Loading...
18D-004 (3) a z 'C 1 v z a -' o y- ° z n c s .. �Y T R -, z _ :n O n t'r7 C m Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations %r NORTHAMPTON, MASS. 1 9 Additions k APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location /Cc ,O A/PG A".1 i - A ) it:/ / /Y h Lot No. 2. Owner's name /) / /'/ 7 / L i Lr ' f`)u`_/{ Address /`C") (:; J)/ rrc,Y�, A21/-1.. rr/im / 3. Builder's name 'CM Address Mass. Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration fv //4 6. New Porch z':%ri 7. Is existing building to be demolished? /-i/i' 8. Repair after the fire mfg 9. Garage /L1,9 No. of cars Size 10. Method of heating ft.. /1 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost - _.5 . — The undersigned certifies that the above statements are true to the best of his, her know edge and belief. / Signature of responsible appicant Remarks % 4 kilt > /'/ y le ke E" K1 /Y'o(L., 6 - (< U /1 'x,/ , L_ // 7 14121111 iJ1 Y 51997 r •IZE 51 M 12 DIAMETER S I E N A / 4 12' Dia(tneter I 1 ''.!4.'4•:' 1...''; r L-111 . 14' Dian ete" o, , rafted from clear es � ®�/� , U t v 1110I , pj tern Cedar, Siena offers _., �d1► � „'.- -» 1,,,„ x.- -;' t, -mo r' deluxe features usually , /w�1�► �► . r 11i 1)111 ' -�.' found in much more .., ' • r" expensive gazebos: a „� �,� lovely, two- tiered roof, ,,,, ;;•'` louvered cupola, copper l'1.�t�;�1� M1 \ a ` spindles, brackets, rafters i, I � ' colored ridges, sculptured ` j �b � ' `^ \. , r a �;1' r ( ;, 1 l i �'', I .." .J 1 ......,,+... and more, Siena's roof ����t, �� I 1 'dl "t *' ` and wall panels are sub - �3 � �� y,, s ��;, ti „, i a ,,, � .�� ' w i assembled and pre - drilled a s ► ��> w t . h # s � * ' 1 , „' For easy assembly. ti t • , � U �" 2 S,',1,..4.% �H [ ";'r �. il'a -: r t a3 .�}. Sr► ic, �, � F . . •1' r--. � � ',..1`<", , , I • , y k r .. ,. ...� • I N , h R e G, ' e r , 1. � ; ff,- - � >`..N� VA.`�" k i w• 'a ''. ,., t '41 � \IIi , 11 t rTn 7.3 . , t,ti >; � Gazek;osi t d Handy Home Products are easy � �^ X .SI :e . ,� .,t y '.. to ei Knbl W" ,,•.• oaf and floor panels are . e.n a .n .MS. ,y ,,,,;y , ► e , t r 1\ ' e � � <F .�- �.»» ,,,,,,,, `'� i' ,, �, , , su assembled ire +drilled panels are • ' ----%.1...r4,0"...4,4.4. .a.,r w„r uur a . ^•.ate , � -, w „ „„. _ . .. ,,,,, :. .+► , ••• 4, ,•0 . 4 a "si I °manufactured to screw together easily ..G .a. .r... w^ ..;..,..,. c.tc a,. .:3ii...r 'iwr6 " ` 3 .'° ' 11Mi'sO ..\ 1 < . ; BEAUTIFUL, . FUNCTIONAL , ACCESSORIES , y SCREEN o rn e. ' . ,,. DOORS — PANELS AND t- . . A `I ,- , - � 1' - ,,, i f , , �ff r •' Attractive, cedar- framed c i 1 1 : `.� 1 t a n r.. 1 v ( screens and pm -hung doer ,t; .f �, � eT '� r F R I , v , - . � ,i r „ �,y } ,< 1 � � ., I' , (hardware is included) ; �' "� • ':. 1 r a i' . ' ,: r. i i , ' "*•••:"'"`"'•••••• , i come with bronze aolorod b + a 9 w C' ► j i I + t ' • ' '',•.,,••, „i fiber glass screening. Panels ` . ,,, ; t ,' t P. .• ••• et come pre-drilled so they . a w r ' yA \ ' � � r screw to gazebo framing 7 -` a, 'j .1” a rf a t3 . • • kar +nt1 r' easily (No screen door is a Z , r r ;,1-_!..,v,), t `+ . t t, 4•. \ sr.,: * A ;i ,."" -Y } included with Oceans . .' al d l { e � , , , 17• h d yo' c . y t ., .i^r ' .. Q. a , }} y and Sundowner kds.) �h `,3'.4 • � 1}I'i afiV ♦vl�' , V >5 - -/1 � ;r ,'x q S U N D O W N E Rr This good - looking enclosed gazebo, made 8' X 8' J from clear Western Cedar, features a t „ t ` 8' X 11' bronze colored acrylic skylight, bypass f ` r , A , , ✓'' . „ 1 1 x 1 1 tinted acrylic windows and a cedar framed 1 �� r 1 t ,i door with acrylic panels. It is ideal for use r .•°”' � ,4 " 1 +'I'' �s as a spa enclosure. . ^,, r'.?;3.' - . " ° ' CUPOLA— FLOOR- ,,,,09 "' � "' ?f : -- Made of decoratively Pre -cut frgme pre ,,r y " carved,crdar, the cupola drilled ,factory °sub-. ', ..' , O is pre - assembled and assembled cedar deck.? O ' N T E R "E Y y , 8 / pre - drilled to easily con be assembled in less - x 8' f "a Sr1U attach to top of gazebo. than half an hour. (Not X 1 1'`` ` v . r, .. available for Monterey 11 +� �. or Sundowner models). 11ts rectangular shape _ ._ --, 1' ;r,,, — --a''' WEATHERVANES— ibrpnze- colored sky - � . -I ' +lt . r, > ' Crafted from cast alum- • > ,, mum with a durable, black 5. it> th „, o terey is a t . ' . e ,.a ` 1`'V <1-vz ti 1 .4 , A. II powder- toot•d finish, f ■ tdsome addit ny we are available ra 'd. Because Monterey's b'�r in a choice of lour designs: . horse, horse <m4,1 ro .f and wall panels -are` � -�. Y sailboat or rooster.. � �A� gory sub - assembled and - �;� �K, * �' y .. z . . m - drilled, construction is -+. i., ; .,141 „ 1 . : e ..1-- ' � y 4 i 4, ,, p ck. Monterey is made tflvN.�v.. y t ' 'i ¢ e r'' p, p ., yy t ' :fear Western Cedar. , '(03 ' 't ,+'- r1. 01c„rr.* ' ' > 1 x� ti rye tel • ,z ° T ° 4 % ; 5 I99 (t� x of t ttnt tart =* Wii =` , ,....i V t. , %, 1$ lisaichttsctla = • 6 C.� : t S 15 TFETAK OF BUILDING INSPECTIONS _ _` � -_ 2 12 Main Street ' Municipal Building e., = Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (Iicensee/permittee) with a principal place of business/residence at: 7 ' ,E079 me .° c i 4 tr "f1 (phone #) - -- `f yi 7 (street/city /state/zip) do hereby certify, under the pains and penalties of perjury, that: ( ) 1 am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) ( ) 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Comp-any/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (attach additional shoot if necessary to include information pertaining to 011 contractors) (/I am a sole proprietor and have no one working for me. ( ) 1 am a home owner performing all the work myself. NOTE: please be aware that Atilt) homeowners who employ persons to do n ,.;„t..,ao. c , construction or repair work on a dwelling of not more than throe units in which the homeowner residee or on the grounds appurtenant thereto are not generally ooasideted to be employers under the worker's oornpazutiatt Act (GL152,ss L (5)), application by a homeowner fora license or permit may eviler oe the legal status of an employer under the Workers Compensation Ad. I understand that a copy of this rottenest may be forwarded to the Department of Industrial Aecid& Office of Iastuarioe for the coverage verification and that failure to secure coverage under section 25A of MC1L 152 can Lead to the imposition of criminal penalties consisting of a fine of up to 51,500.00 and/or imprisonment of up to one year and civil penalties in the form ofa Stop Work Order and a fine of 3100.00 a day against tot. Signed this - - a. day of _7/ ' ` 7 -c . , 199 For a use only j Permit Number 6 / , ' , / Map# Lot # Signature of Licensee/Perm ittee 10. Do any signs exist on the property? YES NO IF YES, describe size, type and location: ILL ()in Ci i U 'K // / i f) /'X - re 1.DI_Life 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: (Lotarea minus bldg &paved parking) # pf Parking Spaces it of Loading Docks Fill: ( vo1ume - -& location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: :.