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Zoning i
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No, Alterations
NORTHAMPTON, MASS.T�Y>� 41�31�- 19F2 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location S$ Z W-F,X1 AA +fin Y Yz-a Lot No. I I ?A CRTs
2. Owner's name 121 CN r an + SO AXuy 1-113t eldtl Y Address rn5b2 ItF NAI t3oY >i�Ao
3. Builder's name UJAA S. Address %0A Ly_1 LIEED S 1+-ILA 0106:k
Mass.Construction Supervisor's License No. ono, S 1� Expiration Date l9 5 S
4. Addition
5. Alteration�rtxo 2y:k C-n4Z,F--& P HauSrs� e%xjSZRjL4Z Rre�l_ mm EX STI,. 6 Fouu067nn$1 As
Qr.V- ATrAcH$c PLa" e_Nttu ROoj-I -rd 8 4UAcr Sro>KL Foo-'Pa)AT AS 64zavN Nouurs
6. New Porch
7. Is existing building to be demolished? 1
8. Repair after the fire N6
9. Garage Y.0-S 4 77-4 GN-� No.of cars TiA/a Size 2N 1C 30�
10. Method of heating oj Z, r t,0 0 , al' WA°Tgw-
11. Distance to lot lines Fko j 6191' Rep2 - SS' R -4 of L- 7.110
12. Type of roof S g2 HA L0• 5AJA4A -
13. Siding house gf"qe2 e44.a hejo2n
14. Estimated cost-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signa re of responsible app,lcanl
Remarks
O .O
a= �$ Crzf lxf wart ljttntpton .
�i3l AChn:rua
m DEPARTMENT OP BUILDWG INSPECTIONS
212 Main Street ' Municipal Building 'a
Northampton, Mass. 01060 '+
WOR CER'S COMPENSATION INSURA-NCE All , AVrr
W111L,0M 3 'Tuaomak+a
vnth a principal place of business/residence at:
68 Crlyo.aT STit-gg7 C.1��nS 1�•e.ra Otab 3 (phonefr) 5'�le - Novi'
(s a=t/ci ty/stairin p)
do hereby certify, under idle pa'Ins and penalties of perjury Lh-'A
O I am an employer providing the following compensation cove:-age for my
employees worming on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Nome of Contractor) Qmuranc-- Corapary/PoLicy Number) (Expiration Date)
(Name of Contractor) (Insuranczz Con pany/Policy Number) (Expiration Date)
(Name of Contractor) (Lnsuran(-- Compaay/Policy Number) (ExpLm600 Date)
(Name of Contractor) aasuranc_- Company/PoLicy Number) (Expiration Date)
(coach add?dcc l thod if noo— ry to iaclOdc informsion pertauring to all oodrndon)
(�I�) I am a sole proprietor and have no one worEng for me.
( ) I am a"home owner performing all the work myself.
NOTE:please be atrue that wtrilo bocx rno n wbo employ paio=to do M-:rd,„3*C eoo5tnie600 or rem worse oo a d.vlling of
not mote IL--n tbroe tints in which tb.e bomoawacr made}or oo the gounds zpputensd tb.-dw arc aot gaxrdly coca dcrcd to be
employm under tba-orka`s.00mpc=ztim Act(GL152,=1(5)),appdcatioa by a bomeow=for a 6c=c oc permit may evid—the
legzl rlutu of an cmployor undartho Workcet Compomaiioa Act
I underztand that a copy of this cizlcmcnt may bo focwnrdod to tbo D"rtn� of 1.&ss id Ax drub Otlioo of I-;<—for ttm
covasge vaificstioa and that fa tr to scone covcsago undo sec tioa 23A of MGL 152 can trx.d to tbd impoa W of akai l pco 16
ooausung of a"5me of up to 51,300.00 and/or imprisoomrnt of up to ooc year and civra pcm i-Grn in the form of a Stop Work Ordci and a
fiw of 5100.00 a day Lgaln t me. -
Signed this�_ day of NOVSnb 1997 r« 1110OQtY
Pcrmit Number
Lim W'Vymkes� Map4f Lot#
Signab f Liccnscr[Pcrmitt,cc
" t
10. Do any signs exist on the property? YES NO x
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 columm to be filled in
by the Building Dapartment
Required
Existing Proposed By Zoning
Lot size Z`jl�Od� S�.�t• Zf(vDOJ Sy. •
Frontage 385, 23 L-F 36 8. Z3
Setbacks - l� 'o" G 8=0'V
- side L:-410 R#0 L:2101 R: y0
- rear
Building height 2S
Bldg Square footage 2gero 6 ZgpD
%Open Space:
(Lot area minus bldg Z93t� S��}. 2.931oQ �� '•
&paved parking)
# .of 'Parking spaces
f of Loading Docks N A
Fill: JVIA
(vol-dme--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
_1
DATE: 14 jbUf�0B6e 4N APPLICANT's SIGNATUREIdA 0
NOTE: lasuanoa of a zoning
g permit does not relieve an appli nYs burden to comply witl�t,,all-
zoning requirements and obtain all required permits from thiP Board of Health, Conservation
Commission, Department of Publio Works and other applioabla permit granting authorities.
FILE #
Fi 1 e No. 96
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRSNT ALL INFORMATION
1. Name of Applicant: W AAM T.1,Q,pfASHA
Address:'p.0► 750y ig-) te5QS KA ► Telephone:-t l3 -SS(o • Lt 005-
2. Owner of Property8XMP-D + SOA•U N R!u C.kiz y
Address:_519Z K.VMX1SQY VZSAD LZeM Telephone: y (3—
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): Gf;NI F ZAL Cogm-Acro&
4. Job Location: 1382-L KU)4 VQ Y
Parcel ld: Zoning Map# I Parcel# // District(s): R R
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/WorklProject/Occupation: (Use additional sheets if necessary):
) (o
Fowina-DoZ L AXw ^0417b�j -7a bps tx a Cr 58,",g j5Q±Q&.d AS
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 PermitAlariance/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)
FILE # p i A .! 0
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: �
PROPERTY OCATION: '
MAP PARCEL: 4/ ZONE
THIS SECTION FOR-0FFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONfNG FORM EULET) 011T
Fee Pflid
Building Permit Filled out
Fe� Paid D
C .
G�G3
THE kOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
Approved as presentedfbased 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 mmissiou
Zo
Signature of Building Insp Date
NOTE:Uwauanoa of'a zoning permit does not relieve nn applloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorltles.
pro �ti C"Ity of Northampton REQUMED INSPECTIONS
! i 1. Footings and Walls
0
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1109 Office of the Building Inspector
Zoning Foam No.
963034 Date 11/20/97 Fee$40.00 Check#9441
Page, 4 Parcel 11 ,Zone RR Section 127 ❑ Yes ® No
BUI-"I LDINGPER,.MIT
*Phimbing and Electrical Inspections required
THIS CERTIFIES THAT William Turomsha before Building Inspections
has permission to construct room on existing greenhouse foundation Inspec--:ion on Site—Foundations
situated on 582 Kennedy Rd - Richard & Joann Hinckley 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 applicatioa 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 S�
Note:A certificate of occupancy will b ,issued by this office upon return Insulation Inspection 14121
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish c i-,r 6,
Smoke Detectors(Fire Department)
V Other
THIS CARD MUST BE DISPLA IN A CONSPICUOUS P CE ON 110PRE ISES
Certificate of Occupancy
Building Inspector