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17B-017 (2) a T rM K ITI X _ > a _ F et r �► m r C C Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No., - Alterations a rNORTHAMPTON, MASS. )✓�'�J 19 Additions APPLICATION FOR PERMIT TO ALTER Repair y� 1^ ) Garage 1. Location < 7 �"�l P%''� /u ��,&-.¢�A- f^^.� Ll N Lot No. 2. Owner's name Toa L-G Address JS jk" C, ✓ ,/I 'l C-- Builder's name Address e- e�.9 Z-Klt 5: AkX,7 Mass.Construction Supervisor's License No. ")0 ✓ Expiration Date h 12- 116 4. Addition 5. Alteration o��n� ,�'.�' ��1� f� �J �✓�L�' ���c✓ ��� 6. New Porch 7. Is existing building to be demolished? AJo 8. Repair after the fire 9. Garage L No.of cars / Size /� 1 10. Method of heating ���% 7r�'✓� Y�> 11. Distance to lot lines 12. Type of roof 13. Siding house_�o��^� 14. Estimated cost- 0 0(�/ The undersigned certifies that the above statements are true to the best of his, her knowl ge and belief. Signature of responsible appicant 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: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col— to ba 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 &paved parking) # :of -Parking Spaces #' of Loading Docks Fill: ':(vol-dme--& location) 13 . Certification: I hereby certify that the information contained herein r is true and accurate to the best of my knowledge. .s DATE: �� C APPLICANT's SIGNATURE (�=PPl--oar;"Vs3' NOTE: Issuanoe of a zoning permit does not relieve 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 applioable permit granting authorities. FILE JAN 10 19J Fi 1 e No. J �s ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: AAyr,f',s D/��s C) �' Address:f C�/ v �/�/CJ G L�felephone: � Cj c d Li 2. Owner of Property: ,lam, 7"r V Address: y. ��� ? � �-j� Jy-,01 /(/L�,h't,}Atie, elephone: 3. Status of Applicant: Owner _ f% Contract Purchaser Lessee Other(explain).- 4. Street Address: Parcel Id: Zoning M_p Parcel# District (s): (TO BE FILLED IN T LDIN? QEP MENT) 5. Existing Use of Structure/Propertyyy,�// �i� 6. Description of Proposed Use ork/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 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 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 I 15j- t APPLICANT/CONTACT PERSON: /f �!1 c � 7� �; ,2 l ADDRESS/PHONE: _ -t . PROPERTY LOCATION: �� '✓ '� c'E'lE '.-�%� fC �` �! 1. �-C�c_-cam MAP 7. PARCEL: C�)0 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 70NING FORM FRIED OITT Fee PAid Ft-t- PAid rhided- ✓ �� a. THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION- 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 !Permit from Cons 'on Comm' ' n Signature of Building Inspector Date NOTE:laouanoe of a zoning permit does not relieve an applioant's burden to oompty with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission. Department of Pubiio Works and other applioabie permit granting authorities. wW • City of Northampton REQUIRED INSPECTIONS $ s 1. Footings and Walls • BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 13 Office of the Building Inspector Zoning Form No. 960566 Date 1/11/96 Fee $40 Check# 3545 Page, 17B Parcel 017 ,Zone URB Section 127 ❑ Yes El No BuiiLDiNG PERmi r * Plumbing and Electrical Inspections required THIS CERTIFIES THAT James Dawson before Building Inspections has permission to replace rotted floor joist & carrying beam & replace heal tion on Site—Foundations situated on � Plumbing—Rough Rou 429 Bridge Street - Tom & Patricia Lee Inspection of h g g 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 N ISES Certificate of Occupancy Building Inspector - (,c�+t I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OK--AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE l9 — DEPT. FILE COPY zo BUILDING - PERMIT VALIDATION DATE March 29 19 76 PERMIT NO. 68 APPLICANT Thomas L, Lee ADDRESS 429 Bride Raad Florence (N 0.) STREET) (CONTR'S LICENSE) q NUMBER OF PERMIT TO construct ( 1 ) STORY new addition DWELLING UNITS Slagle (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 29 Bridge Road D IS CT URB (NO.) (STREET) a BETWEEN AND ip (CROSS STREET) (CROSS.STREET) a LOT IL SUBDIVISION LOT BLOCK SIZE m p BUILDING IS TO BE 20 FT, WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M Z TO TYPE 4 USE GROUP L-3 BASEMENT WALLS OR FOUNDATION concrete (TYPE) f O LL REMARKS: VOLUME 400 sq . ft.,• ESTIMATED COST $ 2 ,000.00 FEEMIT s 00 (CUBIC/SQUARE FEET) OWNER Thomas L, Lee BUILDING DIYP A Pz� ADDRESS 429 Bridge Road - Fl nre d BY (Affidavit on reverse side of application to be completed by autho ' t of owner) City of Northampton REQUIRED INSPECTIONS • 1. Footings and Walls H e BUILDING DEPARTMENT 2. Structural Components in Place* 8 3. Complete Building* No. 13 Office of the Building Inspector 960566 Date 1/11/96 Fee $40 Check# 3545 Zoning Form No. rr� Page, 17B Parcel 017 ,Zone t7RB Section 127 ❑ Yes t.J No ra BUI]LDINGPERMII * Plumbing and Electrical Inspections required THIS CERTIFIES THAT James Dawson before Building Inspections has permission to replace rotted floor joist & carrying beam & replace heaYA*tion on Site—Foundations situated on 429 Bridge Tom & Patricia Lee 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 slate of issuance,if not started. Pe P 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. p ' Building Inspection—Finishd Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAY IN A CONSPICUOUS PLACE N ISES Certificate of Occupancy Building Inspector (,o��lalill'SiUI