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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. - ` ®�/ Alterations
NORTHAMPTON, MASS. 19 Additions
a Repair
PPLICATION FO PERMIT TO ALTER
Garage
1. Location Lot No
2. Owner's name Address
3. Builder's na Address J
Mass.Construed pervisor's L ense No. ,-,Exl)' tion Date
4. Addition / 7 /Z�C U
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire`2�� 42
9. Garage d r? No.of cars Size ��� C
10. Method of heating
11. Distance to lot lines /y f
12. Type of roof
13. Siding house �}
14. Estimated cost- C
The undersigned certifies that a hove statements are true to the best of his. her
knowled a and belie
Signature of responsible app icant
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 K
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L• R: L: R:
- rear .lo 0 Q
Building height 3 s-
Bldg Square footage J 9
%Open Space:
(Lot area minus bldg
' &paved parking)
# of Parking Spaces
#K of Loading Docks
Fill:
14 vol-ume--& location)
13 . Certification: I hereby certify that the information c tained herein
is true and accurate to the best of my know1 dge.
DAVE: y, {� � (G1 Cf APPLICANT's SIGNAT Cam-
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NOTE: uanca of a zoning permit does not relieve an a PP lioants urden to comply wit
1,..x11
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department cf Public Works and other applicable permit granting authorities...
��,;: FILE #
APB 3
File No.
ZONING PERMIT APPLICATION (§10 . 2)
EAS TYPE 7PRW ALL INFORMATION
1. N,,,PL,E
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Address: Telephone:
2. Owner of Property:
Address: C Telephone.,-
3. Status of Applicant: Owner Contract Purchaser Lessee �-
Other(explain .
4. Job Location:
Parcel Id: Zoning Map# Parcel#16_ District(s)�(
(TO BE FILL IN BY THE BUILDING DEPARTMENTI
5. Existing Use of Structure/Property
6. Descriptign of Proposed Use ork/Project/Occupation: (Use additional sheets if necessary):
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7. Attached Plans: SVetch 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 #
APPLICANT/CONTACT PEF:S � / / - a1�97
ADDRESS/PHONE:- jz/
PROPERTY LOCATION: &Y,�t Je�
MAP PARCEL: V ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PER UT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7,QN1[NC_FORM Eff LED OUT
Fee PAid
Fee Paid q6
Type of Construction- le - _
New CnnRtriirtinn
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T OLLOWING ACTION HAS BEEN TAKEN ON THIS 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
Pert m erva,$io m
L
Signature of Building or ate
NOTE:Issuanoe of a 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
Commission, Department of Publio Works and other applioable permit granting authorities.
t ,
pro �ti City of Northam ton REQUIRED NSPECUONS
�► � r'„ 1. Footings and Walls
BUILDING D EPARTMEN .r 2. Structural Components in Place*
' 3. Complete Building*
Office of the Building Inspector
NO. 243
Zoning Form No. 962059 Date 4/7/97 Fee$40.00 Check# 2ns7
Page, 17C Parcel 169 ,Zone URB Section 127 ❑ Yes ® No
Bul ' —JDING
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Frank Denno before Building Inspections
has permission to construct a 16' X 22' deck to rear of house Inspection on Site—Foundations'
situated on 36 High St - Kevin Rubeck Inspectoon of Plumbing—Rough
provided that the person accepting this permit shall in every respect L-ispecd-on 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, Ins7xtion 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 pen-nit.Expires six months from(late of issuance,if not started. Building Inspection—Rough 6 k
Note:A certificate of occupancy will be isued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish CO/'' Tc7,4
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA IN A CONSPICUOUS PLACE ON PREMISES
, ertificate of Occupancy m
Building Inspector