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18D-004 (36) . D > Z ,v z T c o. D 3 c� o zrn r = - ro Y n c to Z = D Z • ^J n ► r , ! u"3 m a rfl Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. S _ 6 9 9 Alterations %r. N ORTHAMPTON, MASS. ~ �5 19 C 1 ) Additions k`` APPLICATION FOR PERMIT TO ALTER Repair = Garage 1. Location !/C/ p fit r) uo E--/ Lot No. 2. Owner's name b_) //I!fi it '>t i t)r.-ly/ > c -_ if ite ddress /tit /_) I)to it..: / &-' , , 3. Builder's name .,01 \C1v+ 6v, )(Act's Address 1 I LL" & rYke4 /-eC Mass. Construction Supervisor's License No. 0 531 O`Z Expiration Date 4. Addition M 5. Alteration t `cl 1- i n - , 1'ti.o , Q Q r , 2 r'1 ( erv■0 '1 c c+ ( ) 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. Estimat ,S� 0/ Do o �/ The undersigned certifies that the above statements are true to the best of his, her knowledge a/npdy belief. h Signature of responsible a p<<cant Remarks 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 cols to be filled in by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - 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•ge. DATE: Z - 1 ) 9 S APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an a: plioant's burd to ompiy with all zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities. FILE # till 'us 1 5 File No.9 ( /31 , DEf'i Of nil tir _ Nu (Ti lf' , ZONING PERMIT APPLICATION ( §10 _ PLEASE TYPE OR PRINT ALL INFORMATION , la. e 1. Name of Applicant: L i 11 1 1� L — y Address: k",)( �J f}Ir1'kolU Vd Telephone: ` i 3 ,25 LI � q 1 N " 2. Owner of Property: Ci„) : I (I A (i( {) 7 t ' Ly /, f uo Address: //4 ( 1)/) , rY b1U P d Telephone: Ali J .17 86, "`-/ /- 1 3. Status of Applicant: k Contract Purchaser Lessee 111 Other (explain): 4. Street Address: /© � DGr4-1e.,Y, "o Parcel Id: Zoning Map# / C' Parcel# 00 -1- District(s): C'� (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /WO ic `i i /) 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): ri 1 t' SL, i--i„.) G c / 00,, e,,-1 S 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 Permit/Variance/Finding ever been issued for /on the sit ? / . NO DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Re istry 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 V 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 # �QT(3 APPLICANT /CONTACT PERSON: Z0( -,Cdi / /J z ? Z3/6 � J ADDRESS/PHONE: / /zh PROPERTY LOCATION: l e 8 I MAP //0 PARCEL: re 4/ ZONE 61 THIS SECTION FOR - OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCL REQUIRED DATE ZONING FORM FTT J ,F,T) OUT ' RA3"/9.5 Fee Paid Building Permit Filled nut Fee Paid # /l 1 /) 5 `� Type of Cnnstriictinn• N*2y_y_f_gastriletit �Rem ndeling Tnterinr; L 2eM-K , 37 '.t Addition to F'r ting c-x (534V-7 Accecsnry Strnrture Building Plans Tnelnded• Owner /Occupant 5 7 3 t') 5 ?JC% 2 3 Sets of Plans / Pint Plan THF ACTION HAS BEEN TAKEN ON THIS APPLICATION: . I/ 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 nsery . tion Commission q5 Signature of B d Inspector / Date NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applioabie permit granting authorities. • . t epe rio 03 City of Northampton REQUIRED INSPECTIONS j � `� BUILDING DEPARTMENT 1. Footings and Walls e _ „1'' 2. Structural Components in Place Cam �' Imo. r,/.1� , z' W = =" 3. Complete Building* No. 687 Office of the Building Inspector Zoning Form No. 960131 Date 8/15/95 Fee $160 Check # 1095 Page, 18D Parcel 004 , Zone GI Section 127 ❑ Yes ® No * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Quinlan Builders /Thomas quinlan Jr. before Building Inspections has permission to repair fire damage - two apartments 2nd floor Inspection on Site — Foundations . . -, situated on 108 Damon Road - William & Evelyn Mock Inspection of Plumbing —Rough '° '' .r, °'-' provided that the person accepting this permit shall in every respect Inspection of Plumbing —F nish�MP '�'`� ,6, 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 Northanipton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring — Finish 4 - 7, �4 Y of this permit. Expires six months from date of issuance, if not started. Building Inspection —Rough _J "` ` f 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 If- 9 2 -/ - 94 - � Smoke Detectors (Fire Department) I.-) 9 1,4' 2 Other THIS CARD MUST BE DISPLA „OP. IN A CONSP 2 LA 0 N .! PREMISES r Certificate of Occupancy / �'���� _ A/ ' f c.B,yilding 1nspeC nr _ _ _ WI ,! Alf :BPI! I