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36-284 (7) • .Y ♦ ' q �•1+ `� 5 .. ,:r � • r ••r' -t •'", . .. •' Rig '�, �' °1.�1`4�:'lt Q .,. .x:. « � w • , , ; 1 r.+ ._ S '. �,• 11 ill 111! ^',i+ti., ...� � do Deep • • • • • • • • • • • 1 • . • • • •• • • • . . . . . • • . • • Iw t r, • • • • • . • • • • • •. • I • • • • • • • • . . • . • • • . • . • 1 a 0 vo r o. .. '0 0 Z . . . . . . . . . . . . . . . uv► M0 tTt o NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDU TIONS ARE AND WHAT THE FUTURE CONDITIONS WILL BE. Plot Plans and Plans,must be filed with this application before a permit be granted. Zone APPLICANT NOT TO FILL IN SPACES ABOVE THIS LINE Application for a Dwelling Permit a Northampton,Mass. . . .�(�'/ . . . . . . . . . 19 l� . Telephone No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b the Supt.of Buildings: Application for a permit to build is hereby made according to the following:- 1. Location, Street and No. . .(A) . . .PLJKTy. . PIT . SOA.b. . . . . . . . . . . . . . . . . . .. . .. . . . Lot No. . 5. .. . . . 2. Nearest cross street `57T 11. . . . . . . . . . . . . Size of lot . . ..?1�1�. 0. . .$... .. . . . . . . .. . 3. Owner's name UNI.0 �4.r✓ 1�.�j('A. .U.G�U ' l'! . . . . . Address 111;. AVAigy. .1-Y. �l. MA 4. Architect's name ekNhM. .QW.).r4_D.M X,71.1N4,. . Address Fib'.I.w. ;.M,4940DtR�j. .`fi.��674'1 5. Builder's name .414" . .MOP. i ?.� .044,.. . Address . �. .W. ./1�/.�R>1+�RD . �j•�.►. .l��j� �• WIGS �� G7UR�iJ - t 5M/1rR`>/ YoIM PI{2. • G?I� N(�` i %1�IA• OI033 Mass.Construction Supervisors �cense o. Ut7.�. .,, 7 . . .. . .G yiration Date . . . . .. . . V- 6. Use of Building:One-family . . . . . . . . . . . . . . . . . • . Two-family . . . . . . . . . . . . . . Other 7. Number of rooms in each family unit: . . . . . . . . . . . . . Number of Bathrooms . . . 8. Is there a garage attached? . . .I. . .N O. .j. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .: '155. . . . . . . . . . . . . . . . . . . . . . 9. Size of building . . . . . . . . .5.4.X28?. . . . . . . . . . . . . . . Square footage . . .. .A. t.© W .! . . . . . . . . . . . . . . 10. Number of stories . . . . . . ..ik. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 11. Distance from finished grade to high point of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Type of construction . . .W0017. . 1AA-M.W. . . . . .!/ ?VVIA9,00,046 . . . . . . . . . . . . . . . . .. . . . . 13. Distance from building to street line in feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . r `�' .. 14. Distance from building to side lot lines in feet:Left . . . . . . . %�. . . -r-. . . . . . . Right . . . . . . . . . .--. . . . . . 15. Distance from building to rear lot line in feet . . . . . . . . . . . . . . . .100 .`.. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . 16. Is a plot plan being filed with this application? . . .*If . . . .. . . . • . . . . . • . . • • . . . . .• . . • • . . . • .• • • . . . . . . . • • . • • 17. Species of framing lumber:DF . . . . . . . . . . . . . . . . . . . . Spruce . . . V. . . . . . . . . . . . . Other . . . . . . . . . . . . . . . . . . . . 18. Are all structural conditions noted on drawings? . . . . . .`". .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . 19. Nature of land upon which the structure will be erected: Natura� . . .N . . . . . . . . . . . Filled . . . . . . . . . . . . . . . . . . . aa it 20. Depth of basement or cellar floor below finished grade . . . . .P.;70 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. Material of foundation walls . . �P . .4ON6 Wr . . . . . . . Thickness in inches . . . . .1.0.. . . . . . . . . . . 22. Type of roof:Flat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pitched . .v . . . . .(yt,6-J%A 4�7 f. . . . . . . . . 23. Material or roof covering . . . ./��l��/�ykyyL� ,��yh . -1AZ7_..'Syp 19&1 /�',/. •• • • I . . • • . •• • • • • . . . . . . . • . . • . 