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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
ti NORTHAMPTON, MASS. / G 19
� Additions
APPLICATION FOR PERMIT TO ALTER Repair
_ II, Garage
1. Location 31 r i"a!�j ,e � • f l or^r ,-, c e ✓I') Lot No.
2. Owner's name , ki s> L . Address—3
3. Builder's name to Q Lk ydress 6
Mass.Construction Supervisor's License No. r) i t✓ Ca �( O� Expiration Date l ;�_3 9
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 n I a e t� S'��,! pt,2e
13. Siding house
14. Estimated cost:-#1 D 0-
The undersigned certifies that the above statements are true to the best of his, her
knowledge belief.
Signature of responsible app icant
Remarks
10. Do any signs exist on the property? YES NO c
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.
This col— to be e!21,&d in
by the Banding 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:
'4volume--& location)
13 . Certification: I hereby certify that the information contained herein
rf is true and accurate to the best of my knowled
DATE: - / APPLICANT's SIGNATURE J
NOTE: isauano of a zoning permit does not relieve an ap oant'a 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 appiioable permit granting authorities.
FILE #
t
File No v
4 `l
ZONING PERMIT APPLICATION (§10 . 2 , "� S
P=iSE TYPE OR PRINT ALL INFORMATION
1. Name of Applica'nt: �2y ��-
Address:— �0 3 (_�t � � � T K.�,o r��� Telephone: G S D 2
2. Owner of Property:
Address: 3 / 5� � C�� r /`1 vI Ioee ,c r Telephone:
3. Status of Applicant: __Owner Contract Purchaser Lessee
Other(explain):
4. Street Address.
Parcel Id: Zoning Map#_l Parcel# District(s): ��lC
(TO BE FILLED IN BY THE YUILDING 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 Permit/Varance/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 # 960434
APPLICANT/CONTACT l'ERSON��
ADDRESS/PHONE: " r
PROPERTY L CATION:
MAP PARCEL: ZONE
THIS SECTION FOR_OFFICIAL USE ONLY:
PERMHT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
MNINC-FnRM FIT LED OITT �
Fee Pahl
$,l�ilrl_in��PPrmiZ FillPrl not �/
FPp Pain
TvnP of f'nnctrnrtinn-
Now t-nnctrnrtinn
RPmndelinu Tnt_ Prinr '
Additinn to Fiictinu
Ar�PCCnry �trnrtl�rP
Rnildin janc Tnrl Ided-
nwnPr/nrrnnant Rte
TT�F OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
V 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
Perm' r Co servation Commission
///�
i ilding Inspector at
6
NOTE:lssuanoa of a zoning permit does not relieve an appiiomnt's burden to oomply with all
zoning requiraments and obtain all required permits from the Board of Health, Conservation
Commission, Department of Pubiio Works and other applioable permit granting authorities.
e t
g�pQ-��pTpy�
City of Northampton REQUIRED INSPECTIONS
e DEPARTMENT 1. Footings and Walls
BUILDING
2. Structural Components in Place*
3. Complete Building*
No. 972 Office of the Building Inspector
Zoning Form No. 960434 Date 11/6/95 Fee$20 Check# 828
Page, 17A Parcel 128 Zone URA Section 127 ❑ Yes EJ No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Western Mass siding & Roofing before Building Inspections
has permission to strip & re-roof house. Inspection on Site—Foundations
situated on 315 Bridge Road - Edward Lapinski 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 CONSPW U PL CE ON THE PREMISES
Certificate of Occupancy
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