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17C-067 o � ? i T c .. z a Z > _ � o NO a Zoning Miscellaneous Additions,Repairs,Alterations,etc. TY//' $'Z r- "'r!3' Alterations 1 NORTHAMPTON, MASS. 19 Additions 1 � ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 C�-�-r-h S� �� U� 'I�r� Lot No. I 2. Owner's name r-rer_�l .0 Address / f^ 3. Builder's name f` Address a Mass.Construction Supervisor's License No. O LQ 7 14 1067 '60 Expiration Date 4. Addition e• o 5. Alteration 6. New Porch 7. Is existing building to be demolished? h t`7 8. Repair after the fire ✓n c� 9. Garage No.of cars Size 10. Method of heating�n S 11. Distance to lot lines f= - S / Z - �t�` , (j�,,,• — )aj o r 12. Type of roof v,cn 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icon! 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 colua to be filled in by the Dnildlmg Department Required Existing Proposed By Zoning Lot size , (0`1b 0.Cct5 Frontage I ov' ---- Setbacks S - side L: R: SO L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) �a :pf Parking Spaces i of Loading Docks Fill: '4vol-ume--& location) 6J JA r '13 . Certification: I hereby' certi.fy that the information contained herein G is true and accurate to the best of my knowledge. 1 DA'Z'E: APPLICANT's SIGNATURE 1r' Lj� „f{" NOTE: lasufaknoe of a zoning permit dogs not relieve an applioanYs burden to comply with all zoning requirements and obtain all required permits from the Board of Health. Conservation . Commission. Department of Publio Works and other applicable permit granting authorities. ai FILE ,}` File No. FEB ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_rci-e_n VLO14\�-- Address: /S- 1 Clot? ,Ar.\ V Telephone: 2. Owner of Property: Address: 1 r ( Telephone: S$J– Ty/'1' 3. Status of Applicant: __Owner Contract Purchaser Lessee Other(explain): 4. Street Address: Parcel Id: Zoning Map# / Parcel# G 7 District(s): N or e-,,Cp _ (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property t eS.�`//t'C Q- 6. Description of Prop�j sed Use/Work/Project/Occupation: (Use additional sheets if necessary): rX- 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__.x_ 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 # APPLICANT/CONTACT PERSON: `�2 ADDRESS/PHONE: PROPERTY LOCATION: /J-2 MAP /J(!� PARCEL: '7 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERNUT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE 7.ONTNC- FORM FILLED 01IT Ft-t- pAid TV]]', of Cnnqtriyrtinn- Addition fn Firiqfin2 L- L , .� 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 fro onservatio ommis i Signature of Building ector Da NOTE:Issuanoe 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 Publio Works and other applicable permit granting authorlties. a 0�� City of Northampton REQUIRED INSPECTIONS e 1. Footings and Walls BUILDINGDEPARTMENT 2. Structural Components in Place* 3. Complete Building* Office of the Building Inspector No. 44 Zoning Form No. 960604 Date2 1 96 Fee 20 Check# 3483 Page, 17C Parcel 67 Zone URA Section 127 ❑ Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Daniel xewins before Building Inspections has permission to install a woodstove Inspection on Site—Foundations situated on 151 Chestnut Street - Karen LaRoche 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$PjCj JOUS PLAC ON THE P ISES Certificate of Occupancy Building Inspector ►UW =9 City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT, 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 44 Office of the Building Inspector Zoning Form No. 960604 Date2 1 96 Fee 20 Check# 3483 Page, 17C Parcel 67 , Zone URA Section 127 ❑ Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Daniel xewins before Building Inspections has permission to install a woodstove Inspection on Site—Foundations situated on 151 Chestnut Street - Karen LaRoche Inspectio:l of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Maintenance and Inspection of Building: in the City of Northampton. Inspection of Wiring—Rough Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough_ Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. _ Building Inspection—Finish 6' S ** Install per Manufacturer's information:. windows, vinyl siding,roofs and woodstoves Smoke Detectors (Fire Department) Other THIS CARD MUST BE D_ PL N CON$P,ICVOUS PL.AC ON T f�MMISES Certificate of Occupancy Building Inspector _ Gip' t G