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17C-263 (4) a � 2 w T � a z > can 0 m -•I ^► z I I I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair iY « Garage 1. Location 7_ 4>— S� � Lot No. 2. Owner's name 1-1�--1=4�551 Address 3. Builder's name 011 Address r.9 ,1 Mass.Construction Supervisor's License No. /G_ j 7'7`1'®1 y'�K Expiration Date � - r ri 4. Addition 5. Alteration .)"r�Q ' 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:-e7/ Y� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ���.-yam.--------- Signature of responsible appicant Remarks r 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 column 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 ' &paved parking) pf -Parking Spaces ,# f6f Loading Docks Fill: '4vol-dme--& location) 13 . Certification: I hereby certify that the information contained herein _ is true and accurate to the best of my knowledge. .1 01" DATE: l C pZ� J�'6 APPLICANT's SIGNATURE NOTE: hwou6no4 of a zoning permit does not relieve an a iloanrs burden to oom wit PP Ply_ zoning requirements and obtain ail required permits from the Board of Health,, Cohvervatior Commission, Department of Publio Works and other npplioable permit granting nuthorlties:; 'i FILE # . f File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRSNT ALL INFORMATION 1. Name of Applicant: `l�/�« r-� Address: 69( ip9&,✓ /t7` Telephone: 2. Owner of Property: QD 10���I'� Address ` .So — Telephone: ° / 3 7 ,<'-- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location �GLL 14 O d Parcel Id: Zoning Map# l L'- 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): 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 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 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) i FILE # 961652 9 APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP 7 C% PARCEL: '7P - ZONE h THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ]Rviildin2 Permit Filled out < /�� v Type of Cnngtrurtinn- FOLLOWING 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 Well Water Potability-Bd Health _Permi om Conservation missi a Signature of Building Insp r Oate NOTE: Issuance of a zoning permit does not relieve an applicant'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 applioable permit granting authorities. — tUW g o� X0'9 City of Northampton REQUIRED INSPECTIONS 1. Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1009 Office of the Building Inspector Zoning Form No. 961652 Date 10/31/96 Fee $40.00 Check# 2462 Page, 17C Parcel 263,Zone URB Section 127 ❑ Yes No BUI]LDINGPERMri I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Bill Dickinson before Building Inspections has permission to strip slate & install new shingles Inspection on Site—Foundations situated on 88 North Main St - Ed Shanahan Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this perniit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCVOUS PLACE ON T E PREMISES Certificate of Occupancy Building Inspector