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18D-004 (37) ., xi T t C C' -c m r T ` A -" °S C11 Z r. _ r. p ° a rfl Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations ( ter. NORTHAMPTON, MASS. 1 9 Additions • Repair :4 ;; APPLICATION FOR PERMIT TO ALTER =rte' Garage 1. Location I 0% /1G ill 0 fr') A._ Lot No. 2. Owner's name \■l 1 1 1 eke\ D, Plot I'- Address /(7 f isicvn A %Ile/h 4/ 3. Builder's name f (�rvl it ra Address Si AI T (Oar/1 e— /S</ Mass. Construction Supervisor's License No. L. 0 S 3 ) b f 7 Expiration Date .5 "` ) d - `i 5 4. Addition 5. Alteration 4e,4%i'/ W',o e iSr goo/ C 11 R/ C 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire e �7 9. Garage J No. of cars Size 10. Method of heating a S 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost: •*r 5 0 op The undersigned certifies that the above statements are true to the best of his, her knowledge 7e t.e/y11424.1 lief. Signature of responsible appicant 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 colmma 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 &paved parking) of - Parking Spaces it of Loading Docks Fill: =(vol- ume - -& location) 13. Certification: i hereby certify that the information contained herein c is true and accurate to the best of my knowledge. }r ; DATE: N--5 y' . APPLICANT's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve a applioan s bur to comply 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. =r' •,1. FILE # S t II ! d 2 File No. % `� / 1 , , o r s! i 7 i � ZONING PERMIT APPLICATION (S1 �. J F� £ y i i! 'F;i�r ��I � S PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: 1 , , • ; r Address: • �,� ;,., / ;, . �' ,. _� ,�� �- Telephone: ,,... , c 2. Owner of Property: — . '"'r , ii . / s , Address: Telephone: 3. Status of Applicant: ✓ Owner Contract Purchaser Lessee Other (explain): 4. Street Address: /Z7 171/.-- / ����/ � ' Gam ,.. Parcel Id: Zoning Map# �w Parcel# D istrict(s): y; �j (TO B E FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property ';:.. ' . ;:. L 6. Description of Proposed Use/Work/Project/Occupation: (Use additional'sheets if necessary): • r 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 site? NO DON'T KNOW YES - IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT 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 # 9 6 0 � � �It • 431 . - • --- . l u�-! � . �;' �' ` G -e�' APPLICANT /CONTACT PERSON: l - 21 n ADDRESS/PHONE: ' 40 PROPERTY LOCATION: /(v 1-C 9 � 'L � " l� ,, aj _e 9) z rz ?ilerLe MAP //V V PARCEL: ` ZONE & THIS SECTION FOR-OFFICIAL USE ONLY: . PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM PM:I,F.T) OTTT L---- L-------- J ', ' 7/ 96 - Fee Pahl Building Permit Filled nut Fee Paid ( //f/ , 4/ 40 L, Type of C'nnctrurtinn• , Ne C'nnctrne inn faL<- 7 ./ -eAeTZ -e-F� , R em nil elin Tntern ` i /5 � :e3-f°-'r Addition to F'icting Arreccnry Structure Building Planc Tnrluded• f)wner /Occupant Statement n (i ,irence� 4.'5 3 %U 7 E -er 3 Setc of Planc / Pint Plan LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: e 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 ,I 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 Approv : -Bd of Health Well Water Potability - Health ermit f • C a <ervation Commission MO% �_ _......f....— /// 4 / : / 7 - 5 - - - i y attire Of : lding Inspec �/ Date NOTE: lssuanoe of a zoning permit does not relieve an apploent's burden to comply 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. — Ole 6 • : • 4 11 P, i ps UIRED iNS TI fill Oct' il r4 3A IF and 0, A A 111 I ‚ 1 1 2 Structural Co 'ne ts in Place 's • • ..r. 3. Complete B• g* 11 Nj iceofth 9" Inspector No. 967 ZoningFomiNo. 960431 Date 1l//95 Fee $60 Clieck# 1181 Page 18D Parcel 4 , Zone ___ LL GB \• Section 127 Yes No * Plumbing and Electrical Inspections reqired, THIS CERTIFIES THAT Quin1n ui1ders/Tom Quinlan Jr. before Building spections h asperm i ss i on . to repair & replace ire damaged 1st floor. Inspection on Sites—Foundations situated on 108 Damon Road -f W] & Evelyn Mock Inspection of Plumbing—Rough - frog provided that the person accepting tiis permit shall in every respect Inspection of Plumbing—Finish f' conform to the terms of the applica ti n on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordiiances relating to the Construction, Inspec of Wiring ii L-? ! -V4 i Maintenance and Inspection of Buil4ings in the City of Northampton. g ' - Any violation of any ofthetermsabovnotedisanimmediatere 0% � Inspection ofWirmg—Fimsh ofthispermit. Expires six months fro date ofi une, I Building Isp�non—Rough Note: A certificate of occupancy will be issued by thiS office upon return Insulation Inspection of this card signed by the Plumbing, and Building Inspectors. BUg liretion—Fii '04 Smoke Detectcs (Fire Department) / Other GI P R THIS CARD MUST BR DISPLA I A V. NSPICUQ. S 'LACE ONJHE PREMISES Certificate of Occupancy , 4" Building Jnp@ctor