30A-032 (79) u
0
Date Filed ( l� r'� ` O 1 v`�J . File No.
ONING PERMIT APPLICATION (§i0 . 2 )
1 .' Name of Applicant:
._ .
.- Address : <�7 G�� R�r„� iZ � Telephone: s-,�57y q
2 . Owner- of.. Property: . Ce T�e.r� /�/W.
Address : 3ao �?rNr'.sr�c D2. Telephone:
3.. Status of Applicant: Owner Contract Purchaser
//Lessee . Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# / Pa cel# 3, ,
Zoning District (s) (includeverlayg) 6 J
Street Address 3 a
Required
5 . Existing Pro osed b Zonin
Use of Structure/Property r _
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
side L: R: —L:—R:
rear
Lot size
Frontage
Floor Area Ratio j
%Open Space (Lot area minus
buildi-ng and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) !7• &, . -n, cdk a� d 11) - " ,,i Q zl --
UJ '� v i✓ -
7 . Attached Plans : Sketch Plan -- Site Plan ,
8 . Certification: T hereby certify that the information contained herein
is true and accurate to the best of my knowledge
Date:_TZ9_`s Applicant's Signature:
THIS SECTION FOR OFFICIAL SE ONLY:
' Approved as presen ed/based on information presented
Denied as presented--Reason : Yr
Special* Permit and/or Site Plan Required:
ind ' g Req d: � variance Required:
gnatur Building Ins — 16a
teV
NOTE: Issuance of a zoning permit does of relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Consorvation Commission, Depattment of Public Works and other applicablo permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S ''I 7� Alterations
=oat"""'PTo1 NORTHAMPTON, MASS. 19Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location &,26 X 114t- sale i)a Lot No.
2. Owner's name C071 c1/ 13 Address_ 3,2 a 2-) W9,-.a Lcir
3. Builder's name &et/ it —Address—'Y7 C& I?Atw W,-Vj
Mass.Construction Supervisor's Licene No. ,,1�� Expiration Date 10 ' ZG•Q
4. Addition
5. Alteration X A)S'c,&rzt " r-k rrae Ca alU rec C o uc'.r to-id-4 tai&fad -/cam,
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:- g2 4
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsib le appicant
t
Remarks .?,wS,)LAT 10 W I � `D 1Z T-A G j 0 J-1-
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"5s yz-�� Val i law (RUPW , -iapa
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Z. COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY 1'Id�et®pos�asacarisnt
OF ONE TON PLACE Iff"hYtlweStabBrlldl�g
MASSACHUSETTS BOSTOONN,,MMA A 02108 - tldmp/OtrlpOCi�(pp
LICENSE f thlS Nefli2q.
EXPIRATION DATE ® "^$ CONSTR. SUPERVISOR CAUTION
10/26/1995 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST
RESTRICTIONS THEFT, PUT RIGHT THUMB
NONE --0 0-6/30/1993 003404 -- o PRINT IN APPROPRIATE -- -
BOX ON LICENSE.
KENNETH A RZASA
_ ° 74 WOODBROOK TERRACE BLASTING OPERATORS
S$ # 021-40-2067 °,Z i"i SPFLD M,� Q1084 m �STII��UD�HO� .
. • m G" (u1
PHOTO(BLASTING OPR ONLY) F �
•"
cc) NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER J U L 2 1 1993
DOB:
10/26/1949
THIS DOCUMENT MUST BE � C�
CARRIEDONTHEPERSONOF IGNATURE OF LICENSEE « SIGN NA EElN FIX AB E SIGWTUR NB 1 O
THE HOLDER WHEN EN �~.•J
0TH ` • INT GAGED IN THIS OCCUPATION. ONER
0
OTE:IN ORDER THAT THIS APP CATION MAYBE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
E CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE'AND
THAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,must be filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at a site during the progress of the work.
New...............❑
Addition........❑
No.................—D, Zone..................., Type.................., Map.................. ., Parcel..................... Alterations ....❑
Repair.............❑
CITY OF NORTHAMPTON Demolition....❑
s e ,
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MASSACHUSETTS
Applicatio-n for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter)
To the Building Inspector: Date.......11..30.......................... 191q3
Application for a permit s hereby made aqSXdingtoo the llowi
1. Location, Street ando....... 2. ... ......JlI.. .............................................................
2. Nearest cross street �. • .1.. Lot No,;.
3. Owner's name........Jat..... ... ................... Address ... ....��I�l ....1�?l.a... ...
4. Architect's name......... . .. ................. ...........................:... Address ....................... .......... ..........................
5. Builder's name....... A ................. Addr Z .1I1ll�gC...1. �Eht •
6. Use of building, Pre ent roposed ...... ..............................................
7. Building fronts on how many Streets?......CMI. .....................................................................................................
8. Is building in fire distric?..................................................................................... ..............................................
9. Size of building,Width In ft................................. Length in ft...........................; Height in ft...........................
10. Distance of building frog Street Line................ left lot line..........., right lot line..........., rear lot line...........
11. Type of construction(check one): 1—A.......... 1—B .......... 1•--C .......... II.......... III.......... IV.......... V..........
Stories B 1 2 3 4 5 I 6 7 Roof
Story heights in ft.
Thickn's of walls in ins. 14P
Material of walls
Material of floor/roof Coosa-
Design live load
Design dead load ,
Occupancy or Use
No.of persons/families
No.of stairs
12. Soil under footing is............... ..................................................
.................. ........................................
13. Depth of footing below grade...... . .. ....... 11ft.`` Will piles be,used?.......... A%...............
14. Area of entire building(Present plus new) ..../. ....... l� ..............................:..................................., s .ft.
ll ✓ ...... Material of roof covering..
15. Type of roof—flat...... f .........., pitched...... ..... gl
:. Fuel ..............
16. No.of elevators.......' I'I. Method of heating....''' ... System .............'" ..... 4'..............
17. Are live loads noted ondrawings?..... ... Are all other structural conditions noted on drawings?..........`""'....
18. Building(will be)(is)equipped with sprinklers?.............`!n.............With sprinkler alarm?..............'...............
19. Is building to be used as a factory,workshop or mercantile or other establishment'employing 10 or more persons?
.................................... �Q................................................................................ ................................................
20. Is building to be used a an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
house or tenement house having 8 or more rooms above the second story?......... ..................................
21% How many exits(per floor)to street? .............4........................ .....................;..................................................
22. Is building a"Place of assembly"as defined by the General Laws? ......... JJA:.........:.........................................
23. Will building conform o the General Laws? ..ACAJ. Building and Zoning Ordinances?....Lks.........
24. If a garage,distance froIm nearest building? ..............a h............................. ................................................
25. If an addition,alteratio> or demolition,when was building erected?...................� ...........:.....................................
26. Estimated costs:—
The undersigned certifies that the above statements are true to the b COA
General$....... .50..!.............. of hi kno edjare.f.Plumbin .......... Mochit W
Gas Piping........................... ........... Signature of er,architect or engineer
Sprinklers........................................ WRITTEN DISCRIPTION OF WORK TO BE DONE
Heating................................ ...........
(Use blank half of reverse side,if necess ) '
Aym
Electric.............................. ......... ...... . .. ..... ... E.
16 //��//
Other...............:. ..... .. . � .r...�..... V�••..% .Vt
........ .. ...........
Total$ Q` .'.......... �'... �.... a � .... .e...........:........
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PINT SII P
i
Location..................................................................... ;
PermitNo. .................................................................
Application for other than a Dwelling
Permit Granted........................................... 19.........
.......................................
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