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25A-059 (4) 4 i ro � ._ M m ,r m zO a Q a 7p n in Z O m t _ "1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location % 7 � �c%+.� �� Lot No. 2. Owners name w acv Address z 3. Builder's name c Address!1 Mass.Construction Supervisor's License No. 0! tJq!t Expiration Date 4. Addition 5. Alteration I 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 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, knowledge and belief. gj�eg, Signature of responsible app.icant 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 R! IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thin col== to be filled in by the Building Depart ent Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lotarea minus bldg &paved parking) # of _Parking spaces # of Loading Docks Fill: {vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DAVE: APPLICANT's SIGNATURE mow/ NOTE: hanuanoe of a zoning permit does not relieve an lioant's burden to oomply With 4211 zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorities. FILE # U 4 09 �t File No. ;,EPT OF BUtLDItfG m. oRTrl.� r'ratl PERMIT APPLICATION ( 10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION ' r 1. Name of Applicant: Telephone: U q/ 2. Owner of Property: Address: Z 7 Telephone:j L/3 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: 7 WaO-c'j aim Parcel Id: Zoning Map#� Parcel# 1 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property—� ,6•a°I� 6. Descrii n of Pro �o d Use/Work/Project/ ccupation: (U ad itional sheets if necess ry): (IC 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/Variance/Finding ever been issued for/on the site? NO b 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) 17 HUBBARD AVE BP-2000-0368 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A-059 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: chimneyrebuild BUILDING PERMIT Permit#_ BP-2000-0368 Project# J5-2000-0595 Est. Cost: $3000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Andrew Church 104480 Lot Size(sg ft.): 5227.20 Owner: BRENNAN JAMES Zoning:URB APP 'cant, — Church AT. 17 HUBBARD AVE Applicant Address: Phone: Insurance: 174 Spring St (413) 586-0918 FLORENCE 01062 ISSUED ON.1010411999 0:00:00 TO PERFORM THE FOLLOWING WORK.-REBUILD CHIMNEY & LINER 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: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 10/04/1999 0:00:00 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo _:; � ). I 3 I ,'...:.i '1 1 'i . 3 1 - q i `� i _ "� � a 17 HUBBARD AVE' -` _ r "' ' BP-2000-0368 Gls : COMMONWEALTH OF MASSACHUSETTS Ito:25A-059 CITY OF NORTHAMPTON petYnit Buil ina Category:chimney_rehuild BUILDINg PE- -RMIT Permit# BP-2 -0388 hViect# JS-2000-0595 Esc Colt•$3000.00 Fee;125.00 PERMISSION HEREBY GRANTED TO. Cog=Mass: Contractor: License: Use Group: Andrew Church 104480 Lot Size(ag ft) 52?7 20 Uwner; ankaAN JAMES zoni=.URB Aggkartt�Andrew Church t ATE��M AMf Ag&k#ntAddr ess: Pharie: n�urunce 17 5p=5t 413)586-0918 FLORENCE 01062 ISSLT 1 B4/19l19 o;d©rpo TO PERFORM TIDE FOLLOWING WORK.REBUILD OHIMNEY & LINER T THIS CARD ao IT IS E LE FROM &T ET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground-, Service: Meter: Footings: Rough Rough: House# Foundation: Find: Finals Rough Frame: Gag Fire 1)enartment Fireplace/Chimney; Rough: Q ft Insulation: Finals Smoke. Final: ' THIS PERMIT MAY BE REVOKED BY THE CITY FOR 1 tPON VIOLATION OF ANY OF ITS RULES AND REGULATIU S: i atu e. Fee : Receipt No Da>a Paid: Check No: Amount. Building 10/04/1999 0:00:00 $25.00 1v Main 5tree;,Phone 587=1240,,Pax:(413)587-1271 Building Conunigsiel er=A:zti try Patillo