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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 1 GSA Roa E;,1c 'Fz tj & Lot No.
2. Owner's name LQ C dGC._0 Address Vi 4%A s-t-,
3. Builder's name aobc- 1 U Address 1 AMA W S k-J 0`AO CW J k L`E MI+
Mass.Construction Supervisor's License No. l 2 Expiration Date '' �7
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��l�4j e��C-. Ak 1 i��l WW-40
13. Siding house
14. Estimated cost- 7 00,00
The u e igned certifies tha=theabov:e:s:tatemc ue to the best of his, her
knowle e d belief.
Signature of respo eble pp iconz
Remarks
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
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN, BE DENIED DUE TO
LACK OF INFORMATION.
This C0.1w a to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- 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:
'4vol-Ume--& location)
13 . Certification: I hereby certify that the infQrmatlon contained h ein
is true and /accurate to the best of my know e ge.
DATE: O 1 tt '�)S ApPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an app o n s burden to comply th all
zoning requirements and obtain all required permits from Board of Health, Con rvation .
Commission, Department of Publio Works and other applio le permit granting auth cities.
. FILE #
t
Fi 1 e No. i
IJI�7{i�t7az�t•>}P j�
ZONING PERMIT APPLICATION (§1T° ''�`
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: , m ofz sl, °V-
Address: Telephone:_ ::2 Cos — SSZ3
2. Owner of Property: f-\(2 S LOG ne— c-n
Address: 7( ►(c V► -r Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: 7 � r tij( E !�A
Parcel Id: Zoning Map#� Parcel# Id District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
r-
5. Existing Use of Structure/Property 64--S t 0
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
ST2�? t
ON-52o , C OF -E 1'L-DOE- AT p'/(;-T tD i t1 C�k
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 be n issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Regis 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 L.� 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)
LP -
FILE # " `' 4'
APPLICANT/CONTACT PERSON!
•
ADDRESS/PHONE: �
PROPERTY LOCATION:
MAP
PARCEL:PARCEL: D ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PER 41T APPLICATION CHECKLIST
ENCLOS D REQUIRED DATE
ZONTNC�FORM M,T,F-D OUT
Fee Paid
Fee Pnid D
o-
L�
THE
,,MLLOWING 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
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-Rd of Health Well Water Potability-Bd Health
Pe it fro t Conservation o missio
e11'a/.9's—
Signature of Building for Date
NOTE:tssumnoe of a zoning permit does not relieve an applloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorities.
o� qo City of Northampton REQUIRED INSPECTIONS
g
BUILDING DEPARTMENT 2. Structural Components
in Place*
3. Complete Building*
No. 896 Office of the Building Inspector
Zoning Form No. 960352 Date 10/16/95 Fee$40 Check#341 & 342
Page, 17C parcel 105 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERAM
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J. Morse & Son Roofing before Building Inspections
has permission to Strip & re-shingle roof. Inspection on Site—Foundations
situated on 71 High St. - Marie & Frank Lococo
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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLAC ON P ISES
Certificate of Occupancy 5
-01ilding Inspector
(F�t!511111 Silopj'