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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. ( 19
Additions
Repair
a APPLICATION FOR PERMIT TO ALTER
Garage
1. Location Q 0 L111)- Y1 Lot No.
2. Owner's name Uvrn-11 S41— C:I 1)'-i t� Address a''.b A I�r.�f.. 6-yi tj too .3
3. Builder's name kk]S 1 sLA p� ��,?1, W 0 MM, �1rT. Address I s
Mass.Construction Supervisor's License No. Expiration Date a�
4. Addition
5. Alteration Vat/ 1C7VL4W — eV 0
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: j(?,p()o
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
VA
lgnature ojresponsible appican!
Remarks
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° i1filC/l — /�� '100.1 dA7H 6e IDGc) C�Vai!sy Home Improvement, Inc. 19
_.- Not'.n�s duplicated or used for any purpose v5theud
ws:::e^ mission of valley Home Im rovement,Inc.
f;e: Y P
320 Pivorside Dr.P.O.Box 60627 Northampton,MA 01060
i 6!:413-584-7522 Fax:413.585-0820
10. Do any signs ebst 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 cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size 11S
Frontage
A AA
Setbacks -
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking)
.,pf, -Parking Spaces
# fof Loading Docks
Fill:
'4vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: )J APPLICANT's SIGNATURE
NOTE: lssuanoe of 8 zoning permit does not relieve an applioanft burden to oom
zoning requirements and obtain all required Pn witaail
q permits from the Board of Health., Conservation
Commission, Department of Publio Works and other applicable permit granting sauthorities-
?= �. FILE # - .
APR 1 71997
a File No.
�PT OF
--- -STING PERMIT APPLI MTION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: l:v � '�' Q '>)� 'i vA I irt
Address: -)-J'o LAAA (A-4c �d'T Telephoner (A —
2. Owner of Property: �� �;� � ',� Y"�.�; U,,.r.f. jLC y '
A 11 {� �_ J(
Address: /'1 L'I J it)')�ti'\ I\[i� Q;?�- Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
_Other(explain): ��)i i�.�(i�rAlk A � L%X`\+i l'A(71INC
4. Job Location: a14 JU1G� 5t A `O"'�
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property S/
C
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
AM)�L� �� �s�S [,
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 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)
OWE r� Ii FILE # � 3L�
APR IA CANT/CONTACT PERSON:
,CPS 0f A�HRES-S/PHONE:
PROPERTY LOCATION: (�
MAP PARCEL: ZONE k
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee pa;d
lluildin2 Permit Fill Pd mit
'
lype of Construction
emndplingTntprinr
0.3 ✓-.
OLT-OWING ACTION HAS BEEN TAKEN ON THIS APPLICATIOM 14
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
i fro on� n
$ '91 1 jr 9,
Signature of Building for Date
NOTE:kwuanoe of a zoning permit does not relieve em appiioanYs burden to oomply with all
zoning requirements and obtain call required permits from the Board of Hee►ith, Conservation
Commisslon■ Mepcartment of Publio Works and other applioable permit granting authorttles.
pro�'�� City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 307 Office of the Building Inspector
Zoning Form No. 962131 Date 4/18/97 Fee$40.00 Check# 7599
Page, 5 Parcel 29 ,Zone RR/WSP Section 127 ❑ Yes 0 No
BUI]LDING PERmi r
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT valley Home Improvement Inc before Building Inspections
has permission to remodel bath Inspection on Site—Foundations
situated on 240 Audubon Rd - Leeds - Bruce Stockwell/Syndney Flum 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON 734t P ISES
• Certificate of Occupancy
Building Inspector