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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. c�Te No. �� �S1J / Alterations
a rNORTHAMPTON, MASS. / �� �19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location e'_ Lot No. I
2. Owner's name Address l V-TLA-
3. Builder's name f'6�J/y H . ZZ UG 4!5 *L Address RIJIVO444- /1 /yOr/T#e-ej
Mass.Construction Supervisor's License No. 0 l 1 D 7s Expiration Date Y-"z —
4. Addition
5. Alteration /? ��V/iz fi 17-,A141-1Y — 57-/3 PS
6. New Porch
7. Is existing building to be demolished? �d
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:- Zs-too.
The undersigned certifies that the above statements tr to the best of his, her
knowle and belief.
Signature of responsible app,icant
Remarks
INSPECTOR
CITY OF NORTHAMPTON
BUILDING DEPARTMENT DAILY INSPECTION REPORT
DATE
STARTING MILEAGE
ENDING MILEAGE
�alll.0 m
SIGNED
JL)Q I
02
f
15
10. Do any signs ebst 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 TG
LACK OF INFORMATION.
This col— to be fl: is
by the Bnf,Aing Depaz t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L• R: I' 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 i rmation contai ed herein
is t e and accurate to the best of kA e ge. 1 DATE: .�) APPLICANT's SIGNATNOTE: 1" anon of a zoning permit does not reliev pplioant's urden to oomply with all
zoning requirements and obtain all required permits from the Bo of Health. Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
File No. 4 S
d,
ZONING PERMIT APP.LICAT10N M0. 2)
PLEASE TYPE OR PRINT ALL INFO ION A
` 1. Name of Applicant: _ r
Address: i� , �' I�r` ��tt"-� Telephone: �14 q
2. Owner of Property: _
Address: �� i� ��l� -- Telephone: -'9
3. Status of Applicant: t�Owner Contract Purchaser Lessee
—Other(explain):r(
4. Street Address: dS CV_ J
Parcel Id: Zoning Map# Parcel# -� District(s)-
(TO BE FILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property
t
6. Descriptior(4 Proposed Use/Work/Project/Occupation: (Use additional ets if necessatyY
v° l
o tiff, U tz =4� ��le: Ili. C
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 Filer,
8. Has a Special PermiWadance/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 I .–'y 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 SIDS_
FnE # 960251
APPLICANT/CONTACT PERSON: - ''�
ADDRESS/PHONE: ` P 7Z/erzv, �
PROPERTY LOCATION: �_)A dx_ '1 1< ,
MAP PARCEL: 7 ZONE
THIS SECTION FMOFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE -
7,nNTNr-FORM FH,T.FD OUT
FPP Paid
75 L-
�iL. '� r
U D �9y
TII �TOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
V 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
ermit f m ons rvation Commission
gnature of gInspector D/die
NOTE:lasuanoe 611 a zoning permit does not relieve an applioant's burden to oomply with all
_ zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other appiloable+ permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
BUILI)ING DEPARTMENT 2. Footings Structural Walls Components in Place*
3. Complete Building*
No.
808 Office of the Building Inspector
Zoning Form No. 960251 Date 9/22/95 Fee$40 Check# 3758
Page, 17C Parcel 27 ,Zone URB Section 127 ❑ Yes ® No
Bull[,-jD1NGPERN1.11T
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Fuler before Building Inspections
has permission to repair porch, railings & steps. 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 issufvd by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring;and Building Inspectors.
Building Inspection—Finish qG �
Smoke Detectors(Fire Department)
Other
THIS CARD MUST D ,.'PL CONSPICU S PLA=RE MISES
Certificate of Occupancy
B for -
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