29-308 (4) e
r�P „ ,I�ixssaclfnarffa
b � _
DEPARTMENT OP BUILDING INSPEC!'IONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN,
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A.HOKOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
a
z 'C
T A
z
a
Zm
TI � Z
r ; Z
r � O
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 3 Z6 7�G 5 Alterations
NORTHAMPTON, MASS. / o'A I9�JJ Additions LAC
APPLICATION FOR PERMIT TO ALTER Repair
1 r
Garage
1. Location 3 Lot No. .3
2. Owner's name ,()C u A t.Q S%C�F Fi9.J Address J 7 t( aG/2i� Q,2 0,011Z o2 ,
3. Builder's name 1 4 u i s7 AJ. f-d2 i r X a Address R Z L/4 4 Q P C S;_. 7-1,(4,0) i"i d�
Mass.Construction Supervisor's License No. 0 F D2(o Expiration Date A//
� t
4. Addition u"
5. Alteration 9UU0 fZW-lsi/.ti(a S14:0vij 9N gsvyt
6. New Porch
7. Is existing building to be demolished? N
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines Et,, 3 t C(rte 3 2 r L I r 31
12. Type of roof P 14 A L t - Fig is t a t-a S<
13. Siding house/ (N Y L
14. Estimated cost- Ll� �j v p G)
The undersigned certifies that the above statements are true to the best of his, her
knowle dge and I lief.��
Signature of responsible app icant
Remarks
00 . 3 t
ov
it
'� s ° ° '
� r-c
A
6�
e� �
6
It
L31'2" otc�h it 7'11
rasT1^J Co
1V1 V 11( 1 ljAkyh 1LV1' IN
TI IIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY
42 Olt
+l
d
-183- C>- TU EASE'M
ID NET t T CO (14 (f
BOOK 5(.Z AGE 373
jko
,
(74 � J 1 �
!DE CA 4
C`
100.39
Q
1'011tI: FLOI'ZENCE EAVIN6-S BANK AND 111E `rlCQ1Z TITLE INS. CO.—ONLY
1'o the best of my knowledge,information and belief,I hereby report that t have examined die premises a nd that this inspection plat shows the
Improvement or improvements as located on the premisesdesctibed,dial time improvement or improvements are entirely within lot lines,drat
there are no encroachments upon die premises described by die Improvement or improvements or any ad)oining premises,and matthereare
no easements of recordaffectingdmetnct shownhereon,exceptasshown. N Of
1 further report that the premises shown on this plan is not located within a Flood Hazard Area as shown on DA�U
Department of I1.11.13.FedemlInsvranceAdministrationMaps, T'
NUNTLEY
1( 061 A Y3540I
Comnmunity Ntmmber 250 ;7 6 OjtT3SR�,,,p�
Identification Date APRIL 3- 1978 lga�SUIN`'
P.I.S.
IIUNTLEY MARIJ G_ PJ�
OWNER
AMER IIUNTLEY, JR. & ASSOCIATES, INC. 374- ACKEBROOK .DRIVE
Surveyors•Engineers•LandscapeArchltects LOCATION NbRT1-IAMPTON, MA
30 Industrial Drive East
N011111nipton,MA01061 95-84- U�-23 5 �tt=30'
t,oice(413)584-7444 fax(413)586-9159 JOB NO. DATE SCALE
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 col— to be filled in
by the Bailding Department
Required
Existing Proposed By Zoning
Lot size
Frontage gt,
Setbacks - frnnt 1W 3(at y
- side L: 3Z R: TF�� L: 11 r R: I S
- rear �-
Building height
S
Bldg Square footage 9 b o 2 Is-D G
%Open Space:
(Lot area minus bldg
&paved parking) 3
# 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 knowledg .
DATE: &'j 01 APPLICANT's SIGNATURE
NOTE: laauai4oe bf a zoning permit does not relieve an applionnts 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 applioable permit granting authorities.
FILE #
LU 'Si'V J 1
Fi 1 e No.
DEPT OF BUILDING INSPE- iDNS
ZONING PERMIT APPLICATION (§10 . NORTNAi1t rO N YA 01060
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:.. ' f
('D /v . �—O r2%I F,
Address: 3 Z(�U/- i?^ t, �S j Telephone: 15 y(9
2. Owner of Property: 00 N 19 L O / l2 r 1' /- ►/
Address: 3 r7�( JQ, Telephone: J Ll( �)j 5
3. Status of Applicant: Owners Contract Purchaser Lessee
X Other(explain): `.c a,9 C 1`o
4. Street Address:
Parcel Id: Zoning Map# dq Parcel# JO District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 4M91511�- S i/L/ (C f 4r?/LV MCQSoj
6. Desc ption of Proposed Use/Work/Project/Occupaticn: (Use additional sheets if necessary):
/c7 .2Q Oi J/ate 661` O. FT // 19 ti O
S ioiz UtG l�ot���1� , "I2t� lS%�W
11[/t/Ii+; SiDiNi�, C �C K f'2� y i �f2 ,��0 SL(�I'_� /� r'-1 TcflFi�'�./
7. Attached Plans: ketch PI 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)
FILE # "
APPLICANT/CONTACT PERSON-
ADDRESS/PHONE:
e
PROPERTY LOCATION: "3 �` - ?2- � -"� i 'IL _ � Cl ► %
MAP 42 PARCEL: ZONE
THIS SECTION FOR..OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DA
7,nNTNC-FORM FULED OUT
Epe Paid 9 e7_4111/ V
Type of Construction-
)Ce
T "FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
7Approved 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
P mit from C rvation Commission
ignature 6T B Inspector at
NOTE:Issuance of a zoning permit does not relieve an ppli ants burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
rg
", x""x 5
a€„ 3
ria�i
x =,x � ::f r �, �f•� s � �� e � � ,+r� rat+g,'. 'ri *'�� ct,�Y,� �+� 'A'zr""5� x. 7 �� � *ta
t ',r � _. -,� `�,, ,y Y'7; � � €. s•<+d� aui�i��� z'�'"x_� � v.. �``� "��"+w- 'a,.
rve
xi V
x
r
y {u
x
4,
q :
Sry •�a c7` i' _
x
8 ,
e
s ?'
,
q �„" ��,`��".s c rte`^ ' "��,' �f "s �'sa,�`�� r•'��'Y .� ''.� fi `+xy a
a ,
:f i
OWN
' a \~• 1 ����� i
F.• �� � � /gyp ,
""► ° co s:
Z c
x �
y
10.4 O m ,� r.�•
—— En "
ft
OD
Ln
LIJ - - .
:¢
. y