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25C-120 (4) a .._...�. 17M m D a .. Z m .. F z c_ O CV > -3 g o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions Repair • ' APPLICATION FOR PERMIT TO ALTE Garage 1. Location Lot No. 2. Owner's name Address 3. Builder's name / / 'l1 d Address /rte Mass.Construction Supervisor's License No. 'L©lvs45 y 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 cosL- fgr C� The undersigned certifies that the ve statements are true to the best of his, her knowled d ef. Signature of responsible app,icant Remarks rl 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: lI. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. Thin colt to be filled is by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - 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 cont 'ned herein is true and accurate to the best of my knowled DATE: C APPLICAUT's..SXGNATURE NOTE: s noe of a zoning permit does not relieve an ap lioant's burden to comply with all zoning uireaments and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. FILE if ffI i MAY 2 91996 �� File No. &_;* x ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: 2. Owner of Property: O. Address: - 6 e ephone: X5,3- 3. Status of Applicant: Owner �1Contract Purchaser Lessee Other(explain): �� ' 4. Street Address: Parcel Id: Zoning Map# Parcel# ,2 District(s): - (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property 6. Description of Proposed Use/INork/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 DONT KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook,body of water or wetlands? NO DONT 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 # MR( 2 91996 APPLICANT/CONTACT PE,R/SON: J �l'/r' ADDAESS/PHONE `) ' 7 A'2/,2, '2 PROPERTY LOCATION: MAP `C? PARCEL: ZOKE r- THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM T,FD OITT lRididing Permit Filled ou� New Cnmgfrii t- c ' � THE LOWING 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 Commis ' n Signature of Building&pec Date r NOTE: Issuance of at 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 Commisslon, Department of Publio Works and other applioable permit granting authorities. City Northampton' of REQUIRED INSPECTIONS e DEPARTMENT I. Footings and Walls BUILDING 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 424 Zoning Form No. 961028 Date 5/30/96 Fee$20_00 Check#5566 Page, 25C Parcel 120 Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMri I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Bob Thibodo before Building Inspections has permission to remove & replace nnrtherl4 site rnnf extension. Inspection on Site—Foundations situated on 23-25 Elizabeth St. - Joan Hart Inspection of Plumbing—Rough Inspection of Plumbing—Finish provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCVOUS PLACE ON T ISES Certificate of Occupancy Building Inspector