�',5 `j 7 APPLICANT 's SIGNATURE NOTE: Issuanoe of a zoning permit does not relieve an applio nt's burden to oomply With ,,alt zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE # • rid � 1► ;trj I MAY 51997 File No. / ,2 / ' i ZONING PERMIT APPLICATION (510.2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: ttE I / /i/y/yt v Address: %r.%� / "in-, o K> �c c� k ✓f-/ i j 1 � Telephone: J t V V 2. Owner of Property: le) /1 // , ' i 'y FticL_y. /T)a.J< Address: . /7J1 , j /7 Ewe= Telephone: .„.5/? t 3. Status of Applicant: V Owner Contract Purchaser Lessee Other (explain): r� 4. Job Location : / c /2/5 " ,J c_/ /7/1 Parcel Id: Zoning Map# / Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property �.r!91/j 4t -tE-1 • 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): 4'-eei't C Wei t ee. 41 - _ / ?L / /5/9 . 7 HA 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 PermitNariance/Finding ever been issued for /on the site? NO DON'T KNOW YES v/ 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) 962194 It b FILE # ` ` MAX 51991 _ APPLICANT /CONTACT PERSON: l %nt %%r / -- �' 1 1 4 ADDRESS/PHONE: /G l) nnr (4 PROPERTY LOCATION: ) t a� "' kei — MAP 1 PARCEL: 4 - ZONE THIS SECTION FOR OF'P'ICIA.L USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7,ONTNG FORM FIT J.FOUT T) OUT "� Fee Paid • r • ' • ru • • 5 r i.../- • • Fee Pahl ZI� ' \5 t.� Type of rnnetrnrtinn• New ('nnctrnrtinn �.. , -fn -- g . %lt— Remnrleling Tnterinr f7'S // / >c it Arlrlitinn to Fxicting Arreecnry Striicture � 48i— -J1q 7 - ///'•7 !bill/ling Plane Tnrinrlerl• Owner /lrenpant Statement nr T,irenee ii 3 Sete of Plane / Pint Plan � 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 Septic Approval -Bd of Health Well Water Potability -Bd Health ! Permit from Conservation Commission J4 6 - . 7 , Signature of Buil g InspectESr ' Date NOTE: Issuanoe of a zoning permit does not relieve an applloant's burden to oompty with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public, Works and other applioable permit granting authorities. ►w+ .#3 ' City of Northampton REQUIRED INSPECTIONS AA ^`��) fit ; 4 , BUILDING DEPARTMENT 2 . Structural and Walls • � �'"'`` 2 Strtural Components in Place* 3. Complete Building* No. 362 Office of the Building Inspector Zoning Form No. 962194 Date 5/6/97 Fee $20.00 Check # 1516 Page, 18 D Parcel 4 , Zone GB Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT William Mock before Building Inspections has permission to erect temporary screen house 5/97 - 11/97 Inspection on Site — Foundations situated on 100 Damon Road 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 ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Buildin Ins P ector vo M It; r_ - v -o 0 z a 3 c z ., n g ::- F R " = 7d R o ' Z z —• — o CI Zoning Miscellaneous Additions. Repairs, Alterations, etc. Tel. No. Alterations : NORTHAMPTON, MASS. 19 Additions k ` %4' ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location h) C` 24/ /ed Lot No. 2. Owner's name 60 /71 ' Z f / i i r / ?d ' & Address l�( /i/ilcv 'C c 3. Builder's name "7/ Address Mass. Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration , �T - 0 I' r t-%?