25C-214 (3) .w• D
Z rn
in Z
?; Z
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
�^
NORTHAMPTON, MASS. 11 ly 19 L Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 5 C//o t� 5 T Lot No.
2. Owner's name 7-Z, Address y T LYE
3. Builder's name �e Tom.-v� s �:��. -v Address L &- «
Mass.Construction Supervisor's License No. (3 !V ( /_ Li Expiration Date 41
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 .5 C c e Q IC OAn,,j 42 ci 1 1 Jq e d /C
13. Siding house
14. Estimated cosc:-1�
The undersigned certifies` at the above statemen are true to the best of his, her
knowledge and
Signature of responsible app,icant
Remarks
10. Do any signs exist on the property? YES NO i
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 —1— to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
`Parking spaces
f fof Loading Docks
Fill:
'4vol-time--& location)
_ t
13 . Certification: I hereby certify that the info ti-on contained he in
Is true and a curate to the best of my know dg r
DA'Z'E: APPLICANT's SIGNATURE �a
s!'> NOTE: Issu oe a zoning permit does not relieve an ap)fAjom nre burdarirto oomply 1Aitty.,pl1
zoning req ramenta and obtain all required permits from the Board of Health,, Conservation. .
Commission, Department of Pubilo Works and other appliomble permit granting.authorRlus,:?•
'.``s. FILE ,
t
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ?' � c? o
Address:_( c� S �` ��' s�` ,�lo.�f&Telephone:
2. Owner of Property: 2La ":2 5";',, r L,
Address: 5-7- Telephone: �� �` 3 17 IT
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):_
4. Job Location: 'jL _
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 UseM/ork/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 i/ 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 L-, Do 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:
MAP C5 (_7 PARCEL: ,2.,I ZONE /I
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FITIED 01IT
Fee Pnid
f'
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION'
Approved as presentedfbased 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 App roval-Bd of Health Well Water Potability-Bd Health
t fro ou.1ww ion
Signature of Building Wector bad
NOTE:Issuance of as zoning permit does not relieve an applioanYs 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 authoritles.
City of Northampton REQUIRED INSPECTIONS
s BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 1068 Office of the Building Inspector
Zoning Form No. 961719 Date ll/18/96 Fee$20.00 Check# 1364
Page, 25c Parcel 214 ,Zone URA Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Western Mass Siding & Roofing/Dennis Labato before Building Inspections
has permission to strip roll roof & install new roll roof Inspection on Site—Foundations
situated on 45 North St — Warren Smith Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCVOUS PLACE ON THE&RE ISES
Certificate of Occupancy
uilding Inspector
fir+ •¢�' � p