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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Shy—/��� Alterations
NORTHAMPTON, MASS. Coot )-� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
1 r
f -t Garage
I. Location Y-f C4 L°S fi ILL)l 5/ / Lot No.
2. Owner's name 41r"yZP_ �►-i d f-os Address �('l �i e-5' n t,-If
3. Builder'sname ��r�r Ps C��fk Address
Mass.Construction Supervisor's License No. CAW 3/0 Expiration Date !t-"
4. Addition A/A
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire /1''/oq
9. Garage /?/ No.of cars Size
10. Method of heating l✓
11. Distance to lot lines��// 1 j
12. Type of roof C_-/')G n r to Old /5 f r,p 1 'f n e W �e UL e 0L1 b ,206'x,
13. Siding house
14. Estimated cost--� 9000
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. /►�
Signature of responsible app!cant
Remarks
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.
T2ds color= to be ffll«i im
by the Bnildiny Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
-side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
' &paved parking)
of Parking spaces
f of Loading Docks
Fill:
y _4v0l-1ime--& location)
13 . Certification: I hereby certify that the information contained herein
�f is true and accurate to the best of my knowledge.
.1
DATE: -7/J C- c' APPLICANT's SIGNATURE
NOTE: Issuance Jf a zoning permit does not relieve an appl cant's burden to oom
zonin Ply_ .; �
g requirements and obtain all required permits from the Board of Health. Congervatlon.;;
Commission, Department of Publio Works and other appiiomble permit granting authorities _-
';t. FILE #
File No.
�f1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: v^ d c J
Address. curet Telephone: ( 7
2. Owner of Property: 13Ut--
Address: (9( �V ���� S� Telephone:
3. Status of Applicant: Owner �Contract Purchaser Lessee
Other(explain):
4. Job Location: c�l C�1�7�i��rt�
Parcel Id: Zoning Map# I"7e—. Parcel# l ' District(s): 'Ci
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property ?+�"U1•
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
n
NQom" voz i N24ZI-4J644
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)
i
' FILE
� 6
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION:
MAP '(� PARCEL: ZONE ..�{
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONTNC�FORM FULED OUT
1Rjdldin2 Permit Filled plit
' 1,3%C
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: <
Approved as presentedlbased 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 Conservation mission
Signature of Building Ins p Date
NOTE:Issuance of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commission. Department of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 2. Swccttugral Walls Components in Place*
3. Complete Building*
No. 877 Office of the Building Inspector
Zoning Form No. 961523 Date_9/27/96 Fee$40.00 Check#3631
Page, 17C Parcel 164 ,Zone URB Section 127 ❑ Yes No
BU1[1,.'-,D1NGPERM1r1
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Roger Clark before Building Inspections
has permission to strip, plywood, & reroof Inspection on Site—Foundations
situated on 81 Chestnut St - olive Andrus Inspection of Plumbing—Rough
provided that the person accepting this permt 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 el-K .
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA IN A CONSPICUOUS PLACE ON RE ISES
Certificate of Occupancy
OP"building Inspector
Go�'1 l:�f" Bile