� oLvip y O/7j J 7C- /.) X 26 i9f / C Tc C1C_ /' ' 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 - The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. FQ414. / 1 � f Signature of responsible appucant Remarks 10. Do any signs exist on the property? YES v NO IF YES, describe size, type and location: Are there any proposed changes to or additions of signs intended for the property? YES NO f/ 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 &paged parking) # pf - Parking Spaces if of Loading Docks Fill: J( volume -& location) 13. Certification: I hereby certify that the information contained herein G is true and accurate to the best of my kn ledge. DATE: 9-9' 7 APPLICANT'S SIGNATURE �� ( i , ` � NOTE: Issuanoe of a zoning permit does not relieve appl#oanes burden to oomply with ell zoning requirements and obtain ail required perms from the Board of Health, Conservation Commission, Department of Publio Works and other applioable ermit p granting authorities. FILE # APR €- File No. ;VOA ZONING PERMIT APPLICATION ( §10.2) PLEASE TYPE OR PRINT ALL INFORMATION r 1. Name of Applicant: ; '9 / ,' OC C1 Address: /00 U /FYI c7L K' pt am- Telephone: ‘ 71/3- ' 51-1--- ' 2. Owner of Property: (,,, /U1 r e n. P Address: a 1Jr'1(11 krcl - 1.Yi%! l /.? vu /211=2;4'l. Telephone: /3 - S f 4.: `f 8 (, 3. Status of Applicant: ✓ Owner Contract Purchaser Lessee Other (explain): p / 4. Job Location: f0� 60-7� /V6r� aln�;C1�9 � , r �1 fi_a Parcel Id: Zoning Map# /6P Parcel# 4 7 / District(s): 6 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property / 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): • Z` C i /D X CI / /Y ll e c 7 Z:Acl__y TEX.,7 AC T/'e -s U 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Budding 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 1 'p a APR APPLICANT /CONTACT PERSON: � , �,1 %,`» AL, \.5 ADDRESS/PHONE: PROPERTY LOCATION: /©D -,(J ! - MAP / 117 PARCEL: ZONE THIS SECTION FOR.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE TONING FORM FIT ,T,FT) OTTT FPP Paid Rnilrling Permit Fil P(� nt L� FeP Paid c /ail- 93 � ' ✓- T of Cnn ctrnrtinn• ‘92‘ . New Cnnctri1etinn - -)AL , .. Remnrieling Tnterinr JO ' ) C-. C7 ?24 -- ) Arlrlitinn to Fxicting A rreccnry Structure 'Building Planc TnrlIirierl• Owner /Occupant Statement nr Licence # 3 Setc of Planc / Pint Plan THFjFOLLOWING 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: § wIZONING 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 Conservation VImmission _� 4,.^ Signature of Buil• g Date NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioebie permit granting authoritles. 1: 31VW dgeiro° City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls }`' � � ' BALDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 24R Zoning Form No. 962076 Date 4/9/97 Fee $20.00 Check # 1493 Page, 18D Parcel 4 , Zone GI Section 127 ❑ Yes 0 No BUIL,DING PERIVIIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Mock' s Chip & Ale before Building Inspections has permission to erect a 10' X 20' temporary tent for patrons Inspection on Site — Foundations situated on 4/97 - 10/97 - 100 Damon Rd 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 ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON TVjg PREMISES Certificate of Occupancy a ' C 2 m - 77. C C cn ° R b S f r_ 1 0 - 7 Eel > = 3 cCA o --3 m - t Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations %r. NORTHAMPTON, MASS. 19 Additions (""' A PPLICATION FOR PERMIT TO ALTER Repair � Garage 1. Location Xi1 L' /9f»f, /,? £ d Lot No. 2. Owner's name Lt_Vi. 1 e Lj Th,(L/ Address ..' )e ig /IVA'.; >/ 3. Builder's name )._ Address Mass. Construction Supervisor's License No. Expiration Date 4. Addition -5. Alteration 1 ?7 0 F' ; /_ ✓'P'D / ='G_', i,- C/ — —' 7 it ,, /t /A : c ' 12 -i , / 70 Ce 7 , .