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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No.. � Alterations
i NORTHAMPTON, MASS. 4�/' 19`t' Cc' Additions
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•
i APPLICATION FOR PERMIT TO ALTER paw
Garage
1. Location 2 -6 2 .5a- K-5 0 s '- Lot No.
2. Owner's name ST exn...e -0 0 Address
nn ��C C L( - CZ-1- .. 7 ^, '4_,9/°`3'5-
, c� /°` j i
3. Builder's name d"C'�"� �^ "�' S'� l�eo�tKJ �-o Address lq'l l � ���-t�
Mass. Construction Supervisor's License No. 4 CD 1 l 3 L Expiration Date A — 5 - 9
4. Addition
5. Alteration Sir Cc, • Ne to cIA
6. New Porch
7. Is existing building to be demolished?
S. Repair after the fire
9. Garage No. of cars Size..
10. Method of heating
11. Distance to lot lines
12. Type of roof SG" i -�- l.I
13. Siding house
14. Estimated cost
li 2 „") 2 o. CJv
The undersigned certifies that the above statements are true to the best of his, her
knowledge W ( / S at ur responsible ap ptcan`
Remarks
}0. Do any signs exist on the property? YES NO k
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 column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
L ot 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
Pill:
- (vo.Iiime- -& location)
13. Certification: I hereby* certify that the information contained herein
r is true and accurate to the best of my kn wled .
DATE: : —
" �PPLICANT's SIGNATURE
V NOTE: Issuance of a zoning permit does not relieve an appl" f •ant's burden to with all
zoning requirements and obtain all required permits from e Board of Health, Conservatio
Commission, Department of Public Works and other applicable permit granting authorities.
`:'',, FILE #
r 9-7/(4:,,L-,,...'
File No.
ZONING PERMIT APPLICATION (5'10.2 )
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: - (Z
Address: 2I Tzb4c /fL.Q (2L Telepane: 3
2. Owner of Property: � 1 't, 1-- O
Address: -2 0 2 - 1 L.1G5 o +^ 5 r Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Job Location: r,2ec2z pe %gin .d .
Parcel Id: Zoning Map# i ge Parcel# /e District(s): , 4
(TO BE FILLED IN BY THE BUILDING DEPARTMEN'
5. Existing Use of Structure/Property e 'e - :1 6eG �c r -
6. Description of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): •
5 7; , p g vo ty rte' 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 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 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)
s
• FILE # .. "
v ti
CV-
4 !
ArP,I,ICANT /CONTACT PERSON: 4
ADDRESS/PHONE: �f � / _N 74 ' 1 ..7
PROPERTY LOCATION: i ' 1 ,4 7
MAP PARCE = ZONE � /l , 7
'1'11IS SECTION FOR.OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
711NTNa FORM 'FIT ,TET) OUT i
Fee Paid
Building Permit Filled nit
�/! C ' 11J� �
Fee Paid U
Type of C'nnstrurtinn•
New Cnnstrnrtinn
Remndeling Tnterinr'
Addition to Fisting ��'���.
A rressnry Strnrtnre
Building Plans Tnrinded•
Owner /frrnpant Statement n ,irense # /
3 Sets of Plans / Pint Plan
TE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
A pproved 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
Signature of Building Insp� or Date
NOTE: Issuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works end other applioable permit granting authorities.
s ; . City f Nh QIRED oortampto R E U 1. Footings and Walls
1 "' BUILDING DEPART}VIIF1NT p
2. Structural Components in Place*
3. Complete Building*
No. 458 Office of the Building Inspector
Zoning Form No. 961062 Date 6/6/96 Fee $20.00 Check #Money Order
Page, 18 C Parcel 109 , Zone URB Section 127 ❑ Yes a No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Walter Kopec before Building Inspections
has permission to Strip & re - roof house Inspection on Site — Foundations
situated on 202 Jackson St . - Stanley Tenero 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 TrE SES
Certificate of Occupancy
u ilding Inspector