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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.
2-2,tl Alterations
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NORTHAMPTON, MASS. �' I kb Additions
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APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location — � ' ' L c �Q Lot No.
2. Owner's name (— � �'� L` Slr't, Address :)-C)j K\-�O3Al:` f>-'
3. Builder's name `e=Cle Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? c'
8. Repair after the fire `-�
9. Garage No.of cars Size
10. Method of heating K S` r r'C "(2 L " ', C&
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
knowledge and belief.
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Signature of responsible app,icant
Remarks
CONSTRUCT'
SOLUTIONS E , b
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CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224
CONSTRUCT,'
SOLUTIONS1
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CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224
73 6 C
L NON
10. Do any signs exist on the property? YES NO r' r
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 colmm to be 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)
# pf, -Parking Spaces
f of Loading Docks
Fill:
(vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: �` �aIQ� APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply ttr,A t
wi
-
zoning requirements and obtain all required permits from the Board of Health, Coi Ve l tlon
Commiasion. Department of Publio Works and other applioabla permit granting authoritles::.
' ` FILE #
File No.
" :LNG PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: a vs C-�e k'4� t-�
Address: 6 S G V ( « C� Telephone: J ;
2. Owner of Pro P e
r /
Address: �'a ���� r LL Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
4-"Other(explain):
4. Job Location: _�� UU�O►� E �" c �z
Parcel Id: Zoning Map# Parcel#�( &-1 District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property `� �i C) ►^ Q '
6. Description of Proposed Use/Work/Project/Occupabon: (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/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 11 YES IF YES,date issued:
IF YES: Was the permit recorded at the,Registry of Deeds?
NO DON'T KNOW C/ 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)
# 961 6 95
FILE /t.O
NW 7 M
APPLICANT/CONTAItT PERSON:
ADDRESSIPHO E° '
PROPERTY LOCATION: '�' � el�
MAP L�— PARCEL: ,90 ONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
znNING FORM MY ED 01IT
Ft-e Paid
New Cnngtritefinn 1 66
Addition to Existing-
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
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
leer ' from Conti o
Signature of Building Ins for Date
NOTE:Issuance 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 Public Works and other applicable permit granting authorities. f
•TNMI O
City of Northampton REQUHi6INSPECTIONS
BUILDING DEPARTMENT 1. Fo otings and Walls
2. Structural Components in Place*
3. Complete Building*
No, 1053 Office of the Building Inspector
Zoning Form No. 961695 Date 11/18/96 Fee$40.00
Check# 7124
Page, 5 Parcel 20 ,Zone RR wsP Section 127 ❑ Yes ® No
BUILDINGPER.MIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Rnh Rpc-kman before Building Inspections
has permission to expand studio to adjacent bay & add 3 skylights Inspection on Site Foundations
situated on 395 Audubon Rd - Leonard/Lisa Baskin 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 Ordim nces 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 3I y
of this permit.Expires six months from date of issuance,if not started.
Building Inspection—Rough 1 0
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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYE6 IN ArCONSPICUOUS P ACE O ISES
. '
Certificate of Occupancy � •.,.�-
Building Inspectorf,
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