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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �$ ` Alterations
NORTHAMPTON, MASS. �` -` 2--i 199 Additions
APPLICATION FOR PERMIT TO ALTER Repair
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Garage
1. Location ' `1�JL `'tyl LL�' Lot No.
2. Owner's name � iJtC� (�t"R5+'t f � � Address Z �' `f�t``�l�ft i-0
3. Builder's name L Address V t e-c '-Nt-
Mass.Construction Supervisor's License No. c'6 Expiration Date ( y
4. Addition
5. Alteration r� 2 c ��(1_ E^Pt� �It S.t c` r oft)") bf-AL.. 9 , o a odt -V -.1 V.s. ,c`W i
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- tj
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icant
Remarks
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CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224
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CONSTRUCT ASSOCIATES, INC. • 36 SERVICE CENTER • NORTHAMPTON, MA. 01060 • 413/584-1224
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_ V-"
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 tilled in
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)
# ,.pf, Parking spaces
f 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.
DAVE: APPLICANT's SIGNATURES—`J
NOTE: Issuanoe of in zoning permit does not relieve an applioanYs burden to comply wiW.14t 1
zoning requirements and obtain all required permits from the Board of Health, Conservation. .
Commission, Department of public, Works and other applicable permit granting authgrlties:>
a!: FILE #
t 2 51996
File No. 1
ZONING PERMIT APPLICATION (§10 . 2
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: 6� SCJP— I-) ( C- C- _ c Telephone:
2. Owner of Property: �"')c' 14 )e- tA V_��
Address: ' �' 7 ' U� eleA one:
3. Status of Applicant: Owner Contract Purchaser Lessee
1COther(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel#_�_ District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of P oposed Use/Work1Project/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)
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FILE I 9 G 1 r YT
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NM 2 51996
APPLICANT/CONTACT PERSON: 4.1 r?
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP PARCEL: / ZONE ,
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZQNTNC�FORM YULE]) OUT
lffijildin2 Permit Filled
F Paid
✓.
z;� , o`
Addition to Existing
-
nilrlinu Plnnc Trichy ed-
��a ��..
THE F LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION' <
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
!Permit4volrn Co s rvatyn
Signature of Building Inspector Date
NOTE: Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all
zoning requiremants and obtain all required permits from the Board of Health, Conservation
Commisaion, Department of Publio Works and other npplioable permit granting authorities.
qty of Northampton REQUIRED INSPECTIONS
e DEPARTMENT 1. Footings and Walls
BUILDING
2. Structural Components in Place*
3. Complete Building*
No. 1o91 Office of the Building Inspector
Zoning Form No. 9t;1 7-,-4 Date 11/26/9/2//6 Fee$4o.oo Check#7156
Page, 6 Parcel 12 ,Zone SR Section 127 ❑ Yes No
BUI]LDING PERm i ,,r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Reckman before Building Inspections
has permission to repair floor,sill,add 1 door, 2 sets of windows Inspection on Site—Foundations
situated on 502 Haydenville Rd - Peter/Stephanie Flinker 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. Buildin g Inspection—Rough C Ins h /T.g
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 B IS ANM NSPICUOUS PLACE ON ISES
Certificate of Occupancy
Building Inspector
PaGI!mop