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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.�,7/9 / 9 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location -?,I- ���-�Y S/ ��r c ;L/C- C_ Lot No.
2. Owner's name /l n ALJ�/� �� f�-/f �>✓ Address s�
3. Builder's name J OF 4 A-) eo Address O C-/C- 5::/—/ S
Mass.Construction Supervisor's License No. /� l G lQ O C!d Expiration Date 7/ 91R
4. Addition
5. Alteration ill c-LU /-00 i
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 /y S� `` L
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible aprI. n!
Remarks
10. Do any signs exist on the property? YES _ NO
IF YES,describe size,type and location:
Are there any proposed changes to or add(6on�r of signs intended for the property?YES
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col== to be milled in
by the Building Dcpartmeat
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)
9f -Parking Spaces
of Loading Docks
Fill:
4voI-izme--& location)
13 . Certification: I hereby certify that the information contained herein
4 is true and accurate to the best of my know ge.
DATE: APPLICANT's SIGNATURE
!ROTE: Issuanoe of a zoning permit does not relieve a pplioants burden to oompty with all
zoning requirements and obtain all required.permits
from the Board of Health, Conservation _
Commission, Department of Publio Works and other applioable permit granting authoritie-s.
FILE if
File No.96j.,ell
ZONING PERMIT APPLICATION (§10 . 2
PLEASE =P OR~P=T ALL =FORMATION
1. Name of Applicant:
v- X11
Address: &44 a C C-p;� <,, f Telephone:-- ,�� -�'�'Q' 7
2. Owner of Property:- O�J/ 4
Address: ..3,.,,2- L, L-LY S / Telephone:
3. Status of Applicant: _ Owner _Contract Purchaser Lessee
Other(explain):
4. Job Location: 5? — Z--i C. L
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property `j o c/3 C-- - tj � �
JF
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/Vadance/Finding ever been issued for/on the site?
fi
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)•
FILE # 1�
MAR 2 0
APPLICANT/CONTACT PERSON:
ADDRESSIPHONE:
� r
PROPERTY LOCATION: o� —
MAP C PARCEL: _5 ZONE
THIS SECTION FOR.AFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING F01RM MIED OUT
Riiild*n2 Permit Filled nilt
EPP Paid ' i 6 i/
Addition to Eakfing
L
��-
T OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
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 mmissio
Signature of Building ffisporor Date
NOTE:Issuance of a zoning permit does not relieve an applioant's burden to oomply with ail
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Footings t l Components in Place*
3. Complete Building*
No. 194 Office of the Building Inspector
Zoning Form No. 962017 Date 3/21/97 Fee $20.00 Check# 851
Page, 17C Parcel 285 ,Zone—ILRB WP Section 127 ❑ Yes ® No
BUI]LDINGPERIMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Corbett before Building Inspections
has permission to strip & reshingle house roof Inspection on Site—Foundations
situated on 32 Lilly St - David Hickson Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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
** Install per Manufacturer's information: windows,vinyl siding,roofs
Smoke Detectors(Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS P ACE ON ISES
Certificate of Occupancy
Building insnectnr