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11C-034 (6) .x �' �. i o ---------- A- TL 0 a > ? �o .v ^y a 3 o cCA et � Z r_ �7 cn O A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations 4 NORTHAMPTON, MASS. =��'' G} 19 Additions ' • ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location '`�`M Lot No. 2. Owner's name 4K�-� // Address 2*,1 3. Builder's name ,�✓f>e.J� � � Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration r2 6. New 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 belief. Signature of responsible app,icant Remarks 10. Do any rjs ebst on the property? YES 1.� NO IF YES,describe size,type and location: Id Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: II. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This coix= to be filled in by the Baildiag 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) .;Qf. ;Parking spaces ..jfof Loading Docks Fill: =(voldme--& location) '13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. a. DX TE: APPLICANT'S SIGNATURE NOTE: luouanoe of a zoning permit does not relieve an applicant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation ._ Commission, Department of Pubiio Works and other applioable permit granting authorities. kfl',7. FILE # FEg 2 61996 File No. L/ `b ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Cj Address: l �� zv c+�v< Telephone: ,`� �c°`-2 -3 2. Owner of Property: - Address: Telephone: G? Z Z 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): 4. Street Address: Parcel Id: Zoning Map#— Parcel# Lf District(s): 1 (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): C-cc-tom-. 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 `J " 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 # 960971 APPLICANT/CONTACT PERSON: ,7),), ;1� 161, ze a ADDRESS/PHONE: / PROPERTY LOCATION: / c ?: y'� c%: <, - / ` �� `�>,, -: %t z� MAP ,J/C . PARCEL: ro NE /f THIS SECTION FOR-OFFICIA.L USE ONLY: PERK HT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM MLED MIT n � 4: 'A� J�-, iantStaternentorld THE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedfbased 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 Conservation Comm' Pn 111fa Signature of Building Inspect Da(e NOTE:tesuanoe of a zoning permit does not relieve an applioants 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 authorities. — Clay of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 107 Office of the Building Inspector Zoning Form No. 960671 Date 3/1/96 Fee 40 Check#3037 Page, lic parcel 34 ,Zone HB Section 127 ❑ Yes © No BUI]LDING PERT ,4f]l * Plumbing and Electrical Inspections required THIS CERTIFIES THAT D. A. Williams before Building Inspections has permission to enlarge walk-in cooler. Inspection on Site—Foundations situated on 24 Haydenville Rd - Joe Ashton - Leeds Package Store Inspection of Plumbing—Rough provided that the person accepting this p:.rmit 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. �� /�G Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish 3 l � of this permit.Expires six months from date of issuance,if not started. g, g�sp�tion—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 DISPLAYE A C NSPICUOUS PLACE ON THE P ISES Certificate of Occupancy dZilding Inspector