17C-030 Iry
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 1A-r0 L Lot No.
2. Owners name 1)kii_t M a�...� r/y o J k- Address �l/ �X-e) - /'j°"�
3. Builder's name 1 cam'lA c� r°J L� Address !///'YlOc-(C -51 L-m ems- 72
Mass.Construction Supervisor's License No. C- X0 f4000 Expiration Date 6;,
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
13. Siding house
14. Estimated cost:-
el The undersigned certifies that the above statements are we to the best of his, I
knowledge and be *ef. / 7
ti-
Signature of responsible—app,icant
Remarks [ S °�` '
140�'.i6-ihAan'3a iOt
t- secc
r, =r#.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
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area mi-nus bldg
' &paved parking)
# ,pf Parking Spaces
#- of Loading Docks
Fill:
_(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
G is truce and accurate to the best of my knowledge.
DATE: Cry / APPLICANT's SIGNATURE -
?" NOTE: Inaufinc4b of 16 zoning permit does not relieve a
9 P pplioan burden to comply wittr,,,pll-
zoning requirements and obtain all required perm from the Board of Health, Conservation
Commission, Department of Publio Works and other applloable permit granting authorities:
;4,; FILE #
File NO. 'I" -( I
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: j 6 A Wt C,C'V'C: 5 [ Telephone:
2. Owner of Property: 4A Yv L r << t
Address: / y/r.�o?, A -Q L. Telephone:
3. Status of Applicant: Owner Contract Purchaser )�./_ Lessee
Other(explain):
4. Job Location: 2/
Parcel Id: Zoning Map# 17L Parcel# District(s): ✓L �(/'`
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_ zld 61 c�o La. L4
6. Description of Proposed Use/Work/Project/Occupabon: (Use additional sheets if necessary):
u�Y
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 PermitNariance/Finding ever been issued for/on the site?
NO DON'T KN0,W 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)
81 NORTH MAPLE ST BP-1999-1051
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-030 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:roofing BUILDING PERMIT
Permit# BP-1999-1051
Project# JS-1999-1768
Est. Cost:$4000.00
Fee: $20.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: John Corbett 104000
Lot Size(sq.ft.): 11674,08 Owner: MALINOWSKI ANN
Zoning:URB Applicant: John Corbett
AL.'-21 N QR I
J±MAPLE ST
Applicant Address: Phone: Insurance:
56 Dimock St (413) 584-5807
LEEDS 01053 ISSUED ON.•6/7/1999 o:oo:oo
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
M
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 6/7/1999 0:00:00 $20.00
v
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo