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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
%r NORTHAMPTON, MASS 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location R Q C e,199QY) Lot No.
2. Owner's name G�[ J/ Aw/jfZ Address a d 0),tl�j J 0
3. Builder's name t 7 7�i , / Q /I n rq } 54 Address / 7 y P#3i 15 47, A LA ✓)
Mass. Construction Supervisor's License No. // / - e. # /Q � y89 Expiration Date tipji
4. Addition
5. Alteration
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 cos l3 7'9 `
..—i The undersigned certifies that the above statements are true to the best of his, her
knowledge and lief.
,L,r? Signature of responsible app icant
Remarks RIVOY /t9 inn ( li /5e) FOG-
10. Do any signs exist on the property? YES NO v
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 CM BE DENIED DUE TO
LACK OF INFORMATION.
This coin= 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)
µ pf. Parking Spaces
of Loading Docks
Fill:
':(vol- lime - -& location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
i
DATE: �l3�gfj APPLICANT's SIGNATURE i / .:,Y1,1,41
NOTE: hasufeinoe of a zoning permit does not relieve an apps -ants burden to oompiy with all
zoning requirements and obtain all required permits from t e Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
���.; FILE #
i 1 1996
File No. 96w c/
ZONING PERMIT APPLICATION ( §10 , 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 6' t: // . / . ii�r 6`
Address: 177 I3nM ,4 Telephone: 6`'a,1 17 '
2. Owner of Property: XlU 4 //
Address: /OC) 62-%0.b5nh Telephone: JR," -95/n'
3. Status of Applicant: Owner Contract Purchaser V Lessee
Other (explain):
4. Job Location: fPO di. p0
Parcel Id: Zoning Map# /92. - Parcel# 9 District(s): —'
(TO BE FILLED IN BY THE BUILDING DEPARTMEN
5. Existing Use of Structure/Property r ` 71a/Me—e7.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
/fei oge) AX) 5 1 ' 007
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 V 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 # %o
- 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 I i �, j 9L
APPLICANT /C • FACT PERSON �' Z ' r W
ADDRESS/PHONE:
PROPERTY LOCATION: 4276 ` ♦ 7 , ACC
MAP /7C; PARCEL: c - ' ZONE �(��
'PHIS SECTION FOR - OFFICIAL USE ONLY:
PERMIT APPLICATION CTTECKLIST
ENCLO,,SED REQUIRED DATE
7.ONTNG FORM FTTJ,ET? (NTT ►
Fee Paid
Building Permit Filled nit ✓
Fee Paid C tW,( Jul .gJ) V
Type of Construction•
New Conctrnrtion 4
Remodelin interior /mss -72e%7
Addition to Existing
Aececcnry Structure
Building Plgnc Tneluded• �—
Owner /Occupant Statement of ,icen r ,e2 /'
3 Sets of Plans / Plot Plan
TIFOLLOWING 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 Corn ..ession
Signature of Building Inspect., ate
NOTE: lssuanoe of a zoning permit does not relieve an applioents burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other eppiloable permit granting authoritles.
=o �.� . City of Northampton REQUIRED INSPECTIONS
i Ut � �►% Z a 1. Footings and Walls
1 = ir a BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 479 Office of the Building Inspector
Zoning Form No. 961089 Date 6/13/96 Fee $20.00 Check # 1530
Page, 18C Parcel 94 ,Zone URB Section 127 ❑ Yes ® No
BUELDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT George Thibodo before Building Inspections
has permission to strip & re - roof house. Inspection on Site — Foundations
situated on 20 Gleason Road - Judith Lovitz 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
and woodstoves Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T ' PRE ISES
Certificate of Occupancy
Building Inspector