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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.
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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
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° -� 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