17B-012 a
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Miscellaneous Additions,Repairs,Alterations,etc.
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Zoning
Alterations
NORTHAMPTON, MASS. `Ile` � � 19 p16 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3 9 c, X� Lot No.
2. Owner's name d E" L�` "` S�. Address 3?-/-
3. Builder's name �°k e,')-`t�-7 Address--Z/
Mass.Construction Supervisor's License No. Expiration Date -7
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4. Addition
5. Alteration_
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- q�
Remarks-
r ,
No.of cars
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,ican!
MM
10. Do any signs exist on the property? YES,
IF YES,describe size,type and location:
NO
Are there any proposed changes to or additions of signs intended for the property?YES NO y
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This aoltmm to be filled in
by the Bnildi-g Department
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
S?
D '1'E: 3�g/mac APPLICANT's SIGNATURE �C-
NOTE: Issuanoe of a zoning permit does not relieve an a lloant's 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 appilosble permit granting authorities.
FILE #
Existing
Proposed
Ruyuiluu
By Zoning
Lot size
Frontage
Setbacks
-side
- rear
L• R:
L: R:
Building height
Bldg Square footage
%Open Space:
'(Lot area minus bldg
&paved parking)
"_pf, Parking spaces
;k-8f Loading Docks
Fill:
4vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
S?
D '1'E: 3�g/mac APPLICANT's SIGNATURE �C-
NOTE: Issuanoe of a zoning permit does not relieve an a lloant's 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 appilosble permit granting authorities.
FILE #
Mid 18 W
DEPT 0F.BUT
i?�nir
°" !0' ` ""^'STING PERMIT APPLICATION ( 10 . 2 j
PLEASE TYPE OR PRINT ALL INFORMATION
File No. � �! ;"')
1. Name of Applicant: -7
Address: �� �'��rzi� S�` '�� �� Telephone:
2. Owner of Property: 1 v44,1,1 f-
Address: /Y.,� e /C'�
,j Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
r' t
Parcel Id: Zoning Map# Parcel# % /..% District(s):
(TO B 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):
6 �
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 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
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)
YES
MAR i 8199E
PLICAN PCONTA CT
4�i ��SIp,HONE:
PROPERTY LOCATION
MAP /i,l %a
FILE # 960723
PERSON://)
-fr�l/ �y'�,��;� `i` - � f�' a—����t%"!�! Y��i;/� �//�'� i•-;�j/`_;1/ lY�.t�
PARCEL: /'/ ZONE '
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
F.N('T.f1CF.T) P'FnYTTRFTI 11Aq-
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I'M •RrIT-M' MIM ro M ff• • •
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03211 :r .11► a • ► _ _ 2 ► s & ► • ►i-W—Tq _ • !1
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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
Septic Approval-Bd of Health
�Permit from Conservation
Water Availability Sewer Availability
Well Water Potability-Bd Health
ission
Signature of Building InVctor 15aie T
NOTE: lasuanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Pubiio Works and other applloable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
BUILDINGDEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 142 Office of the Building Inspector
Zoning Form No. 960723 Date 3/19/96 Fee$20.00 Check# 11827
Page, 17B Parcel 012 Zone RR Section 127 ❑ Yes ❑ No
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT
Roy Omasta before Building Inspections
has permission to re-roof house over (1) layer. Inspection on Site—Foundations
situated on 394 Bridge Road - Robert & Linda Santoni Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
** Install per Manufacturer's information: windows, vinyl siding, roofs Building Inspection—Finish
and woodstoves Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCVOUS PLACE ON THE EMIS S
Certificate of Occupancy -
ilding Inspector