17C-048 (2) " a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. .°' 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location > i Lot No.
2. Owner's name Address ?w
3. Builder's name , Address
Mass.Construction Supervisor's License No. y ` Expiration Date Si {
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? �pY
8. Repair after the fire
9. Garage y No.of cars 1 Size
10. Method of heating
11. Distance to lot lines >-
12. Type of roof 4
13. Siding house
14. Estimated cost:- �,
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
f
Signature of responsible appican!
Remarks
10. Do any signs exist on the property'? YES NO 1`�
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=a t:o be fl_L ed in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
'(Lot area minus bldg
' &paved parking)
# ,,of. 'Parking Spaces
#'fof Loading Docks
Fill:
Atrol-time--& location)
13 . Certification: I hereby" cert.ify that the information contained herein
_ is true and accurate to the best of my knowledge.
1.
?{. I DATE= "APPLICANT's SIGNATURE , ?
^V NOTE: Is uanoe of a zoning permit does not relieve an applioanfa tiueden to comply with all
zoning requlrements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applioabla permit granting authorities.
`'� FILE #
APR z a 1996
^ File No.
'-SING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: i`,' Telephone:
2. Owner of Property:
Address: `%: Telephone: ` - -
3. Status of Applicant: Owner Contract Purchaser Z Lessee
Other(explain):
4. Job Location: f'
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
r,
6. Description of Proposed 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/Vadance/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 DONT 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__r___
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)
m FILE #
-0 (A1X0NTACT PERSON;
_.ADDRF,$ HONE:
PROPERTY LOCATION:
MAP Z: PARCEL: ZO ,,eY,1 '��_...
THIS SECTION FOR OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Ft-t- Pgid
13itilding Permit Filled nut
Addifinn to Existing
Lr
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION-.
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 Wdliwater Potability-Bd Health
!Permit fr Conse i n Commis 'o
Signature of Building Inspector Date
NOTE:Issuanoa of a zoning permit does not relieve an applloant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applicable permit granting authorltles. —
M
g 'e City of Northampton REQUIRED INSPECTIONS
1. Footings and BURDING DEPARTMENrr 2. Structural Components in Place*
e ,
P
3. Complete Building*
NO. 293
EOffice of the Building Inspector
Zoning Form No. 960891 Datz 4/24/96 $20.00 Fee Check#125
Page, 17C Parcel 48 , Zone URA Seciion 127 ❑Yes ® No
BUI DING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry 7entsch before Building Inspections
has permission to strip 2 lavers « reshingle. Inspecticn on Site—Foundations
situated on 80 Fox Farms Road - Glafyra Ennis Inspection of Plumbing—Rough
provided that the person accepting th s permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the applicatior on file in this office, and to the Gas Inspection
provisions ofthe Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildir!gs 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 frorr 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 c3a��`��!IG %�
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED I CO PJCJJOUS PLACE ON TH ES
Certificate of Occupancy ;--�71q oe PIS
Building Inspector