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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5 �� Alterations
NORTHAMPTON, MASS. Additions
APPLICATION FOR PERMIT TO ALTER Repair
/ ! Garage
1. Location /v o��� ;ra -- Lot No.
2. Owners name �d^� x�-���c��.�:>I��,-��`.- Address
3. Builder's name Address chi F/ �� j=%�yi 5' l
Mass.Construction Supervisor's License No. /' Expiration Date
4. Addition ,
5. Alteration r7h j. A7A/
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
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14. Estimated cost:- f� �71jO
/ The undersigned certifies that the above statements are true to the best of his, her
knowl"edgean belief.
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Signature of responsible app icant
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Remarks
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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.
This col— to be fi.11ad In
by the Bulldiag Dwpazin—t
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)
_pf, Parking Spaces
...i%f Loading Docks
Fill:
=(volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowZed e.
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_ 7
D21TE: APPLICANT's SIGNATURE
NOTE: lssuanoe of a zoning permit does not relieve an applicant's 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 appiloable permit granting authorities.
FILE #
i
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: z z1,',
Address: � ) r,r. /,1 / �r r 1a Telephone:
2. Owner of Property:_ f v,. 6'r.
Address:
Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
7
4. Job Location: G %-ter, �j t t �C e
Parcel Id: Zoning Map# Parcel# �-3 District(s):
(TO RE FILLED IN BY THE UILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/OccuPaton: (Use additional sheets if.necessary)-
1-„,-,�
Oh” �. .. i r� r ,,-)
��U`,/:Sfb r, •..�, f lzr-/,1 /l(_' �4./f� ' C1 r�r� ca ,f �r �- .l f'/c°/J t �'/'t.4 r
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/Variance/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 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 # 96 114 5
u G 0 nq% t _
APPLICANT/CONTACT PERSON: ' �.'� �t l
ADDRESS/PHONE: f/ _ E "7 7,5
PROPERTY LOC TION: �.�U ° -e'�`� /(Ji.,�i�" � �G /�-1• L'.�rvG"� ��� '�
MAP PARCEL: ZONE X .
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee pnod
Building Permit Filled njft4
New Constrii
-3 Sets nf Plans /Plot Plan
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T„ OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
_ 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 ission
Signature of Building 5 d Efate
NOTE: Issuanoa of at 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.
a pity Of Northampton REQUIRED INSPECTIONS
BINGUILD I. Footings and Walls
DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. #Baca
Office of the Building Inspector
Zoning Form No. %/ 6— Date Fee $aA Check# i3
Page, 17A Parce1123 ,Zone R_ Section 127 ❑ Yes ❑ No
BUIULDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT _ Thomas Ma t ;n before Building Inspections
has permission to Rebuild chimney Inspection on Site—Foundations
330 Bridge Road
situated on 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,
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough
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.
** Install per Manufacturer's information: windows,vinyl siding,roofs Building Inspection—Finish
and woWstoves Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T REMISES
Certificate of Occupancy
uilding Inspector