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25C-179 (2) N a t 3 0 0 m 0 — cn Z —3 IM p rD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. SoZ ? O 3 3 Alterations NORTHAMPTON, MASS. �' a S^ 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location l D 7^ C 0e:t t,,�r,4 4 St, r yo ^ P w Lot No. p 2. Owner's name f=r N © cA! 5 Address lS t L4 So cJuC w D b�c. 3. Builder's name Address I G Dq- S Mass.Construction Supervisor's License No. Expiration Date &<� 4. Addition 5. Alteration e w U I'w_ =+ X 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:- f 2 0C) The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 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 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 cal=m to be filled in 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) ,pf, -Parking Spaces of Loading Docks Fill: :(Vol-dMe--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DA'Z'E: a�'`1 to APPLICANT's SIGNATURE 214i NOTE. Issuanoe of at zoning permit does not relieve an Appiioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation - Commission. Department of Publio Works and other mpplionbla permit granting authorities. aj;' FILE ` 'C..;. r: 6 J :A 2 51996 File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �0�eoA oarrl( ve,^ Address:-( ( Dct N r �. �4 :,� ,v Telephone: sd2 a 3 3 3 2. Owner of Property: jt/'u�-e c� ��� ✓b��� i Address: � O Q l e4 S 0 A-) �c_` Telephone: S�� ^D 41 � �( 3. Status of Applicant: Owner x Contract Purchaser Lessee Other(explain): 4. Job Location: / -- Parcel Id: Zoning Map# Parcel# District(s): � � (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property kaa 6. Description of Proposed Use/Wor roject/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 �c 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 # 961159 � 2 5 a9 a 2 1 APPLICANT/CONTACT PERSON: ADDR"ESS/PHONE. PROPERTY LOCATION: C`} ILL2'1 MAP ! P CEL: ZONE ,�'-- THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Fee Paid Building Permit Filled Out New Canstriirfinn Addition to Vxktin2 ✓/ (J �/ t/ J O T LLOWING G 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 Commission Signature of uildmg ate NOTE:lasuam a of to z ning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Pubiio Works and other applioable permit granting authorltles. �� �"•g City Northampton TIof REQUIRED INSPECTIONS a BUILDING DEPARTMEN ri-1 1. Footings and Walls _ . 2. Structural Components in Place* 3. Complete Building* No. Office of the Building Inspector �5�7 Zoning Form No. DaU: 6/26/96 Fee 20 Check# 1129 Page, 25C Parcel 179 ,Zone URB Sec ion 127 ❑ Yes ❑ No B I., -T, .f-,jD1NG PE, R.N111T * Pluunbing and Electrical Inspections required THIS CERTIFIES THAT Robert Farrier before Building Inspections has permission to Install vin�Z.Lsirling Inspection on Site—Foundations situated on 107-109 North Strept Inspect=ion 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, Inspe.-tion 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 Insp-ction 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. Budding Inspection—Finish el ** Install per Manufacturer's information: windows,vinyl siding,roofs and woodstoves Smoke Det,ctors ire Department) Other THIS CARD MUST E DISPLA IN A CONSPICUOUS PLACE ON PREMISES Certificate of Occupancy - Building Inspector I