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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Q Teel.No. Alterations
NORTHAMPTON, MASS. /� �� ��Y 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location c) -a;,.44/o / Lot No.
2. Owner's name �-a iv r I V t S hr Address
3. Builder's name ►, Y �r Address
Mass.Construction Supervisor's License No. 0`):j Expiration Date
4. Addition ---
5. Alteration zl ne C-41 M r l /d , c"G1 /d
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 cost:-
The undersigned certifies that the above statements are true to the best of his, her
k--rnowled d belief.
Signature of responsible app lcant
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?YE5 NO
IF YES, describe size, type and location:
I1 - ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to ba filled in
by the Building 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
of Loading Docks
Fill:
(vol-lime--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowZLLg,,DAVE: APPLICANT's SIGNATURE / zfiy�
NOTE: Issuanoe of a zoning permit does not relieve nn appm anrs burden to oompty with ali
=oning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applio8ble permit granting authorities.
FILE
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE =P OR PRINT ALL INFORMATION
1. Name of Applicant:-
pplicant:
Address:2!r X)'-=zyn f Telephone:
2. Owner of Property: 17�11V✓l e- 1
Address: -31 C 3"1) G Pc!� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 3/6 13'4' " /,/j
Parcel ld: Zoning Map# l7 Parcel# District(s): ,/ ,���
(TO B FILLED IN BY THE BUILDING DEPARTMENT)-
5. Existing Use of Structure/Property ::514 4- n•l/
6. Description of Proposed Use/Work/Project//Occupation: (Use additional sheets if necessary): _
1
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 4-' YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT 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)
FILE
APPLICANT/CONTACT PERSON: --
ADDRESS/PHONE: / = d
PROPERTY LOCATION: G GP L
NIAP /M PARCEL:
THIS SECTION FORAFFICIA.L USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
znNING FnRM FILLED MIT
Fee Pnid
Fee Pnid
Addition to Existing
'� .LL%rrt�trz
CZ� ,5
3 Sets nf Plans I Pint Plan
TH�LOWING ACTION HAS BEEN TAKEN ON THIS APE LICATION-
t'
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-Bd of Health Well Water Potability-Bd Health
Permit from Conservation mission
7 z
Signature of Building Ins p e
a
NOTE:issuance of at zoning permit does not relieve an appiioant's 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 appiioable permit granting authorities.
����"•g City of Northampton REQUIRED INSPECTIONS
} a
BUILDING 1. Footings and Walls
DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
NO. 772 Office of the Building Inspector
Zoning Form No. 961391 Date 8/29/96 Fee 20.00 Check# 1429
Page, 17A parcel 104,Zone URA Section 127 ❑ Yes No
BUI]LDINGPERMI
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Thomas St Martin before Building Inspections
has permission to demo chimney to roof line & rebuild Inspection on Site—Foundations
situated on 310 Bridge Road - Harriet Shaw 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
and woodstoves (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T ISES
Certificate of Occupancy '
Building Inspector