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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �— Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location �' (��; ��� Lot No.
2. Owners name /� U L� '0.iJ�� Address
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3. Builder's name f1 A U L- Address 2-6 X C S a U 77WP 41P✓z'
Mass.Construction Supervisor's License No. fsl oV 9y Expiration Date
4. Addition 4 r5
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars SizeD
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 we to the best of his, her
knowle,dg,e and belief.
A 4 4 �
Signature of responsible a icani
Remarks
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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 X
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 be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks ZOO �, o
- side L:1oo '' R: /,�O � L:AV R: D<�
� c7
- rear
e,
Building height '
Bldg Square footage .5 o
%Open Space:
(Lot area minus bldg )
&paved parking)
# .of -Parking spaces
,# of 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.
DATE: `J- - fir'�- �42 APPLICANT's SIGNATURE
NOTE: 1 suanoa of in zoning permit does not relieve an applicant's bu den to comply t ,.ail
zoning requiraments and obtain all required permits from the Board of Health,, Con rvatior
Commisalon, Department of Pubiio Worker and other nppiionble permit granting authorities::.
�.:;r. FILE .,
RVA
File No. /l
G PEPMI T APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Z/ In7U1610
Address: s L D UpG�/LL R1% /U ' 'Z 7� Telephone: � 'y
2. Owner of Property: Sf7'1�
Address: Telephone:
3. Status of Applicant: X Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# 41 Parcel# District(s):�71'/��U
(TO Bt FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Pr posed 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 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)
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FILE # g 616 5 6
a 29 1
NTACT PERSON:
PROPERTY LOCATION:
MAP 1/z PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
lRivildinfy Permit Filled put
New ("ongtrivetian
L�
T FOLLOWING ACTION HAS BEEN TAKEN ON THIS PILICATIOM
Approved as presented/based on information presented ���c� r, `3f?t�c�.Jc� _- '�/'K r
L p
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
I/
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
��t from C�at' Co n
G
r
Signature of Building IQOCtor Date
NOTE:leauanoe of to zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Public Works and other applicable permit granting authoritles.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
0 e 2. Structural Components in Place*
3. Complete Building*
No. 1040 Office of the Building Inspector
Zoning Form No. 961659 Date 11/7/96 Fee$48.00 Check:# 9010
Page, 41 Parcel 8 ,Zone RR/WP Section 127 ❑ Yes ❑ No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT wing Construction/Paul wing before Building Inspections
has permission to construct 30' x 40' open shed Inspection on Site—Foundations
situated on 45 Loudville Rd - Edmund Connelly 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
*Old building should be demolished prior to final inspection.
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU �ISES
Certificate of Occupancy
Building tor,,