24. Method of heating . . . . . . .�fa'4j- ruP.l,C 0V -WAAA1_/. -12.. . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . 25. Will the building conform to the Building and Zoning Ordinances? . . . . . ,► . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 26. Septic Tank? City Sewer? . . . .Y.(yk_..9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. Construction within 100 ft.of wetlands? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . J28. Construction within 100 year od plain? . . . . . ...�.,,M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29. Estimated cost: Total $ . . . . . .7 �DDG. .'r,. . . . . . . . . . . . . . . . No building or structure which is erected or altered,shall be used,in whole or in part,for any purpose until a certificate of occupancy is issued by the Building Inspector. The undersigned certifies that the above statements are true to the best of his knowledge and belief. 01414P 1 MA -ytR P"VA" 10,f irk , O ' . ,B n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4X>0 / t N4.. . . . . . . . . Signature of Contractor iRn�atupi of responsible po"rapplicant WRITTEN DESCRIPTION OF WORK TO HE DONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. PERMIT APPLICATION CHECK LIST PAGE PLOTd ZONE �'�� �� �-aft - YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT 4 . 3 SETS OF PLANS LOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN AWNING 12 , PERMIT FEE - CHECK ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - CMR 780 15 . . FORM A 16 . FILL COMMENTS : � 1 1 , `-'l�- (,�-�i (,�-mil`,-•sC_.___-- �"Z- , a b a o z `a C n' v � � o y x � a _ � o I � Zoning Miscellaneous Additions,Repairs,Alterations,etc.--�-- Tel.No. '16 7- y�7� Alterations NORTHAMPTON, MASS._ c tx lam' 19P.3 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location to O sL7Gytj S /% © Lot No. 2. Owner's name (/h i t ve- ,,//q,c Y 3. Builder's name Address /r /V?key /Xo* g2 , ,yy Mass.Construction Supervisor's License No. O 70? 77 Expiration Date 4. Addition AId 5. Alteration 6. New Porch 7. Is existing building to be demolished? /Va 8. Repair after the five 9. Garage_ No.of cars Size 10. Method of heating a'Ae. AZe19–, J A 11. Distance to lot lines SGe Srf.< Oe6-4 12. Type of roof 410op , 13. Siding house tl--m ye 14. Estimated cost:-, The undersigned certifies that the above statements are true to th best of his, her knowledge d belief. 01: P'�tL L19NI�VAL- NAR:: � J W00DRAL/IMUP,194. Signature of responsible app icant Remarks — �. 01i 00133 'ri Date Filed JIJL`� R , C[ File No. ZONING PERMIT APPLICATION (§10 . 2 ) 1 . Name of Applicant: VNJVICi2.� Address :_1,57A4ApY L`rOW p& L't2 l t-N-1� 1033TeIephone: 4 -4.&7,cj ¢7 2 . Owner of Property:___ Address : Telephone : 3 . Status of Applicant: le Owner Contract Purchaser Lessee h-er (explain : ) 4 . Parcel Identification: Zoning Map Sheet# 3(, Parcel# � , Zoning District (s) (include overlays) Street Address Required 5 . Existing Proposed bv Zonin Use of Structure/Property )C (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) d Setbacks - front - side L: R: L: 7C, R: - rear -`�'— Lot size L 74-1 Frontage Floor Area Ratio e %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) �[�p�p R,ri�[0944Z(5, 4iilZL,r-, - ! 7 . Attached Plans : _ Sketch Plan Site Plan 8 . Certification : I hereby certify that the information contained herein t is true and accurate to the best of k yy nowled e. uNW�RSAt. Sf�uG �rz � gy 175 bf,90"L, PAvZ.TR�1 : LA�ItZIy���hYt Afiu-�►rrE� Date : 711 I q mil' APP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: t/ Approved as presented/based on information presented Denied as presented--Reason : Special' Per it and/or Site Plan Required : nd ' g R it d: Variance Required: 5 f gnature f B Inspector at NOTE: Issuance 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 Public Works and other applicable permit f7ranting authorities. t,T)-