(irk 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 - The undersigned certifies that the above statements are true to the best of his, her know / dge and belief. may / y�,� / /, ,/�/ Signature of responsible appicant Remarks s. 10. Do any signs exist on the property? YES I� 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 oolama to be filled is 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) # : �f . "Parking Spaces #` 'of Loading Docks Fill: vol- tune - -& location) 13. Certification: I hereby certify that the information contained herein 4 is true and accurate to the best of my kno ledge. DATE: '7 " . / „ APPLICANT 's SIGNATURE!'r r ; " NOTE: Issuance of a zoning permit does not relieve an applicant's bilriden 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± FILE # APR I 0 1996 File No . ZONING .PERMIT APPLICATION 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: T/-Y' ,, v j: Address: / (a iJt �� ��'' �f Telephone: S / S 2. Owner of Property: 60 P' ZT,. := �_y - fli x . Address: SN//tE /rte =, Telephone: '/`1 7 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain): 4. Job Location: %COQ C)t2i lcit.-) , Parcel Id: Zoning Map# / Parcel# // District(s): C'.1 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property ,_J c t C y=, 6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): • /C X o �, u p (- 64- 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 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 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# `)33� P1PIW' NTACT PERSON: (r ' f //2 ADDRESS/PHONE: EGG1 , r4- PROPERTY LOCATION: ).(1 r �� ., :r? 4 • MAP J ,f/) PARCEL: ZONE 4 T 'I111S SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE TONING FORM FTT.T.FT) OTTT FPe Paid Building Permit Filled nut Fee Paid 201 Type of Cnnstrurtinn• New C'nnctrnrtinn /D ) G Remodeling Tnterinr )-4 Addition to FYicting - 3C- ez/I„crrz %/ Arreccnry Strnrtnre 2 Y! 5 J Rnildin g Pinny Included- C�tCf Owner /Orrnpant Statement nr T.irence SPtS of Plans / Pint Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: : b'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 Conservation C.. %mission -,� s 0 S ign ature of Building .ector II ate NOTE: issuanoe of a zoning permit does not relieve an epplioant's burden to oomply with all _ zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other epplioable permit granting authorities. — t,H .,o��O�o City of Northampton REQUIRED INSPECTIONS .mss` +� ti $ =:�' r 1 5 l� 1 e 1. Footings and Walls ; WO 1 n e . � BUILDING DEPARTMIIENT 2. Structural Components in Place* 3. Complete Building* No. 235 Office of the Building Inspector Zoning Form No. 960835 Date4 /10/96 Fec$20.00 Check # 320 Page, 18D Parcel 4 , Zone GI Section 127 ❑ Yes ® No BUILDING PERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Evelyn Mock before Building Inspections has permission to erect 10' X 20' temporary tent from 4/96 - 10/9 6 Inspection on Site — Foundations situated on 100 Damon Road - Soft Serve Area Inspection of Plumbing —Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing— Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, , Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring —Rough Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring— Finish of this permit. Expires six months from date of issuance, if not started. Building Inspection —Rough Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing, Wiring and Building Inspectors. Building Inspection— Finish ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PICJJOUS PLACE ON T • i' PREMISES .--.- Certificate of Occupancy , . B ilding Inspector