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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.
NORTHAMPTON, MASS. �'� _- (T ' 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
i_ ,r� Garage
1. Location `Q o ��� � ��� �T ` 'G Lot No. c�
z ( F—) Z � 6
2. Owner's name J
3. Builder's name LJ� C' Address P<� n�_1 � 2
Mass.Construction Supervisor's License No. 0 55 ':-3 " 3 Expiration Date G
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 hou - 1
14. Estimated coSs}t;-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ignature of res�onsi
Remarks
10, Do any signs exist on the property? YES NO v
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.
Thia coluam to be filled in
by the &uildinq Department
I Required
Existing Proposed By Zoning
I 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 contained herein
G 1 is true and accurate to the best of my knowledge.
.
DATE: 11_-/(,- -qg" APPLICANT's SIGNATURE kbu"rden NOTE: Issuanog of a zontng permit does not relieve an applioanf to oomp 11
zoning requtr @manta end obtain all required permits from the Board of Health. Conservotion
Commission. Department of Publio Works and other applionble permit granting authorities.
FILE #
i
NOV 7 1998 1
File No. � t
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: e U `��U:
Address: R0, (�U�( a �Trt"l d Telephone: L113-5 F_Y-3 71 6'
2. Owner of Property:
Address: Telephone: S 's`7 -S-7 0_3
n6401 rn APr O 10(o 0
3. Status of Applicant: Owner _Contract Purchaser Lessee
Other(explain):
4. Job Location: CG • _
Parcel Id: Zoning Map# Parcel#— _ District(s): .'4_-16 —
(TO BE FILLED IN BY THE BUILDING/ DEPARTMENT)
5. Existing Use of Structure/Property R�5; den 4 Q /
6. Descri do of Proposed seMork/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.
S. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNO:AI__,,-' YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO _ DON'T KNOW_JL,,-' YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO_4,_,� 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)
A Reference No- BP-1999-0529
Department: ..................................
Building, Electrical & Mechanical Permits
.........................................................................................
Fee Type: Receipt No:
Vinyl siding & replacement windows Rl (.'4999-001447
.........................................................................................
Paid By- Paid..i.n.F.u.I.I.-On:
Larry Jubb Tue Nov 24,1998
.........................................................................................
. . .....
Received By.- . .....Check.....No........••........•..
Linda Lapointe 3121
.........................................................................................
......................................
DEPARTMENT'S COPY Amount- $20.00
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I)EPAKI'MEN'.1' FILE COPY 60 ELIZABETH ST
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
24 Nov, 1998 BP-1999-0529 $20.00
GIS MIU.Plock: Lot: Address: Zoning: Use Group: Lot Size:
ft
60 ELIZABETH ST URB 4704.48
4517
Contractor: License Type: Insurance:
Larry Jubb HIC Workers Compensation
Address: License No.: Insurance No.:
P 0 Box 429 10001 246Y5352UB
City: State: Zip Code: Phone:
GREENFIELD MA 01302
Proiect No: Category of Work: Const. Class: Cost Estimate:
JS-1999-1006 replacement windows/siding $15,000.00
Description of Work:
INSTALL SIDING&REPLACEMENT WINDOWS
GeoTMSO 1997 Des Lauriers&Associates,inc. Signature: