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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19
Additions
1
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location � � �z Lot No.
2. Owner's name _ = Address
G 3. Builder's name CT�,�Address y ' j
6
Mass.Construction Supervisor's License No. / Expiration Date =' 7
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
i
12. Type of roof , t`x-� � S Fr �,0 o Sl'
13. Siding house
14. Estimated cosL-q }
The undersigned 4es that the above stateme /are e to the best of his, her
knowledge tief.
Signature of responsible app,icant
Remarks
C�
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 column to be filled in
by the Building Department
Required
Existinq Pro osed Bv Zonin
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
& aved parking)
# of Parking spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the informatio contained ?ere n
is true and accurate to the best of my knowledge.
Date: Applicant's Signature:
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.
File No.
ZONING PERMIT. APPLICATION (§10.2)
PLEASE TYPE OR�P� ALL INFORMATION
1. Name of Applicant:
Address: y �' % �t ;�` j :, _7 �ephone: ?`� -'
2. Owner of Property: ✓�
Address: Telephone: '
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Street Address: ��, ;-�, � z
Parcel Id: Zoning Map# - Parcel# District(s):
(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 Buildlnq 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 f 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
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:PROPERTY LOCATION:
LOCATION: �S
MAP , 7 C PARCEL: ! ZONE &,E Q-
THIS SECTION FOR.OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
FpP Pahl
a q 7 -
TvnP of C'nnctrnrtinn-
Add*tion to FYictina
Arrpccnry StrnCturP
$hilrlina Planc Tnrhided-
_ 6 L
wnPr/Orrnn�tntempntpr T.irPncP ii >7 2
3 SPtc of Planc /Pint Plan
TAE-FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: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
ermit o nservation Commission
ignature of ui ding hisp 9de
NOTE:lesuanoa of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commission. Department of Public Works and other applicable permit granting authoritles.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 568 Office of the Building Inspector
Zoning Form No. 71095-3 Date 7/10/95 Fee $20 Check# 664
Page, 25C Parcel 200 Zone URC Section 127 ❑ Yes No
BUI]LDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Western Mass Siding - Dennis Labato before Building Inspections
has permission to Strip & reshingle roof Inspection on Site—Foundations
situated on 2 Linden St. - Jan Chapin Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note: A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJC PL E N THE PREMISES
Certificate of Occupancy
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