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25C-089 (3) -� v> �.% ;i7 O CT7 > n.. Z C:7 L > —3 Z Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions w : / P APPLICATION FOR PERMIT TO ALTER Re air Garage 1. Location ,l /4/-C U�� /Ip� c? �A/�/�/ f s - Lot No. 2. Owner's name 5 f � V x w Address /I a X I/X/7Pf Xld A-7 1V� o-1) 3. Builder's name 27,V1 �— ;56 d Address A �✓ �� a�/r�1� Mass.Construction Supervisor's License E No.el f xpiration Date V 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 /�N�� /�✓'��. 13. Siding house 14. Estimated cosL- ,fs" o 0 The undersigne that the above s menu are true to the best of his, her knowled d beli Signature of responsible app,icani Remarks 1 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 cols to be filled is by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - 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 con ained herein is true and accurate to the best of my knowl DATE: A.PPLICANVs SIGNATURE NOTE: 1 u oe of A zo ing permit does not relieve an plioanVa urden to comply with all zoning irements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # H MAY 2 91996 Fi1e No. - s 1 ZONING PERMIT APPLICATION (§10 . 2) Y PLEASE TYPE O PRINT ALL INFORMATION 1. Name of Applicant: �� / A A rC�/� C P/ � : ele hone Address: �j� 2. Owner of Proper' �s�� y�tiCG/l/��7- �� Address: 266L",9101 Telephone: 3. Status of Applicant: Owner ontract Purchaser Lessee Other(explain): 4. Street Address: 1•�1 _ Parcel Id: Zoning g Ma #p --- Parcel#_ District(s):.�,L�r�11 (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/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) f FILE # l �. MAY 2g6W ' A,PPLICAJITC7 PERSON: A DnRESS/PHQ1 `� , PROPERTY LOCATION: /► fit` MAP PARCEL: 7U ZONE ,C2 THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7,()NTNG FORM MLED (MIT Fee PAid Building Perruit Filled '011t Type of Cnagtnictinn- 'Remndelin2 Interior Additinn to Existing ,� ✓ TI� A EM P LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: pproved 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 Co m' on U Signature of Building lm Date 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 granting authorities. City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT ` 2. Structural Components in Place* 3. Complete Building* NO. 423 Office of the Building Inspector Zoning Form No. 961027 Date 5/30/9 Fee 20.00 Check#5566 Page, 25C Parcel 89 , Zone URB Section 127 ❑ Yes ®No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Bob Thibodo before Building Inspections has permission to re-roof (2) porches. Inspection on Site—Foundations situated on 34 Lincoln Ave - Jeanne Braswell 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 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 ** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCJOUS PLACE ON THY PREMISES Certificate of Occupancy uilding Inspector