18C-105 (3) a
-z 't7
25 'v
m t:
T A
C -p O• -v
;il = :T,
a
o Zm
=; N
Z m
-
'r!1 CT 70
Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
r NORTHAMPTON, MASS. � �I `� 19 9S------ Additions
t APPLICATION FOR PERMIT TO ALTER Repair
T
Garage
1. Location ,c (,..ler4Se.r✓ jec/ Lot No.
2. Owner's name 4491i/ills t7/4u s ce - -f? Address 5/4
3. Builder's name (14/Pd J (ley 3��J" Address
Mass. Construction Supervisor's License No. i'lI C Ai )) to 669 Expiration Date //XV 9
4. Addition 1 /l
5. Alteration UI K.► /i / / Si / tiv; OA) t 1 Ayet46-
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 0 A' Y I Sic h4, C' ill V-Ar►4G
14. Estimated cost: -
-j3 as
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
aZ ote-1.4 , 7 :.',2' Sign a 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 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 knowledge.
DATE: 7' /7- APPLICANT's SIGNATURE(' .G f 2
NOTE: issuanoe of a zoning permit does not relieve an applioant's burden oomply 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.
FILE #
File No. nn-2F-3
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: C._ /7 y C )Q
Address: e& la,-(/ Telephone: 6' 5 - 77
2. Owner of Property: 1iv"t i u _S f / e/z
Address: 3 (� v2v4sc,u c-/ Telephone: 5 g U s
3. Status of Applicant: Owner 1/ Contract Purchaser Lessee
Other (explain):
�
4. Street Address: 5 (� ScGti /
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property G a tor9 Gc
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
U (( . -/
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 PermitA/ariance/Finding ever be n 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 `1/ 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, . J91 7 (5
APPLICANT /CONTACT PERSON: 4cAt ( 2 d
ADDRESS/PHONE: / 214 4 -
PROPERTY LOCATION: 5/ 4 Pee .
MAP ig PARCEL: 1 C J ZONE to ,5
THIS SECTION FOR - OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONiNC� F[lRM FIT .11 XII OUT ✓
Fee Paid
Building Permit Filled nut ✓�
Fee Paid C �4� 1 `a2 Gam/
Type of C'nnctructinn•
New Cnnctructinn
Remndeling Interior
Additinn to Vxicting r�
A ececcnry Structure .�L'�ZLJ ��O -Ge/. X` .577 "�C`fe' -tetr
Building Pia Tic Included•
?
Owner /nrcurant Statement nr License # Z<- %�� ' 4 1
3 Setc of Planc / Pint Plan
r
TIF OLLOWING 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 f s Conservation Commission •
<Z �r / �
Signature S I g pector l ate
NOTE: Issuanoe of a z 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 Publio Works and other appiioabie permit granting authorities.
� g 1 AH
t�;e City of Northampton REQUIRED INSPECTIONS
$tii b?_ 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 595 Office of the Building Inspector
Zoning Form No. 960013 Date 7/17/95 Fee $20 Check # 1061
Page, 18 C Parcel 105 , Zone URB Section 127 ❑ Yes 0 No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Edward Corbett Jr. before Building Inspections
has permission to do vinyl siding on garage Inspection on Site — Foundations
situated on 51 Gleason Road - Kamilius Hausser 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 CONSPJC1J S U, PLA ✓• ► THE PREMISES
Certificate of Occupancy .�
C
Buildin:, ns.e • AIM ►III