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17C-027 (3) a > ? T n�.► l > � z -� > r Z v � o mz r Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. ,- f 19 Additions Repair— APPLICATION FOR PERMIT TO ALTER Garage 1. Location k U- lk-7)t F' > Lot No. 2. Owner's name Address 3. Builder's name T6/Y/V P&c&tz Address `/c9 /Y ) Mass.Construction Supervisor's License No. C��l` j �� Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? S. 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:- The undersigned certifies that the above statements are true to the best of his, her knowled and belief. — Signature of responsible app icant Remarks ✓>� N�G� `/ 112 G' T A- /7 'ev/t' /y/� /' 7,4. Sri/< T` JOHN H. FULLER Remodeling Builder • Home Repairs • Maintenance , 4 Replace Windows, Doors Decks • Stairs• Siding • Kitchen & Bathrooms Wallpapering& Painting 48 Randall Road, Montague, MA 01351 l)�le s1/7�97 Telephone: 413-863-4229 Lic. # 100588 Job TO: /; IZL job 116. G /7/GA Ti-1 11,fA/'L S%t•Go,4 ,0"y r, iz�' �s 60,C �o II II v _ o T0/. e s.ZP it I ii 1 s�"r�T �ovn� itT�aiY II I I G,ao a � ./J � �L • �� � II I li-- II I II ST ToTGL re ono, li I-ii _ it I 11 it it ji li I �i FINANCE CHARGE Monthly % ' 1 . 5 TOTAL i Annual x 18.00 THANK YOU 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 columa to be filled in by the Building 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 ' &paged parking) ..of "Parking spaces # of Loading Docks Fill: 4 v0l-ume--& location) 13 . Certification: I hereby certify that the jo �ledge ormation contained herein is true and accurate to the best of my k . DATE: �Lk .0 ( �{ �PPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an lionnt's rd en to oom wit zoning Y f�,,.all g requirements and obtain all required permits from the Board of Health, C t nervation Commission, Department of Publio Works and other applicable permit granting authorities:.. ;. ' FILE # File No. s .. '-ZONING PERMIT APPLICATION (§I0 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �`�� ��� � `� h� �` Address:= ��L �� + Telephone: � � JL� __ l f 2. Owner of Property: Address: N_2 -D ?� Telephone: 3. Status of Applicant: Z----Owner Contract Purchaser Lessee Other(explain): ' , 4. Job Location: O's f� V^y`� 1� r' �f , Parcel Id: Zoning Map# /!� Parcel# / District(s): �(t (TO BE FILLED IN BY THE�, BUILDING DEPARTMENT) 5. Existing Use of Structure/Property <-, � 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 KNOW ✓rb 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) FILE # 1 � I k 1"IHt� 1 4 1997 APPLICANT/CONTA T,P RSON: '� 2 j� ADDRESSHQNE: — ?� e9/ X35 I PROPERTY LOCATION: MAP %7 C, PARCEL: ZONE THIS SECTION FOR_OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONINGTORM MIND OUT Fee Pnifi Builffin2 Permit Eille 1011t Type of Cnnqtriyrtinn- Rernndplin2 Interior a ArrPCent:y -Stmirtii _P C T ACTION HAS BEEN TAKEN ON THIS AP ICATION- �LLOWING pproved 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 Conservati ommiss' n q .4eg: ?//;? Signature o ui g or Date NOTE:issuanoa of at zoning permit does not relieve an appiioant's burden to oompty with all zoning requirementa and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Worka and other appiioabie permit granting authorities. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT L Footings and Walls *2. Structural Components in Place 3. Complete Building* No. 177 Office of the Building Inspector Zoning Fonn No. 961997 Date 3/17/97 Fee$4n_nn Check# 4329 Page, 17C Parcel 27 ,pone URB Section 127 ❑ Yes 0 N BUI]LDINGPERNM *Plumbing and Electrical Inspections required THIS CERTIFIES THAT John Fuller before Building Inspections has permission to repair shed foundation Inspection on Site—Foundations situated on 86 North Maple St - Philip & June Hall 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 P MISES Certificate of Occupancy Building Inspector i C max. m n 3 „ k 8 +K r 3 y`s �x i is s is 3�§fix IN III illm! ° -� City of Northampton REQyIRED INSPECTIONS e 1. Footings and walls a BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* office of the Buildis:a T rs�ctor No. 177 Zoning Form No. 961997 Date 3/17/97 Pee$40-on Check# 4329 Page, 17C Parcel 27 ,Zone URB Section 127 ❑ Yes ® No Um ,il THIS CERTIFFiES THAT John Fuller *Plun oing and Electrical Inspections required before Building inspections has permission to repair shed foundation Inspection on Site—Foundations situated on 86 North Maple St - Philip & June Hall 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 re:ating to the Construction, Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from elate 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 signea by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish 4 k 4•a�=g,`�.-�� Smoke Detectors(Fire Department) Other THIS CARD MUS P A CONSPICUOUS PLACE ON P MISES " Certificate of Occupancy , Building Inspector