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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. ` / 7 , Alterations
%r. NORTHAMPTON, MASS. q '12 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
I. Location (3 r- _ > -lkiNj PI Lot No.
2. Owner's name () ^ "Y a 1= t•. 1: . '. 0 r Address l,' ('` C ' t�' I` 17
3. Builder's name „Y- M j � t k Address 12 _i_; :- . 1 i 0 "-` c�
Mass. Construction Supervisor's License No. 0 4 51' 0 0 Expiration Date 3 -.S.- z
4. Addition V 12 (!,
5. Alteration
6. New Porch ' 0 ' 4 f ' ' . ) 2
7. Is existing building to be demolished? NU
8. Repair after the fire N 0
9. Garage NO No. of cars Size
10. Method of heating 01 L 141\)
11. Distance to lot lines fe- ' J l 2=2 2-3 4' V (J 4- . c
12. Type of roof f iek-7- 2 6t / . ' 20 *Y le-- N
13. Siding house lZY''\t
14. Estimated cost: -
I C, 0 The undersigned certifies that the above statements are true to the best of his, her
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Stgn e of responsible app"icant
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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 lot} 7 ?� / C'
Frontage - 75 7 75-
Setbacks f ro nt f
:O
- side L: R: L: R: 23
-rear J
r 23 I �C
Building height V ?1 3 5-
Bldg Square footage 7
%Open Space:
(Lot area minus bldg
&paved parking) > v
# : pf - Parking Spaces
#— of Loading Docks
Fill:
vol -ume - -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
•
DATE: APPLICANT'S SIGNATURE � b. i
H " NOTE: it
N TE: lssuenoe of a zoning permit does not relieve an a plioa is burden to comply With, ll ,
zoning requirements and obtain all required permits fro the Board of 11 alth, Conservation
Commission, Department of Public Works and other applicable �.1R
permit r nting authorities:
FILE j
i ij
File No. l ag
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: - '( '
wok 114/4
Address: Vii',; .� t L ' _ '-� t;� k . Telephone: 1 8 1 �/� ` �,
2. Owner of Property: 0
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Job Location: ;t >L 4,)/ •J
Parcel Id: Zoning Map# A�� --- Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property � it 66" r �
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary):
12) kThOl-Nr err IT1 ( MT
7. Attached Plans: V 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?
NOS 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 #
0 ;
APPLICANT /CONTACT PERSON: J i Z // 717 5g4i -916
ADDRESS/PHONE: /_►,�•�5 /. ' / • • G
PROPERTY LOCATION: GCC -G f}
MAP , ; f (�., PARCEL: J) 7 ZONE
THIS SECTION FOR - OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING- FORM FIT .I N) OTTT
Fee Paid
Building Permit Fille nt
Fee Pairs 1 A- /°/0 ��'
Type of Cnnctriictinn•
New C'onctrurtion ��l /d" x'/ S
• .. . ' .1 • 1 ' r_ _ ' 4 _ O L at. d
Addition to FYicting (tJ 3_0f..(9t ..11t:Ye
A reescnry Structure - (_
Building Planc Tnrluded•
/
Owner /Occupant Statement r T.irence
6
Setc of Planc 012P1an
THE 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
Permit from Conservation Commission
Signature of Building Inspector Date •
NOTE: Issuanoa of a zoning permit does not relieve an applicant's burden to comply with ail
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authoritles.
q FILE I 96 ! 3 2J ` � (, t )
APPLICANT /CONTACT PERSON _.,‘..421 j � f (1
: 62 6
AeDRESS/PHONE: ' , / / rg x-, ? O -,C? • t )
PROPERTY LOCATION: 2 d�, � A7:9(4''L -Gk
MAP /fe.--- PARCEL: ZONE �-- .�--
THIS SECTION FOR - OFFICIAL USE ONLY: _
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONT U FORM FIT J.FT) OTTT t/
Fee Paid
J3uilrling Permit Fille nt t.--------. Fee Paid ( /A) ,4 r 1------
Type of rnnctrnrtinn•
New ('nnctrurtinn i M7./La /<---) "X J f
Remnrleling Tnterinr e -7)Z Lk- �-tfr"7�.
Arlrlitinn to F ricting x •4:)/C.4:1.0 . E Furs/`
A rceccnry Structure / 0ey --Il l - .
Rnilding Pinny Included•
Owner /Occupant St nr Thence C %5 '`7'0 Yi
O A Setc of Plans 6
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
y Approved as presented/based on information presented - I derir. C C c,,,,-y', [yw Ct't CC L .:1 Le a-
CI Denied as presented: F'�Y'C i i•-) � ' °5 `- l • r`) S - rO 2 r 5 n.
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
Pe '' from Conservatio ommis io
Signature of Building for //60/e
a
NOTE: issuanoe of a zoning permit does not relieve an applioant's burden to Comply with all
_ zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities. —
�° , , City of Northampton REQUIRED INSPECTIONS
A ,
a 'f. ' 1,41 A 1. Footings and Walls
:4 > > BUILDING DEPARTMENT 2. Structural Components in Place*
`t 3. Complete Building*
Office of the Building Inspector
No. 872
Zoning Form No. 961438 Date 9/19/96 Fee$ check #110
Page, 1 AC Parcel 107 , Zone r1RR Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Fleming before Building Inspections
has permission to construct a 12' X 15' bedroom addition w/3 season Inspection on Site — Foundations
situated on 65 Gleason Road - Patricia Buckley screened porch 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 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
Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON P$ ISES
Certificate of Occupancy - ��
Building Inspector