRIP & SHINGLE ROOF
POST THIS CARD :) IT IS VISIBLE FROM THE STREET
Inspector of Plumbiw, 1 uspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: i,ough: House# Foundation:
Final:
Rough Frame:
Gas ire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final:
0ke: Final:
THIS PERMIT MAY fZEVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RUL,:', �U REGULATIONS.
Certificate of 0 c_-_ , ;v Sienature:
Fee Type: _ ceipt No: Date Paid: Check No: Amount:
Building 5/27/1999 0:00:00 $20.00
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo