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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location `✓'L11 cSl— Lot No.
2. Owner's name oN A Addresses( -s/
3. Builder's name C( (0 t<dnn__�.r�— Address C1 YIL-
Mass.Construction Supervisor's License No. MC // Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
S. Repair after the fire
9. Garage
10. Method of heating
11. Distance to h
12. Type of roof
13. Siding house
14. Esti ted cost:- _
X60
Remarks
w
No.of cars Size
„ a
zr-1
� Z
cn O
m
70
C
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belie .
Signaluj.e`�qJ responsible app, cani
f!r•,
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 in
by the Building Department
11v-G-Lujl: i nereny certify that the information contained herein
is true and accurate to the best of my knowled
D70E: APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioan urden to oompty with all
zoning requirements and obtain all required permits from the and of Health, Conservation _.
Commission, Department of Public), Works and other appiloaba permit granting authorities.
FILE #
Existing
Proposed
Requlrea
By Zoning
Lot size
Frontage
Setbacks
- side
- rear
L: R:
L: R:
Building height
Bldg Square footage
%Open Space:
-(Lot area minus bldg
&paved parking)
0f. ^Parking spaces
# %f Loadinq Docks
Fill:
=(vol-lime--& location)
11v-G-Lujl: i nereny certify that the information contained herein
is true and accurate to the best of my knowled
D70E: APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioan urden to oompty with all
zoning requirements and obtain all required permits from the and of Health, Conservation _.
Commission, Department of Public), Works and other appiloaba permit granting authorities.
FILE #
1996
Fi1e No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:__ C4
Address: Telephone:
Telephone:
2. Owner of Property:_ /A,`ZcJ dc(11
3. Status of Applicant:
4. Job Location:
&/ Sf Telephone: 5� � —
Owner ✓ Contract Purchaser Lessee
Other(expla
Parcel Id: Zoning Map# Parcel# �� District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT
c
5. Existing Use of Structure/P rope rty �
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/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 x� 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)
k
FILE
APPLICANT/CONTACT+ERSON:
ADDRESS/PH-ONE: _-
PROPERTY LO ATION:
MAAP
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
41 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
Signature of Building
Date-
NOTE: Issuance of at zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commisslon, Department of Publio Works and other applicable permit granting authorttles.
g $ City of Northampton REQUIRED INSPECTIONS
B e 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 442 Office of the Building Inspector
Zoning Form No. 961050 Date 6/3/96 Fee$20.00 Check# 1805
Page, 17A Parcel 195 , Zone URB No
Section 127 Yes
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Ed Corbett Jr. before Building Inspections
has permission to re-roof house over (1) layer. Inspection on Site—Foundations
situated on 18 Powell St. - Leonard Aldrich Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding, roofs
Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PjCjJOUS PLACE ON T P ISES
Certificate of Occupancy t
Building Inspector