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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
'
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location c�eO Lot No.
2. Owner's name �J&JPN tt-"T- Address c- t__-el
3. Builder's name 1M CV n S?'7tc_!C.n O Nj Address -A� ku
Mass.Construction Supervisor's License No. C>6W t;o Expiration Date
4. Addition
5. Alteration
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 Ai LLij n; e
14. Estimated cost- �
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of sponsible app icant
Remarks
f
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 column 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 parking)
# of -Parking Spaces
# 'of 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 knowledge.
DATE: - `��
'7" � APPLICANT's SIGNATURE
NOTE: Issuance of as zoning permit does not relieve an appl ant's bur*n to comply W!")-oII
zoning requirements and obtain all required permits from the Board of Health. Conservotion
Commisslon. Department of Publio Works and other applioable permit granting authorities.
FILE #
410 File No./ a 1
a
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L�2.2� �19`�?-I`t� Vic. nnt' C�dr�S/ cl cr?r'
Address: Telephone: t ft 3 3 z 3 2-
2. Owner of Property:
Address: TO L0r-4 diems J2 Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: `Ltd L_iz� ✓���-- C��L
Parcel Id: Zoning Map#_3_�_) Parcel#�.3 District(s).:���"���
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 Permit/Vadance/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 PER.SO Id,4 �Zi' a �7oZ
ADDRESS/PHONE:
PROPERTY LOCATION: (
MAP_S& PARCEL: /,5- 7 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION_CHECKLIST
ENCLOSED REQUIRED DATE
Fee PAid
]Rii Wing Permit Filled niit
Fee Pgid
Addition M Vyisting d,
0�npr/Orrnwqnt Statement or gng,;Y
TTHF FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
//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 from Conservation mmission
Signature of Building ctor Date
NOTE:lasuanoa of a zoning permit does not relieve an applicant'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 applicable permit granting authorities.
T Reference No: BP-1998-0007
Department: ...................................
Building, Electrical & Mechanical Permits
.......................................................................
Fee Type: Receipt No:
Roofing REC-1998-000010
......................... ..............................................
Paid By: Paid in Full On:
Martin Construction Wed May 20,1998
.... ....................................-•---•----......................................
Received By: Check No:
Linda Lapointe 2139
•--•.........................................•---.....---................•-••----........
......................................
DEPARTMENT'S COPY Amount: $20.00
...........................
DEPARTMENT FILE COPY 20 LONGVIEW DR
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: Iq 1 Inspector: Tracking No.: Fee:
20 May, 1998 BP-1998-0007 Stanley Szewczyk 963537 $20.00
GIS #: Map Block: Lot: Address: Zonin : Use Group: Lot Size:
7217 36 137 001 20 LONGVIEW DR URA 24698.52
Contractor: License Type: Insurance:
Martin Construction
Address: License No.: Insurance No.:
413 Allen Rd.
gixi State: Zip Code: Phone:
BELCBERTOWN MA 01007 (413) 323-9272
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1998-0009 $4,500.00
Description of Work:
Install vinyl siding
GeoTMS®1997 Des Lauriers&Associates,Inc. Signature: