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31A-243 (2) •fit ,> o , c T � ^ D v� Z > tT1 O � O Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS._ 9 Additions 1 APPLICaATION FOR PERMIT TO ALTER Repair � \ \ Garage 1. Location- v �6 `- Z 1)CA-.erh) Ave �CJ iti Lot No. 2. Owner's name Q� yCo �-L- Address 3. Builder's name �►,jG. [ �L Address �� Mass.Construction Supervisor's License No. �` Expiration Date 'Z'� 4. Addition 5. Alteration ✓ 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;- g600 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icant tj Remarks ,`o '�/�`�11�W /"- .G � F1A . TICK. � 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 colmm to be filled in by the BniZdfag Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: L: R l_ - 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 knowle DATE: ?---4APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an appliomnt's burden to oomply with all zoning requirements and obtain all required permits from the Board of Heaith, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # i Y I iy 14 � File No. 611�� d Udi d)!tJG ddr'r ZONING PERMIT APPLICATION (� �,�rU,��,� PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ? w c Address: `T_� �� -I _ _. � Telephone: 2-��/ 2. Owner of Property: Address: P5 AJE Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain):_ 4. Street Address: 7,\-f�U Parcel Id: Zoning Map# ` -1 _ Parcel# 0243 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Stru ctu re/P rope rty_ .-E�A' 6. Description of Proposed Use=ork/Project/Occupabon: (Use additional sheets if necessary): Rat�lr' FLDDPII�� /r��U_) urf�T_S' 7. Attached Plans: �,YQ 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 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 I �'6' J APPLICANT/CONTACT PE ADDRESS/PHONE: ! �� -,. �' PROPERTY OCATION:� � Z0-1'�� MAP �� PARI L: � ZONE THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7.(1NTNr.FORM FTT.T.F.T) OUT l Fee Paid $ulldin4 Permit Filled FP -Pahl e i,- 7 Tvne of rnnetructinn- New rnnetrnrti Rempdeli Tnterinr Additinn to Vvicting Arreeenry CtrnetnrP Rullding Plane TnchidPd- 3 CPte of Plnnc /Pint Plan 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 1.00 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 Com sio Signature of Building Inspector Date NOTE:Issuanoe of a zoning permit does not relieve an applioant's burden to oomply 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 authorities. E Cityof Northampton REQUIRED INSPECONS TI 1. Footin s and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 665 Office of the Building Inspector Zoning Form No. 960098 Date 8/8/95 Fee $40 Check# 10915 Page, 31A Parcel 243,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wright builders Inc. before Building Inspections has permission to Interior renovationsSheetrock repair, floor f inishing Inspection on Site--Foundations situated on 65 Kensington Ave. - Penny Cofrin 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 PL ON P SES Certificate of Occupancy Building Inspector - !1'�GI1 Sil�7 �i� _-1