12C-070 (5) >
CV) 70 m
C\J
Z 17171
Z
L
> n E5
U.
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS— F-5?-/— e? J? —ig Additions
APPLICATION FOR PERMIT TO ALTER
Garage
Repair
1. Location
Lot No.
2. Owner's nameA Z)ta hk i Address
lv-�749
3. Builders name 1.21A 1;14 -e t L Address
Mass.ConstrucdoI2 SupervTr's License do. Ex tionate
;�,7L
4. Addition 02 ."'e 1-/, A-P-,./,V (,z
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
II. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies th the above statements are we to the best of his,
know ledV—andbelief.
Signature of responsible app icani
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—X_
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 - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved carkin3)
# of -Parking Spaces
# Hof Loading Docks
Fill:
_(volume -& location)
13 . Certification: I hereby certify that the information contained herein
G is true and accurate to the best of my kn dge.
DATE. ,� -� APPLICANT's SIGNATURE
NOTE: Issuano�e of a zoning permit does not relieve an applioant's 6urden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
M 2 31999 �? U
File No.
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE O PRINT ALL INFORMATION
1. Name of Applicant: Cif
Address: Telephone: —Y77— V� 6
1 Owner of Property:
Address: L lf 0 It/ elephone:
3. Status of Applicant: !✓ Owner 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 �f/f,D �IilC
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 Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNO: '_1_ 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_,z__ 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)
42 CAROLYN ST BP-1999-0720
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-Block: 12C-070 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:woodstove BUILDING PERMIT
Permit# BP-1999-0720
Proiect# JS-1999-000302
Est. Cost:
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 11630.52 Owner: Lawrence O'Connor
Zoning Applicant: HACKERSON ROSS & ALICIA PASTOR
AT. 42 CAROLYN ST
Applicant Address: Phone: Insurance:
42 CAROLYN ST (413) 587-0403 0
FLORENCEMA01062-0114 ISSUED ON:212311999 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL WOODSTOVE IN FIREPLACE &
INSTALL NEW WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: OK 05/25/07 to;
1 S
THIS PERMIT MAY BE REVOKED BY THE qTY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
polier-
Certificate of Occu anC Si nature:
FeeType: Date Paid: Amount:
Building 2/23/1999 0:00:00 $20.00775
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo