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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 1 g Additions
APPLICATION FOR PERMIT TO ALTER Repair
� // Garage
1. Location _Ct�'d��� c'���� �-�S Lot No.
2. Owner's name XG/SS /141 Address tle Ile /,Zj l e�'cf
��
3. Builder's name Address
Mass.Construction Supervisor's}License o. ZZ7`r�6,3 Expiration Date il,Mlq,i '
4. Addition
5. Alteration
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 S�► �n ±Cr'
13. Siding house
14. Estimated cost- Eli/ 6(7
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
A�, 2,11. K,-�
Signaiure of response a appicant
c�
Remarks x! S.�
�fd"'�� it?c. ,��'�"' �`r'L7 c� 1�� v+-�- �� � � u, t.-
S/
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 MOST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —.Lw= to be filled in
by the Building D&P&rtment
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)
# of -Parking Spaces
# of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: `� - � r APPLICANT'S SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioa s burden A4 comply w(tt�,.+ptl-
zoning requirements and obtain all required permits from the Board of 140-alth, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
APR 2 81997
1
ZONING .PERMIT APPLICATION (§10 . 2
PLEASE' TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:��'l��`1
Address:_ LIZ, elephone: �L2,12
2. Owner of Property: i
Address: /r/V) 7c6"li (rr I1r /d /-(-46 Telephoner
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain) 0-4z
4. Job Location:
n
Parcel Id: Zoning Map#_ Parcel# District(s): J
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_
6. Description of Proposed UseNVork/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 L'r DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book_ Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO L'111 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)
FILE # 962170
3 �
APR APPLICANT/CONTACT PERSON: 6
ADDRESS�/PHONE:�
PROPERTY LOCATION:_ u,e
MAP � PARCEL: ZONE
THIS SECTION FOR-OFFICIAL VSE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
70NTNGr FORM FTT LET)
FPP Paid
Bldlfiin2 Permit Fill'-, n""
FeP Pa iri CWI
v6
T`vn� e of Cnnctntrtion-
NPw C'nnetnirtinn
RPmndelin2 Tnterinr
1
Ariditinn to F.Yicti_n�o_
Arr�enry 4trnrt��rP
Building Planc Tnrinded- —
OwnPr10rrupant Stat
3 Sete of Plane I PlotPlan
TBE �OWING ACTION THIS HAS BEEN TAKEN ON TS 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
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 Consr_rva 'O Commis " n
L
Signature of Building for D to
NOTE:Issuance of a zoning permit does not relieve an applloartra 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.
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
� 2. Structural Components in Place*
3. Complete Building*
NO. 333 Office of the Building Inspector
Zoning Form No. 962170 Date 4/27/97 Fee $20.00 CheckrrXX#�� 1435
Page, 6 Parcel 3 ,Zone SR Section 127 ❑ Yes l.J No
Bull-JDINGPERNUT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Stephen Camp before Building Inspections
has permission to strip & reshingle back side of roof Inspection on Site—Foundations
situated on 600 Haydenville Rd - Russ Cogswell 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 CONSPICUOU MISES
Certificate of Occupancy
Building Inspector