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17A-220 (7) T A Z m > -� r: '-1 �► a7 .r Cr O Zoning Miscellaneous Additions,Repairs,Alterations,etc. 'Tel.No. Alterations -'1 ORTHAMPTON, MASS. lg Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location �7,� ,t!/ � �� �'�4 Lot No. 2. Owner's name PA j 1.4 003,8e i r Address !?,A A)o R.--t+ Mt'1 Pt-e 3. Builder's name S ",-<Xi Address A- Xr^S4,111 .E' Al � Mass.Construction Supe r is License No. %,)G yc i Expiration Date 51 y 4. Addition . Alteration Xe kle IL 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:- 'C 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 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 filled 1n by the Building Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - 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-time--& location) 13 . Certification: I hereby certify that the information contained herein rf_ is true and accurate to the best of my knowledge. „ DA1"E:� &� >> yC APPLICANT's SIGNATURE NOTE:kssuanoe of a zoning permit does not relieve an app -ant'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. `. FILE , DEC 2 1 199 File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: A14,Q, Address: a 04' 0 4 /Cc/' � �Telephone: �6�'5 - Z/l/ 2. Owner of Property:_ �i9�'�ih' Crr%,e X/ Address: /7„1 Ae 1!21�,��k S1�' Telephone: S y 5 5f 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): , -`Eu� 4. Street Address: '� ' 4/1 Ae Parcel Id: Zoning Map#- 17 Parcel# a 0 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property blol�lie 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 PermitNadance/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) 9G04540 FILE #_ APPLICANT/CONTACT PERSON: .> CC"��' A-4_. ADDRESS/PHONE: l h PROPERTY LOCATION: MAP PARCEL: C, ZONE THIS SECTION FOR�OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FU LED 0111 •�'/ .�J Fee Pahl Fee Pahl -2�-1-1 /e X Additinn to Existing ArnPSSnry Strnrtnre Rnilding Plans Tnrlurled. Owner/(lrri�na�nt Stgt T,irPnge 3 Sek of Plans I Pint Plan THF,.FOLLO�VING ACTION HAS BEEN TAKEN ON THIS APPLICATION' I/ 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 ',--�erm'Pfrotn Cons ati Co mission Si lure of Buildin ector ate NOTE:Issuance 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 Public Works and other applicable permit granting authorities. _ Hl►1'/ City of Northam p ton REQUIRED INSPECTIONS e 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1077 Office of the Building Inspector Zoning Form No. 960540 Date 12/21/95Fee$20 Check# 847 Page, 17A Parcel 220 , Zone URB Section 127 ❑Yes 0 No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Mark Symanski before Building Inspections has permission to Re-roof 10 X 20 Porch. Inspection on Site—Foundations situated on 172 North Maple St. - Paula Corbett Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finish ** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors (Fire Department) and woodstoves Other THIS CARD MUST BE DISPLAYED IN A CON$PJCVJ .PLAN ON THE PREMISES Certificate of Occupancy B g nspector _ — I.► a r�rirvn