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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. , Alterations
NORTHAMPTON, MASS.
/ ' 7 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
�� Ll) K '51,60Y Garage
1. Location r1 Lot No.
2. Owner's name J'2 /f V / Address S.G Loa
� t
3. Builder's name ► S Address C,
Mass.Construction Supervisor's License No._ g Expiration Date
4. Addition N e W roo � Va-- a oVS�,—
5. Alteration 1S l\(Q Lj W l'Jdn► Gc>i"W& �Ur°lC1 �i� i✓ Si t�L
6. New Porch
7. Is existing building to be demolished? 1J C)
8. Repair after the fire AID
D
9. Garage No.of cars _Size
10. Method of heating
11. Distance to lot lines
12. Type of roof �d � `
13. Siding house
14. Estimated cost:- dly), 00
The undersi ed certifies that the above statements are true to the best of his, her
knowledgef lief. ?
Signature of responsible app,icant
Remarks
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FOFI ` DAT� 5 TIME P.M.
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RNt3{11E 3
OF
PHONE
AR CODE NUMBE EXTvSION '
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iGNED TOPS FOgM 4p03
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 106
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 b,e 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)
# of -Parking Spaces
# rof Loading Docks
Fill:
(voZ-lime -& location)
13 . Certification: I hereby certify that the information contained herein
;f is true and accurate to the best of my kno, ge.
�la�DATE: �� - � APPLICANT'S SIGNATURE ,
NOTE: 11"Uapioe of a zoning permit does not relieve a applicants burden to comply with all
zoning requirements and obtain all required permits rom the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE ,
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
r
1. Name of Applicant: !/.S�D'lJ DNS
Address: �� Telephone: /S-C- 3g " r /0S
2. Owner of Property:
Address:,?' U'az Telephone:���`�� c�
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain))::
4. Street Address: Z' at ( )a S�'
Parcel Id: Zoning Map# /I L / Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 5 �Vl v I` -j4-
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
lv,e�j r66 Lgs ' /'S— Neu)
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)
9604'7'7
Cl
FILE #
a d
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: Sr
PROPERTY LOCATION: '`
MAP / C• PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fe-
Ft-P Paid
New Cnnytriie-f;nn
RerandelingTriterinr
Add;t;nn to Existing
%Gs ►.�-
FOLLOWING ACTION HAS BEEN TARN ON THIS AP ICATION:
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
I/
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
Per it from ation Commission
e of Buil g ector ate
NOTE:Issuanoe of at zoning permit does not relieve an applicants burden to oomply with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities. —
City of Northampton'
REQUIRED INSPECTIONS
BUILDING DEPARTMENT, 1. Footings and Walls
� 2. Structural Components in Place*
3. Complete Building*
NO. 1015 Office of the Building Inspector
Zoning Form No. 960477 Date_11/20/95Fee$20 Check# 1061
Page, 170 Parcel 3 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDING PEIRIMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Peter Wilson before Building Inspections
has permission to install windows, kitchen sink, new 1/2 roof. Inspection on Site—Foundations
situated on 32 Oak Street - Pearl Lavalle Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspecf.on of Wiring—Rough
Maintenance and Inspection of Building; in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wif ng and Building Inspectors.
Building Inspection—Finish P/f 159
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD M BE DI SPLAYED IN A CON$PJC.V U PL, THE PREMISE
Certificate of Occupart+cy" _ _.._
j _,_
Building Inspecto
o'