17C-121 (6) >
Olt
>
r •^• R Z
et ZIn
>
Z rri
7
et
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.— —19 Additions
—
APPLICATION FOR PERMIT TO ALTER Repair
a Garage
1. Location J1 �,a Lot No.
2. Owner's name J,) > r" o Address !'I:-
3. Builder's name
Address
Mass.Construction Supervisor's License No. Expiration Date
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
13. Siding house
14. Estimated COSL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and te.Iief.
sirnature of responsible appacant
Remarks
10. Do any signs ebst 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:
1I. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OP INFORMATION.
Thus col- to be ellled is
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parking)
# of Parking spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: �1 APPLICANT'S SIGNATURE
NOTE: Issuap o of at zoning permit does not relieve an appiioants rden to comply vAth all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applionble permit granting authorities.
PILE #
File No. 91����✓� , _ ji .� juv
}qt
ZONING PERMIT APPLICATION (§I0 . 2
PLEASE F.A SE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: 2,: d -t. 'C -Vt?;',e°':i t
Telephone: - -
2. Owner of Property: Joe )e,'l or i o
T „o�
Address: �' e-,_ ?.c? o e., Telephone*
3. Status of Applicant: Owner Contract Purchaser Lessee
- Other(explain):
4. Street Address: >/
Parcel Id: Zoning Map# 1 Parcel#_ District(s): L�l
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
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 PermWadance/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)_
FILE if-
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP 17e-- PARCEL: ZONE
THIS SECTION FOR.OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7,ONTNG F01RM FILLED MIT
Fee Paid
IR11ild up,Permit Filled nut
Fee Paid K, 5'
Addition to Existing
.�
TI E,�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 Well Water Potability-Bd Health
Permit from Conservatio missi n
Signature of Building for Date
NOTE:Issuance of a zoning permit does not relieve an appiloant's 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.
P
C
at y of Northampton REQUIRD INSPECTIONS
$ 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 876 Office of the Building Inspector
Zoning Form No. 960339 Date 10/11/95Fee $20 Check#3825
Page, 17C Parcel 121,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMI F I I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Alan Shumway before Building Inspections
has permission to re-shingle roof. Inspection on Site—Foundations
situated on 44 Sheffield Lane - Joe Defliorio Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJCPOUS LA E ON P ISES
Certificate of Occupancy
Building Inspector —
re� fgzA 9�'�ill���imp