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25C-199 (2) > -v o T w ,o 'v > 3 O O cn T) r „� Z m 70 -s > �• r, Z rn rn r Oil 0 rD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. ? 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 5- I&Sex 5,7- a r r -�V. .-► Lot No. 2. Owner's name CAP h,n g -7— V✓ Address S 3 a r r �-r 2,�,1, f, /?�e 3. Builder's name &,Address Mass.Construction Supervisor's License No. e9 3 �' �"� 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 5' 1 c-� ,n c�i � (4/ 'fa d f st S 14. Estimated cost- (� o 0 1 The undersigned certifies that the above statements are true to the best of his, her know led ief. Signature of responsible applcant 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 cols to be filled in 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 menus bldg ' &P?ved parking) of Parking spaces # of Loading Docks Fill: (vol-ume--& location) 13 . Certification: I hereby certify that the informat `on contained herein is true and ac urate to the best of my knowled 1. y DATE: - / �� APPLICANT's SIGNATURE r NOTE: Issunno o a zoning permit does not relieve an pp rioant's burden to oomply wit4,,. h zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other appiionble permit granting authorities:.. ''', FILE # MW t� 7 File No. � —a' ~ £ T= OTING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: y v^11 C Address: 0 3 C� Qs 7` �� a S�� ` _Telephone: S 2 1/ Z `7- 2. Owner of Property: C/ v/, S �`r'� ,e L�� —z— Address: 3 Telephone: �8'� "�`3 Lt`6- 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: T Parcel Id: Zoning Map#��J_ Parcel# a District(s): (TO BE FILLED IN BY THE BUILDING �jDEPARTME ) 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary): e�ol or c p,z7 p�T G'I/, r7 o{d tai r 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 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 1' MAR • 1997 APPLICAN /CQNTACT PE ON:`G% ti AD l ra, ONE: e,2 , - 0 ,6 a PROPERTY LOCATION: MAP PARCEL: ZONE , THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM M.I.E.1r) OUT Fee Pnid Fee nid 01M,� o D 1/ Addition to Exi ting THE LLOWING 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�Connserva ' Commission Signature of Building ector ate NOTE: Issuanoe of a zoning permit does not relieve an appiioant's burden to oompty with ail zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioable permit granting authorities. t+� City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Footings and Walls e tructural Components in Place* 3. Complete Building* No. 156 Office of the Building Inspector Zoning Form No. Q.b1978 Date 3/7/97 Fee $20.00 Check# 1505 Page, 25C Parcel 199 ,Zone URC Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT western Mass Siding & Roofing before Building Inspections has permission to install (5) replacement windows Inspection on Site—Foundations situated on 53 North St - Christine Mazur 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 CONSPICUOUS PLACE ON P MISES + Certificate of Occupancy •�r2 �' i� .'`�' °��"•g City p of Northam ton REQUIRED INSPECTIONS ' 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 156 Of dice of the Building Inspector Zoning Form No. g51a7g Date 3Z7/97 Fee $20.00 Check# 1505 Page, 25C Parcel 199 ,Zone URC Section 127 ❑ Yes © No BUH.jD1NGPER ,,-',4. 1T * Plumb°;.'_g and Electrical Inspections required THIS CERTIFIES THAT western Mass Siding & Roofing before Building Inspections has permission to install (5) replacement windows _ Inspection c Site—Foundations situated on 53 North St - Christine Mazur Inspection JPlumbing—Rough provided that the person accepting this pe.•mit shall in every respect Inspection 3f 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-elating to the Construction, Inspecti.e;of Wiring—Rough Maintenance and Inspection of Buildings ii the City of Northampton. Any violation of any of the terms above notei7 is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from dat,,-of issuance,if not started. Buildin y- `.nspection—Rough Note:A certificate of occupancy will be issued by this office upon return I oisulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Buildir.;Inspection—Finish ** Install per Manufacturer's information: wndows,vinyl siding,roofs Smoke Detect^rs(Fire Department) and woodstoves Other THIS CARD MUST P A CONSPICUOUS PLA(-"E ON P MISES Certificate of Occupancy Building Inspector