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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. s ' � Alterations
NORTHAMPTON, MASS. S T# 19 Additions
J'
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4-a (&-,*A//)it 'V Al C t-- Lot No.
2. Owner's name d=,e k'V Al Address 2 Z o'Fe41 Si—
3. Builder's name IVr— Address le-`/6 r .5-T — JF 19 5 i11A1'(X7-C°1ff�
Mass.Construction Supervisor's License No. o6 �57 X73 Expiration Date 71112 e-
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. 7- LUZ?AL
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 scan!
Remarks
a
10. Do any signs exist on the property? YES Nb
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:
Il . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coltffia to be fil.Led in
by the BniId-;na IAepartm�nt
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
'(Lot area minus bldg
&paved parking)
#, 0*9 -Parking Spaces
f of Loading Docks
Fill:
(volume -& location)
13 . Certification: I hereby certify that the information contained herein
9a.
is true and accurate to the best of my knowl rd ge.
D20E: APPLICANT's SIGNATURE
NOTE. Issuaanoe of a zoning permit does not relieve an appl oanrs burden to comply with ail
zoning requirements and obtain call required permits from the Board of Health, Conservation
Cor)mnlission, Department of Public Work, and other applloable permit granting authorities.
r
MAY 906
Fi 1 e No.
ZONING- PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: /t/I/ a /<
Address: �� y .�3r,t'S"� 5"r�tL�/°r caN Telephone:
2. Owner of Property:
Address: ,7Cfr1'ifjlYD (�/ tt► /`L.y; 'E✓l� Telephone:
y / 9
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain): L 6A MAf TDd1Z c-'5
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO/BE FILLED IN BY THE BUILDING DEPARTMEN
S. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
y J
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 PermiUVadance/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 # {* r+ (1 '
MAY 9
APPLICAN06 T/CgNT CT PERSON:
ADD R SfP11`O�E: /
PROPERTY LOCATION: ' ;',_
MAP % wJ % PARCEL:
- . ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
F.NCT nQFTl 1D'FnYTTRFTI TlA?'Ti`
• ►11► • • u 91 1 /
111M I FIRM=1 1-11va m 1111.
�Or=xffi MINUM a �
1
Mrswris Dam
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 Conservation Co ion
o� z�
Signature of Building lnspec,tpf Date
NOTE:tasuanoe of a zoning permit does not relieve an applioant'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 applioable permit granting authorities.
ti
City of Northampton REQUIRED INSPECTIONS
$ e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
NO. 354
Office of the Building Inspector
Zoning Form No. 960945 Date 5/10/96 Fee 20.00 Check#3019
Page, 17A Parcel 92 , Zone URA/WSP Section 127 ❑ Yes 0 No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Serge Belanger before Building Inspections
has permission to strip & reshingle house roof. Inspection on Site—Foundations
situated on 22 Grandview St. - Kerry Meehan 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$PJCVOUS PLACE ON T RE SES
Certificate of Occupancy
Building Inspector �►