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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
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NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7 e �PJ�R✓I L ef cd 5 Lot No.
2. Owner's name r P Y Address
3. Builder's name 4 X m Address (�v
Mass.Construction Supervisor's License No. � L/) 3 Expiration Date 12 ,94
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 I-ee)cr-
13. Siding house
14. Estimated cost- a oc, c(n
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of resporty b! app icane
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.
zzii.s column to be filled in
by the Bmilding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area 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: 37 y APPLICANT's SIGNATURE
NOTE: lanuanoe of a zoning permit does not relieve an applioant's' urden to ply with all
zoning requirements and obtain all required permits from the Board of Heal , Conservation
Commission, Department of Publio Wor" and other applioabie permit granting authorities.
FILE if
� Ls
V( ' f
vEPr OF Fi 1 e No. l(/n � ��0+ TFIAr'� aQ%
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: :� 1n reu ,�
Address: �6 /7lC ha,�l� s `'G= 'h dlTelephone-
2. Owner of Property: i t i'qr e, 2 l 'S-el /
Address: "7 A a rge,,r6n Lt e d 3 /L j a e Telephone:
3. Status of Applicant: 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 Use/Work/Project/Occupation: (Use additional sheets if necessary):
�_�����6?�' � Y�'.Ol ►/ �/�L �� l.r'�,��5 TT% �CG�f1 C,''G' Gilt,' C'��L/��'' _
% r"elarg e- 2!91.1 6q 71i CV's
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 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)_ '
• fT0300
FILE #
APPLICANT/CONTACT PE ON: a er0`)
ADDRESS/PHONE: /l
PROPERTY LOCATION:
MAP PARCE : ZONE_&21V_
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
7,0NING FORM VIT LED MIT
et-Pnid
Building Permit Fflled out
Remodelin2 Interinr 4j4k;��-�z �
l
TIOLLOWING 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 Conservati omm' A n
p 11,5e 9
Signature of Building for Date
NOTE:issuance of a zoning permit does not relieve an applioant's burden to oompiy with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appliooble permit granting authorities. _
i
g City of Northampton REQUIRED INSPECTIONS
$ 1. Footings and Walls
` BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
850 Office of the Building Inspector
Zoning Form No. 960309 Date 10/4/9 Fee 20 Check# 1091
Page, 11C Parcel 022 , Zone_g_ Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Stephen Camp before Building Inspections
has permission to re-shingle roof. Inspection on Site—Foundations
situated on 7 Heffernanc St. - Leeds - George & Kathleen Russell 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 pen-nit.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 C0N$PJCV0US PLACE 9N T"gPRE SES
Certificate of Occupancy
uilding Inspector