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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. 1" - IF Alterations
j ig NORTHAMPTON, MASS. ( 11 1 q �'� Additions
t;��" Repair
�= APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 6.1, Wa,p / 5 iCii ...% lover_ R4kte LeA5 etl Lot No.
2. Owner's name 064..I11 f'7tir ee Co,41 Address
3. Builder's name i 4 A- � Ok►‘`j0►'l Address �wa r` FWI t Vj i 1 64006 in
Mass. Construction Supervisor's License No. 0 CC9 03 Expiration Date 6 - 47 a oQo
4. Addition
, 14.4- tat t '4:t1, t,�,� ,
5. Alteration .a," ° -0r, i wrilativ.,
6. New Porch `'`,° `"`
7. Is existing building to be demolished? NO
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 th bove statements are true to the best of h
knowledge -1d belief. ii, i
Signature of responsibilicont
•
Remarks
1 0. Do any signs exist on the property? YES_____ NO
e
IF YES, describe size, type and location: l'Xif 5, h () e40--vc.otca
Are there any proposed changes to or additions of signs intended for the property? YES NO k
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 1
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 parkLig)
# of - Parking Spaces
#'
CI Loading Docks
Fill:
-( volume -& location)
13. Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my knowled.e. ,
/019Q1 ►, -
DATE: � k � e 1) 1 1 ' I APPLICANT 's SIGNATURE AA 44 .. 0 , b � �
NOTE: Iss anoe of / a zoning permit does not relieve an a ppiioanrs burden to oom R taI III
zoning requirements and obtain et II required permits from the Board of Health, C rvtation
Commission, Department of Publio Works and other applioabie permit granting a oritles.
FILE #
File No. a / /9 - 7
ZONING PERMIT APPLICATION ( §10.2)
PLEASE TYPE OR PRINT .ALL INFORMATION
1. Name of Applicant: j)cc-tic'- tiJo w So vt
Address: Wt'ta( }\-(\ �( � I Ilcl.►�.S�wo Telephone: ZG r- 7 3 b
2. Owner of Property: 1444A-F54 I v (u
Address: "N MCA A- 14 ,. f1la Telephone: c OS-57
3. Status of Applicant: Owner Contract Purchaser tj Lessee
Other (explain): l Q /�
4. Job Location: � � tte� 5 �rvv5 Rt r kn L.- -s rh A
Parcel Id: Zoning Map# 5 Parcel# 1 District(s): /ZI.
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5, Existing Use of Structure/Property e r 44.ct4icr ..E ro g-� �+�t Gkct_ SS 1'6'3'1..
6. Description of Proposed Use/Work/Project/O ccupation: (Use additional sheets if necessary): J •
Ih sL+) �lrt - A Cc111:- (.4› i111 v 0.I► C( SS roe 1^SM 11 IrL.
Ce LK) t v�c-*u.) S
7. Attached Plans: N l! 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 k 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 # BP- 1999 -1087
APPLICANT /CONTACT PERSON David Johnson
ADDRESS/PHONE P 0 Box 390 (413) 268 -7389
PROPERTY LOCATION RIVER RD
MAP 05 PARCEL 001 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid O 3 G n /0
Typeof Construction: INSULATING & DRYWALL MAIN CLASSROOM & INSTALL REPLACEMENT
WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License 055903
3 sets of Plans / Plot Plan
THE F 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 Board of Health Well Water Potability Board of Health
Permit from Conservation Commi on
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
., _._
s� a
tot
RIVER RD BP -1999 -1087
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 05 - 001 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: Non structural interior renovations BUILDING PERMIT
Permit # BP-1 999-1087
Project # JS- 1999 -1813
Est. Cost: $5600.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: _ David Johnson 055903
Lot Size(sq ft.): 4626072.00 Owner : - J - IAMPSHIRE COUNTY
Zoning: RR Applicant: David Johnson
AP RIVER RD - CAMP HODGKINS
Applicant Address: Phone: Insurance:
P O Box 390 d (413) 268 -7389
WILLIAMSBURG. 01096 ISSUED ON :6/17/1999 0:00:00
TO PERFORM THE FOLLOWING WORK: INSULATING & DRYWALL MAIN CLASSROOM &
INSTALL REPLACEMENT WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
� Footings:
Rough: Rough: i/23/,9 .y /- House # Foundation:
Final: Final: 7 /& /f f • 1- Ai? ,t . Rough`Franie (p , _ 7 7> .L 9
Gas Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: (Fr L i lt� - tom
Final: Smoke: Final: e ft, 7 - G - 99� &r
THIS PERMIT MAY BE REVOKED BY CITY OF NORtitleAtONAMON.VIOLATION.OF
ANY OF ITS RULES AND REGUL : O ► '
T - . • • Lam/ li n -
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/17/1999 0:00:00 $40.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
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