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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. -685 -6 1 V9 Alterations
�: NORTHAMPTON, MASS. r: — �.)' 19.3_ Additions
Repair
4r := :%� APPLICATION FOR PERMIT TO ALTER
//�� Q VIA On //�� ) Garage
1. Location 1✓ n Ac, CJ Lot No.
2. Owner's name 1 a pA ()CI( Address A/ ,eocid I
3. Builder's name L O in (N 't tG 01 Address 51 MT 1A) i (tier ,eoac!
Mass. Construction Supervisor's License No. 65 053 I 0 7 Expiration Date 5 -- /c - ( l c)
4. Addition `
Alteration CanS C. C.c I n' Log I\ eK ptuikitic 1C'�' C'Ceee Se{.k-ioI1 of `]‘.„re
6. New Porch J c�
7. t i r uJ 1
Is existing building to be demolished? � b r \ e l$1 01' k' ':oc4- c\ l
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 -') boo
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
:75140 -.7 . /4A/Lt /' '1 ' -
Si nature o res onszblk a ,icon!
8 f ➢ ➢P
Remarks
n
10. Do any signs exist on the property? YES NO f'`{
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 column 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)
pf Spaces
" Loading Docks
Fill:
•= (volume -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 0-e-.) -96 APPLICANT's SIGNATUREIQA )) .._ } ti. .
NOTE: Issuanoe of a zoning permit does not relieve en applioent's burden to ooiply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation t
Commission, Department of Publio Works and other applioable permit granting authorities.
.,:„ FILE #
err►
F13322
File N o f'
ZONING PERMIT APPLICATION ( §10.2)
PLEA SE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: I U M (Doi' n 10 _
Address: M La.r et. Rct• * /1 1elephone: S S5 -Og ti Ot
2. Owner of Property: L> r ` Mb( aC
Address: n 4c,ci Ck Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Job Location: al (Am A. IeGc2.[rr �
Parcel Id: Zoning Map# Parcel# District(s): C:!'j
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) �_
5. Existing Use of Structure/Property S4-or e � f11j . @�Jer } �., i �'t e a &en.Pi
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Rentcve (l k.)-34-1 1 cot,sa-*ut.I- Cie) -e.►1
k-kx-kA e netiv . LC C E c - c f'Qck r d u(i . n
Leer cry Lof'ne erect
7. Attached Plans: Sketch Plan V 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 X 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 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 if r
APPLICANT /CONTACT PERSON: 4 �P)2" t
ADDRESS/PHONE: j / T /(.26e: /
i , 747,4t. (_(% JT
PROPERTY LOCATION: /(V � ' ' - (1722.4` -4 ' 7 Z , G .=>
MAP /1Z PARCEL: ZONE 67
'11 SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FTT ,T ,FT) OUT
Fee Pahl
Bnilding Permit Filled nit
Fee Paid �� /, t'VT /�,�L ` `✓
Type of ('nnctrnetinn•
New Cnnctrnetinn �'' -!y' "" �' `
Remndeling Tnterinr l i r "i7'' /G t& n.
Addition to Fzicting , r � X �2 r' 7 1 ��� 1 'I
A reeccnry Strnetnre Cl 'cC1 Ac of 4 ' -'
Rnilding Plant Tnclnded• 2 "Cr
Owner /Oren ant Statement nr ,hence # , :1- _
-',"(%
1 "(Setc n Pl / Pint Pl ?n
Tp OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presentedlbased 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 rom Co•se ation Com :.t'sion
I 2 4
Signature of Building Inspector Date
NOTE: Issuanoe of a zoning permit does not relieve an applioent's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Public Works and other appiioable permit granting authorities.
C
; � y , ` City of Northa RE D INSPECTIONS ,, , / " •" " 1 t '�j 1. Footings and Walls
BU I LLMN G D PA TMENT 2. is t�`,IQ�Rip
No. 87 g*
O'ce of the Building Inspector
Zoning Form No.
960660 2/22/96 Fee $40 * 1305
�, 18D 4 2 e GB Section , I27 0 Yes ® No
BuILDING pERmIT P Parcel x , ,
!
is
* Plumbi g and Electrical Inspections required
THIS CERTIFIES THAT Tom Quinlan = before Building Inspections
has `permission to remove 8' wall & construct 10 wall Inspection On Site -- Foundations
situated On 104 -108 Damo Rd. - Williain Mock Inspection of Plumbing -Rough ` : , Yr .
provided that the person accepting this pe shall in every respect Inspection Qf Plurnbing Finish V:--- Ar•
conform to the terms of the application on file in this office, and to the Gas Inspection
provisionsofthe StatutesandtheOrdiiianCesrelatnntotheConstauction, / /;
Maintenance and Inspection of Buikdingg hi, the City of Northampton. in ,, of Wu7ing Rough ' •, f
Any violation crf any of theterrrn aboven �,�_0 is anirnriiediate i�cvoeation
InspectiUn of w»ing -�h - / /9k
ofth s 't. Expires 1 ` ofinsuance,ifnot S G
P t '� - B ' ' l `Inspection -- Rough fir, ' -g/.
Note: A certificate of occupancy will be issue by this office upon return 'on Inspection
of this card signed by the Plumbing, Wiring and Building Inspectors.
Buildi Inspection -- Finish ty:b', /«/ o 14�
Smoke Detectors (Fire Department)
THIS CARD MUST BE D * PLA +' CO SPICUOUS PLAt; E • N iv') " , SES
Certificate of Occupancy /' % _ �T` ;
Building Inspector
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