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17C-263 (5) > ,> n. i T � z > Z 0 N Z a Zoning Miscellaneous Additions,Repairs,Alterations,etc. 'Tel.No. � Alterations NORTHAMPTON, MASS. ��� /� 19 Additions APPLICATION FOR PERMIT TO ALTER Repair r Garage 1. Location Lot No. 2. Owner's name Z /7 Address % 3. Builder's Address Mass.Construction Supervisor's License No. ��� `7`� Expiration Date 9 4. Addition 5. Alteration / J i z kP-49- �f W 6. New New Porch ^ 7. Is existing building to be demolished? 8. Repair after the fire z�2 _ 9. Garage �/� No.of cars Size 10. Method of heating f� 11. Distance to lot lines 12. Type of roof �j 13. Siding housed 14. Estimated cost:- / J The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ,y Signature of responsible app icani Remarks / /� � � &2 10. Do an signs ebst on the roe YES NO Y 9 property?� 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: 1. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK O/F�INFORMATION. MuLz co 1— to be Ei 7 Led in el�4lLd//��j-•by the Huilding I3cpartmnnt Required Existing Proposed By Zoning Lot size Frontage Setbacks -front - side L: R: L: R: i - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. r DATE: 7 U APPLICANT's SIGNATURE 4 �s� NOTE: Lmauimnoe of a zoning permit does not relieve-an pplioanYs burden to comply with all zoning requiraments and obtain all required permits from the Board of Health. Conservation Commission. Department of Publio Works and other applioabie permit granting authorities. FILE if APR 1 2W6 File No. i L ' ZONING PERMIT APPLICATION (§10 . 2) PLEASE EA SF'• TYPE OR PRINT ALL =ORMATION 1. Name of Applicant: Ake"l Address: / �i7� /d% / �- ,�/�c Telephone: 2. Owner of Pro erty: Address: 1 74fll % f'Go4?i47 Telephone: 7 b - 157S"> _ C 3. Status of Applicant: Owner Contract Purchaser Lessee v Other(explain): G'l/G P 4. Street Address: � 1 X12 Parcel Id: Zoning Map#��� Parcel# ��� District(s): (TO YE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Descn ton of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary): • LCD 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 DONT 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 . - I FILE if � 49 APPLiMWCON"T ACT PERSON-Z'­? ERSON• � ' � �1� C �' � '� f; �s AI�!D. S�PHQ 1 ,. — 2 Dad. F vU r IG INS r, i' _,. PROPERTY LOCATION: MAP J 2 — PARCEL: ZONE �- THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE � (_)�mt-r/Orriivant Statement o(Licenv�74,-. r� THE FPLLOWING 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 !Permit from Conservation Comm' J G Signature of Building lmpec ate NOTE:lssuanoe of a zoning permit does not relieve an npplloant's burden to ootnply 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. — City of Northampton REQUMED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls *2. Structural Components m Place 3. Complete Building* No. 244 Office of the Building Inspector Zoning Form No. 960849 Date 4/16/96 Fee$50.00 Check# 12027 Page, 17C Parcel 263 ,Zone URB Section 127 ❑ Yes 0 No BUIL4DINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wright Builders/Bruce C-leare before Building Inspections has permission to remodel 2nd floor bedroom. Inspection on Site—Foundations situated on 88 North Main St. - Ed & Ann 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 7a S _ 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—Finishc� of this permit.Expires six months from date of issuance,if not started. 'rr Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection CJ'-, of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish 6K Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYE IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy . Building Inspector