23B-046 (140) �rl� C7 X �
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No_ �j� -.� Alterations
4
NORTHAMPTON, MASS. _,_,2,'5_ 19. Additions
' APPLICATION FOR PERMIT TO ALTER Repair
1 Garage
1. Location / � . ✓�� Lo[No.--
2. Owner's name L Address /w ex5,;— �/r
3. Builder's name Address-�CSL2T.� Address /��G�, r/�4.r!SCytJ� ��L`i41`
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration JZS TALL 11RZz, TED 46 L-#L' . `lF�.s'�1.�E'�T� 1,611/l /e-5 �✓.��9T�iy
6. New Porch
?. 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 cosL-
6M, � The undersigned gertifies that t e statements are true to the best of his, her
kno e Ze Ai -ge
S ignature of responsible app,ican!
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 comma to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parki.?2gi
# of -Parking spaces
f rof Loading Docks
Fill:
4 volume--& location)
13 . Certification: I hereby certify that the info. ation o ained herein
is true and accurate to the best of m now
DATE:9---25-� APPLICANT's SIGNATURE ,
NOTE: lssuanoe of a zoning permit does not relieve an lioant's burden to oom wIt
PP PIY It"''all
zoning requirements and obtain all required permits fr6m the Board of Health, Conservation
Commission, Department of Publio Works and other applloable permit granting authorities.
FILE #
i
AUG 2 7199$
I ..�._ File
DEPT OF BUS''
NORTHAYI TOE! APB 0&- ,,
NING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ,
lYZ Z,±�C�2)6 // t�/ elephone:Address: _ d 7
2. Owner of Property:
Address: ( 4 17— cam77 Telephone:
3. Status of Applic t: Owner Contract Purchaser Lessee
Other(explain): G3/(1 „� ' Tig7l/��
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property '
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
JJ
7. Attached Plans: Sketch Plan Site Plan 1z 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 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-1999-0243
APPLICANT/CONTACT PERSON Kurt Peterson
ADDRESS/PHONE 30 Locust St 582-2313
PROPERTY LOCATION 30 Locust St
MAP 23B PARCEL 046 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT ✓
Fee Paid
Building,Permit Filled gut
Fee Paid
Type of Construction: `
New Construction
Non Structural interior renovations
Addition to Existin
Accessory Structure
Buildina Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Jo 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
`^ <, it§&Vation Commission
Signature n al 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.
Department: Reference No: BP-1999-0243
Building,Electrical & Mechanical Permits
........................................................................................
Fee Type: Receipt No:
Non structural interior renovations
12EC-1999-000532
Paid By: Pa.id..i.n..Full..On:
..........
....Kurt
...Ku A..Peterson............................................................. Thu Aug 27,1998
..... .. ..............
.. . ...... .•..•.
Received By: Check.No:...................
....Linda Lapointe 466917
.......... ..................
......................................
DEPARTMENT'S COPY Amount.- $140.00
...........................
I)EPARTMENT FILE COPY 30 Locust St
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0243 $140.00
GIS #: Map Block: Lot: Address: Zoning: Use Group: Lot Size:
9098 23B 046 001 30 Locust St M 667077.84
Contractor: License Type: Insurance:
Kurt Peterson CSL
Address: License No.: Insurance No.:
30 Locust Street 065822
City: State: Zip Code: Phone:
NORTHAMPTON MA 01060 (413) 582-2313
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0391 Non structural interior renovati $35,000.00
Description of Work:
INSTALL FIRE RATED WALL SEPARATION IN LAB
GeoTIVIS@ 1997 Des Lauriers&Associates,Inc. Signature: