32A-122 (12) 3
Department: Reference No: BP-1999-0252
Building, Electrical & Mechanical Permits
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000597
Paid By: Paid in Full On:
Tim Tomlinson Mon Aug 31,1998
Received By: Check No:
Linda Lapointe MONEY ORDER
DEPARTMENT'S COPY Amount: $20.00
DEPARTMENT FILE COPY 67 KING ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0252 $20.00
GIS#: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
9942 32A 122 001 67 KING ST CB 28880.28
Contractor: License Type: Insurance:
Tim Tomlinson CSL
Address: License No.: Insurance No.:
P O Box 2068 017965
City: State: Zip Code: Phone:
AMHERST MA 01004 (413) 256-0694
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0520 Non structural interior renovati $2,000.00
Description of Work:
ADD NIGHT DEPOSITORY
GeoTMS®1997 Des Lauriers&Associates,Inc. Signature:
File#BP-1999-0252
APPLICANT/CONTACT PERSON Tim Tomlinson
ADDRESS/PHONE P O Box 2068 (413)256-0694
PROPERTY LOCATION 67 KING ST
MAP 32A PARCEL 122 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ✓
Building Permit Filled out
Fee Paid 7/0
Type of Construction:
New Construction /J
Non Structural
interior renovations rg
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE LLOWING 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
,Board of Health Well Water Potability Board of Health
Permit from Conservati Commission
Signature of Build' Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
l ,
AUG 3
UUJ
DEPTOFBUILOIPN6N§-F:ECIIONS File No.
NORTHAMPTON MA 01G60
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
•
1. Name of Applicant: / //Y) /OM/in 5p
Address: / 0, 6UX 11tv1/IPr5f O/001/Telephone: oS sL -O&7V
2. Owner of Property: A)OY7-A fL 1 at, -Of eral f
1
Address: 67 K 7 5 ree. ` Telephone: 5T y7Lj7
3. Status of Applicant: Owner Contract Purchaser Lessee
X Other(explain): C--Ln9rci.ci"Or"
4. Job Location: 67 n7• 5/re
Parcel Id: Zoning Map# � Parcel# /o(9' District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property .eG.rti .
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
AJd i?lT{� epos i on'
7. Attached Plans: X 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 PermitNariance/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 X 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)
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 cola= to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&p?.ved parking)
# of 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: hl/gr APPLICANT's SIGNATURE Z:.4yGgnatt,ad-rt)
NOTE: Issuanoe of a zoning permit does not relieve an applioenes burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioabie permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
.3%r NORTHAMPTON, MASS. 47cIS J 3/ 19 967 Additions
k �" �; Repair
r =� APPLICATION FOR PERMIT TO ALTER
`' Garage
1. Location 67 kt rut S I1 red" rr Loto No.
2. Owner's name .MOYl--I1at f w) CD —Deere- ✓E_ .�4k Address lei jai n. Sirma ,! ^ p j u�
3. Builder's name //,1 boili45h0 Address P'G,&)C . 0(o8 An1!? i37C, 1 a_
Mass.Construction Supervisor's License No. Ol 7.9 .( Expiration Date aZ f i 7/R-OID
4. Addition1 / /
5. Alteration /4.S4 JJ a_ Ay4,7- LXep rtoty
6. New Porch 11
7. Is existing building to be demolished? 19t7
•
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating A079e._
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- 'So?,O7l0,OD
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
,LiZa,,//
Signature of responsible applicant
Remarks