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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. /�' d y 19� Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
3 /V . �l /G �� / Lot No.
1. Location
2. Owner's name �/ ZA q Address /6 3 /�' ��h/f� ✓/
3. Builder's name Address ��/A/�fA di b`� G
Zd
Mass.Construction Supervisor's License No. C /��d�S✓-� Expiration Date ,D /a 9 7
4. Addition
5. Alteration
X6. 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 U — S
12. Type of roof
13. Siding house
14. Estimated cost:- �a
The undersign tes that the above statements are true to the best of his, her
knowledge f.
Signature ojrespon ble app.lcant
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 columa to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontageoof�
Setbacks
- side L: R: L: R:
fi
- rear
Building height
s
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking)
pf -Parking Spaces
# of Loading Docks
Fill:
{volume -& location)
-13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DWE: APPLICANT's SIGNATURE_
NOTE: 1 uanoe f a zoning permit does not relieve an app ioant's burden to comply wlttfi,,s�l
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 #
.t 7
File NO
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT L INFORMATION
1. Name of Ap licant:_�� CZ
Address: / / ` - Telephone: �'"-7�3°�a�''�
l/
2. Owner of Property:
Address: ��3 V, l Llfi/7/Zi sv�- Telephone: `�'�� -�6
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): / 7-?
4. Job Location:
Parcel Id: Zoning Map# Parcel# � District(s):
D IN BY TH BUILDING DEPARTMENT)
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5. Existing Use of Structure/Property �ej<v/e4i6-a --
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 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)
�r QFILE
unu 2 2 M6
LICANT/CONTACT PERSP N: Gam°
ADDRESS/PHONE: , cJ
PROPERTY LO ATION:
MAP / PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
TvF�OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
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
!Perm' m ervabilo m _
Z2_
Signature of Building Inspe&r Date
NOTE:Issuanoe of a zoning permit does not relieve an applicant'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 applioeble permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 1090
Date 11 25 96Fee 40. Check# 793
Zoning Form No. 961751
Page, 17A Parcel
186 ,Zone URB Section 127 ❑ Yes No
BUI]LDING PERTUT I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Roger King before Building Inspections
has permission to reiplace rotted front porch steps with rails Inspection on Site—Foundations
situated on 163 North Maple St - Timothy sh a 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 pemiit.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 Cur
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYS IN A CONSPICUOUS PL SES
'Certificate of Occupancy
Building Inspector - y;��l! Sil��l
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