17C-026 (2) a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
1 NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
f Garage
1. Location �d'1 IC- Li of No.
Owe"2. Owner's name w e" ' c a Address 110 �l
3. Builder's name � R.ev.!►1 Address 3v `W-
Mass.Construction Supervisor's License No. !. 35~ Expiration Date f
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,.iQ lot lines
12. Type of roof Ad e
13. idtng house
14. Estimated cost- 3 0 ° O 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and, lief.
Signature of responsible app,icant
Remarks
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:
II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO
LACK OF INFORMATION.
This co 7u to he fa77 is
_ by the Ba:L1 di=g Dapa r+=ban t
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
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true Tanda� rate to the best of my knowledg JIj
DATE: � SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an appiioants burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other mpplioable permit granting authorities.
FILE #
F
File No.
} s # r
ZONING PERMIT APPLICATION (§10 . 2) -
PLEASE TYPE OR PRINT ALL INFORMATION
1
1. Name of Applicant:_ v 2-V 52 o'✓ jA
Address: C) `�/(� I�c�. �o Telephone: Sw — IZ 2 v t
2. Owner of Property: OV-0- L C
Address: ��0 /► ` 142_ ST —Telephone: 6 0_�Lf I
3. Status of Applicant: Owner Contract Purchaser Lessee j
Other(explain):
4. Street Address:_
Parcel Id: Zoning Map# / Parcel# e!� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 4zf�'
6. Description of Proppsed Use/Work ro'ect/Occupati n: (Use ad itional sheets if necessary)-I b.
CA I uvv.�-'Ir\ Vall 04
!J� Ylt t�
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 PermitNadance/Finding ever een 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 DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO DONT 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)_
4
4
r FILE # 960273
APPLICANT/CONTACT PE N: �j�� /a�IU
ADDRESS/PHONE: C30 n� ���f�
PROPERTY LOCATION: 90 D�:G�C�
MAP /7 C- PARCEL: ZONE
THIS SECTION FMOFFICTAT USE ONLY: . .
_ PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
7,nMNC-FORM FIFF,T.FD OUT
Riviffling Pprmit MUM Alit
o�C2 3 -
✓�
THE�OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: `
r 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
e 't from onservat' Commission
S' afore of for t-e
NOTE:lssuanoa of a zoning permit does not relieve an appiloanfe 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 applioable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 821 Office of the Building Inspector
Zoning Form No. 960273 Date 9/27/95 Fee $20 Check#233
Page, 17C Parcel 026 ,Zone URB Section 127 ❑ Yes ®No
BUI]LDINGPERMII I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Brown before Building Inspections
has permission to reshingle roof. Inspection on Site—Foundations
situated on 90 North Maple St. - Florence - Linda Lococo Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring-Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJC J U PL E O THE PREMISES
Certificate of Occupancy
Buildin�jDspector