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17C-177 (3) . � > v n v � c• � � � m o a 3 o Z C\j e z -I z a � o J _- Z ^. 0 Cs7 C r O I M :Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel-No-25 Alterations /qz y'-z NORTHAMPTON, MASS. / 19 Additions APPLICa ATION FOR PERMIT TO ALTER Repair Garage 1. Location���`J� v >, , .. I v Lot No. 2. Owner's name 1�7 �� 1 a �.�e Address C7Q g -1`�I V JAAt-, 3. Builder's name Address I.n 1na�r�T Mass.Construction Supervisor's License No. Expiration Date 10—n- 4. Addition 1`�(G1 </© �00 8 5. Alteration P enn in,L ep A , 1Ac-0 Gti ZcljrI yla I itV ieZV P.9 41` (ruk I G�'_�n�vlei 8 6. New Porch T 5 f 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 cosC j///6 G> / The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signazure of responsible app icanz Remarks s YH6UTA/ AVM 4k f J , ." /1 V-A ofe 5 ---� 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 Bnfld=9 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 &Paced parking) # of Parking Spaces f 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. DA'Z'E: /a % APPLICANT's SIGNATURES, NOTE: Issue e a zoning permit does not relieve an applicant's burden to oom wit zoning requi aments and obtain all required PIY hs all q permits from the Board of Health, Conservtation Commission, Department of Publio Works and other appliooble permit granting authorities. FILE # � T Z a File No. 2 ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE ORP—RINT ALL INFORMATION 1. Name of Applicant: L0cUTA, Address:.F2 /4y./An e Lrst �Q))A G CO-, Telephone: 02� �—�9 3�3 2. Owner of Property: --Ra k� (.i"M e- C Address: a2(� �,ye Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain): ^ 4. Job Location: 1�9 1L e- c, Je-✓1 C- Q Parcel Id: Zoning Map# �7 Cl Parcel#_/7 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 6. Description of Proposed UseMork/Project/Occupation: (Use additional sheets if necessary): �E W1 a,.J� l� r'� r v��r/to t(,r✓' rA�c.�` ci Inc\ � v��cti drop 2 6 v1 i 4 . / 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 KNOAI \y/ 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) e v File#BP-1999-0417 APPLICANT/CONTACT PERSON William Rock ADDRESS/PHONE 23 Amherst Rd Pelham 01002 PROPERTY LOCATION 29 PLYMOUTH AVE MAP 17C PARCEL 177 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Pe t d out Fee Paid ') L/ Type of Construction: New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Occll ant Statement or License# c 3 sets of Plans/Plot Plan THE XLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: _LXApproved 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 Board of Health Well Water Potability Board of Health Permit from Conservation Co ssion Signature uilding Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. Reference No: BP-1999-0417 Department: ...............................•... Building, Electrical & Mechanical Permits ......................................................................................... Fee Type: Receipt No: Non structural interior renovations REC-1.999-001.115 ......................................................................................... Paid By-. .Pa.id..i.n.Full..0.n:.......... ....Will i a m ....... . hack Wed ed Oct 2 1,1998 . ............................................. . ........................... .......Received By: C h eck No: Linda Lapointe 1.483 ......................................................................................... ...................................... DEPARTMENT'S COPY Amount: $40.00 ........................... 1)EPARTM EN'f FILE COPY 29 PLYMOUTH AVE CITY OF NORTHAMPTON BUILDING PERMIT Owner's pulling their own permits or dealing with unregistered contractors for applicable work do not have access to Guaranty Fund(MGL 142A) Issued: Permit No: Inspector: Tracking No.: Fee: BP-1999-0417 $40.00 GIS Map Block: Lot: Address: Zoning: Use Group: Lot Size: 1808 17C 177 001 29 PLYMOUTH AVE URB 4791.6 Contractor: License Type: Insurance: William Rock CSL Address: License No.: Insurance No.: 23 Amherst Rd 050081 City: State: Zip Code: Phone: PELHAM MA 01002 (413) 256-4930 Proiect No: Category of Work: Const. Class: Cost Estimate: JS-1999-0061 Non structural interior renovati $1,400.00 Description of Work: REMOVE NON-BEARING WALL& ENLARGE OPENING GeoTIVISO 1997 Des Lauriers&Associates,Inc. Signature: