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17C-005 (4) a o -- Z m X L a I Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. SAS' -S-4 Alterations NORTHAMPTON, MASS. 19 6 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location - 3� �.c��Lc= �t��-i1C .�ti\C< <����.�� �Lot No. 2. Owner's name ESTcr- �\(xS-R- Address LR-,-Z�)S 3. Builder's name t�c(t�r� �� ��:�:�e.�S Address Mass.Construction Supervisor's License No. /-'7 Expiration Date 4. Addition 5. Alteration JnC�:�CS, 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 \e c- C Ci•c 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icant Remarks UP MAR 2 Q 6 DEFT Of$UIL(Imn;a� iGORTt a d , s OF P-, V,�6 's9�, U':.i 28% E=000007 265E, i BEDROOM 2 Kd, HEN 2GC,F '9 CLOSET 21566 B f,TH ._ PROPOSED u s?v PIAV 2t;3L WMG ROOM Q 7m, zr G HALL J El I —— ;a_oS,Er AE. _ ASTER BEDROOM SW ;.iS'C H Ali BAR 2 0 y 19 x.., D POiTFT�SUt1 I, N if "S BEDROOM 2 far 66 ee r I 26 6 6 PLAN 26636 LIVIPv'`.i:ROOM 23i-,6, l�l Ili -T G. Ij MASTER BEDROOM 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. y* \� Rl�\�\F�� 1 i This colon to be filled in ��' by the Bnildin 9 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 minus bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: {volume -& location) 13 . Certification: I hereby certify that the information contained herein is true nd accurate to the best of my knowledge. DATE: APPLICANT's SIGNATURE NOTE: Issu noe of a Zoning permit does not relieve an applicants Caurdert t46 comply 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 # tom! ref 2 I Fi 1 e No. ? . BEFr ofulzDR;c; Z NING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: 3 C-) C,a *2�3 Me Telephone: 2. Owner of Property: Address: -S– C� �n Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Job Location: L_oj<e, E �� TC\M Parcel Id: Zoning Map# Parcel# District(s): �- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) i 5. Existing Use of Structure/Property ` 5:Q Vn'l y 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): S , t f� �- �C�S r �J`1C �y�fx. �� 1V �. Oac' iy"'z 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 V--" 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 V 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) l�J V N5 FILE # '96073 3 MAR APPLICANVCO T CT PERSON: 'AW STONE: -% '. ,�i� PROPERTY LOCATION: MAP /7,,-'-- PARCEL: ZONE = THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE Z,0NTNr_FORM FULED 0111 Fee Pnid 'RiTilding Permit Filled nvvt t✓ 4`1t, Building Plan- Tnehided- 3 '.qetq n" inn kPint Plan f j - TBEJ,,OLLOWING 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 Co sio L Signature of Building for Date NOTE:issuanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health. Conservation Commisslon. Department of Public Worics and other applicable permit granting authoritles. City of Northampton REQUIRED INSPECTIONS • 1. Footin s and Walls e BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 150 Office of the Building Inspector Zoning Form No. 960733 Date 3/21/96 Fee$64.00 Check# 1187 Page, 17C Parcel 5 ,Zone tRB Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Scott Harlow before Building Inspections Remodel 2nd fl south kitchen, bathroom, closets, pull do st,jrs has permission to and replacement windows. `nspection on Site—Foundations situated on 30-32 Lake Street - Ester Hafey 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 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON REMISES Certificate of Occupancy Building Inspector Cat