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25C-068 (6) l 'I • �I� Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._-5t% � Alterations NORTHAMPTON, MASS. r: �, us a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._-5t% � Alterations NORTHAMPTON, MASS. Additions �o Repair APPLICa ATION FOR PERMIT TO ALTER Garage 1. Location 9 Cam. Lot No. , - " p- G� 2. Owner's name -� d1�.G Address `- 6 0964-1:= - X77" 3. Builder's name is 4- V` Address �I Cb T Mass.Construction Supervisor's Lic se No. /00 15� Expiration Date 4. Addition v � 5. Alteration 6. New Porch z 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- > 2 v 'C 'G 0 O 0 m a Z m � z cn O m � The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ignature of responsible app,icanl Remarks Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._-5t% � Alterations NORTHAMPTON, MASS. Additions Repair APPLICa ATION FOR PERMIT TO ALTER Garage 1. Location 9 Cam. Lot No. , - " p- G� 2. Owner's name -� d1�.G Address `- 6 0964-1:= - X77" 3. Builder's name is 4- V` Address �I Cb 4:d= Mass.Construction Supervisor's Lic se No. /00 15� 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 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. ignature of responsible app,icanl Remarks 10. Do any signs exist on the property? IF YES,describe size,type and location: YES NO t-- Are there any proposed changes to or additions of signs intended for the property?YES IF YES, describe size, type and location: NO I.Z. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This Col— to be filled in by the Building Department (.�eruaiicati.on: I tlere.by certify that the information contained herein is true and accurate to the best of my knowledge. DATE: S— (v -- j APPLICANT's SIGNATURE NOTE: lssuanoe of a zoning permit does not relieve an appli ants bur en to comply with all zoning requirements and obtain all required permits from the Board Health. Conservation Commisslon. Department of Publio Works and other applionble permit granting authorities. FILE # Existing Proposed Requlrea 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 ffof Loading Docks Fill: 4vol-ume-& location) (.�eruaiicati.on: I tlere.by certify that the information contained herein is true and accurate to the best of my knowledge. DATE: S— (v -- j APPLICANT's SIGNATURE NOTE: lssuanoe of a zoning permit does not relieve an appli ants bur en to comply with all zoning requirements and obtain all required permits from the Board Health. Conservation Commisslon. Department of Publio Works and other applionble permit granting authorities. FILE # I is "j, MI � 61996 F:. File No.(� 616 DEPT O Stlltre�r 0 ` if NTNG PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_ —__9_^ Address: _Telephone: 2. Owner of Property: Address:_ Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: D a4 A- ``l Parcel Id: Zoning Map# ��'�� Parcel# District(s): 2-1 (TO BE FILLED IN BY THE BUILDING DEPARTMENT 5. Existing Use of Structure/Property Izz ` ` 6. Description of Proposed Use=ork/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 X 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 # a., M26M6 t PLICANT/CONT"A�T PERSON: PROPERTY LOCATION: M-A P ;--), �1- PARCEL: 960767 f3 ZONE ,),I- THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST F.1Vf'T.nv.'F11 'PF.nTTTRF.D DATE. • • ►� III 1 • � ►11► . . MR.W.N... EMI M a M.. . . • • 1111M S • • • • r - -� ENRON 1 11L V iii..V ♦�+i�v c a v i i V� +�..�.., �.�..�� — �__�_ __ Approved as presentedfbased 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 _Septic Approval-Bd of Health !Permit from Conservation Co tfijAsion _? 2-7Z Signature of Building IniWor Date NOTE:lnauanoa of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commisslon. Department of Publio Works and other applicable permit granting authorities. Water Availability Sewer Availability Well Water Potability-Bd Health t y City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. S��nt,�l Components in Place* 3. Complete Building* No. 179 Off ce of the Building Inspector Zoning Form No. 960767 Date 3/27/96 Fee $40.00 Check## 1546 Page, 25C Parcel 68 ,Zone URB Section 127 ❑ Yes ® No BU]IL' DINGPERMI r I I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Larry Paquette before Building Inspections has permission to add an 8' X 7' support beam in cellar. Inspection on Site—Foundations situated on 26 Day Avenue - Richard Fuhrman Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough O Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and,Building Inspectors. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON P IS Certificate of Occupancy t ilding Inspector - ct'