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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS. 19 Additions
•
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location .Z ST 1 SUo) toe F;l�C-f-- _Lot No.
2. Owner'sname V'\ a- F'(R i i _ \&V'N S-Qr-1 Address Z S'Ti L—SOc-j\
3. Builder'sname 4 Address \37 c�P+r a S-s—( 1�+A�tJE�J iL�E MA
Mass.Construction Supervisor's License No. CA K((o 2-1-A Expiration Date Df 16 `17
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof SN , <-I=C 2tP Z LAitE(L S 'J.tiS ►A,\ tiU `t2 5rr Q>_I-4wc)on�
13. Siding house
14. Estimated cost:- .3 cc>
1
Th ersigned cent ies that the above statemc are to the best of his, her
kn led and belie .
JSignature of response !e a p icant
1
Remarks
10. Do any signs exist on the property?
IF YES,describe size,type and location:
YES
NO
Are there any proposed changes to or additions of signs intended for the property?YES
IF YES,describe size,type and location:
NO
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This c02— to be filled in
by the Bni.l i-ng Department
k..c.L ( iiicazion: 1 hereby certify that h-�--
is true and accurate to the best of m k.
DATE:- ` -� (o G S APPLICANT's SIGNATURE_
NOTE: Issuanoe of a zoning permit does not relieve an
zoning requirements and obtain all required permits fr
Commission, Department of Publio Worms and other at
FILE I
formation contained h in
l edge.t 11
ioanVal burden to ply with all
ha Board of Heal 6n -rxuthoritios.conservation
ibla permit grant
5
Existing
Proposed
Kequired
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)
.of Parking spaces
of Loading Docks
Fill:
`4vol-time--& location)
k..c.L ( iiicazion: 1 hereby certify that h-�--
is true and accurate to the best of m k.
DATE:- ` -� (o G S APPLICANT's SIGNATURE_
NOTE: Issuanoe of a zoning permit does not relieve an
zoning requirements and obtain all required permits fr
Commission, Department of Publio Worms and other at
FILE I
formation contained h in
l edge.t 11
ioanVal burden to ply with all
ha Board of Heal 6n -rxuthoritios.conservation
ibla permit grant
5
i'JO����Iyy}I}gqq t,it tE 'r
4
File No.
S
ZONING PERMIT APPLICATION (§10
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: N1,6 C2 Sty
Address: \,3 7 r�(� , S T /I-1 A iOC4J -WC Telephone: 2_C ,;K - "�`�S
2. Owner of Property: y-�R, �_ p-�(2.
Address:_- 1oa-CtJC E_ iMATelephone:
3. Status Ican Owner ✓Contract Purchaser Lessee
Other(explain):
4. Street Address:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed UseNVork/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 Per iwanance/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 V 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)
960440 '
FILE # ��
APPLICANT/CONTACT PERSON: ��
ADDRESS/PHONE:
PROPERTY LOCATION: X4''
MAP 7s PARCEL: /// ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERK HT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Paid
Addition tLExisting
�-
c
T��FOLLOWING ACTION HAS BEEN TARN 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
ermit f Co servation Commission
Signature o ding Inspector D e
NOTE:lasuanoe e
of a zoning permit dos not relieve an pplioant'a 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 appiioable permit granting authoritles.
'S►�Pj.
City of Northampton REQUIRED INSPECTIONS
' BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 977 Office of the Building Inspector
Zoning Form No. 960440 Date 11/6/95 Fee $20 Check# 395
Page, 17C Parcel 111 Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J. Morse & son Roofing before Building Inspections
has permission to strip & reshingle roof. Inspection on Site—Foundations
situated on 32 Stilson Ave. - Florence - Carl Johnson Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJC VLA N THE PREMISES
Certificate of Occupancy -
nspector
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