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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair /
ff-- __ '' b Garage V
1. Location ( ff Ct'ttUl t�1 S-�. �O Y C� . �I` Lot No.
2. Owner's name nGna^^ ✓ Address � Cl� t S
3. Builder's name ttylCXV-tL / CC Lu, Address 362 1406Qh2Lvv\- ;U,
Mass.Construction Supervisor's License No. Expiration Date l
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be dery ?
8. Repair after the fire ova �. ,/ V 4 m
9. Garage, 1y 11(,k) /X /I "Lo,1g �' 13 1 t No o cars / Size /`/"A /S X413
10. Method of heating /l�r —
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Esbmatedcost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and be
Signal u a oJre ponsible appicant
Remarks
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DEPARTMENT OF BUILDWG INSPECTIONS
212 Main Street ' Municipal Building 'e
Northampton, Mass. 01060
WORKER'S COMTENSAZ'ION INSURANCE AF t� Avrr
=dL'-4W cou"'ev
(li�nsccJpermi lice}
with a principal place of business/residence at.
(phone,,,)(1/13-) ?32. 3 789'
( cit)'/ .,,clap) d(U
do hereby certify, under the pains and penalties of perjury, that:
O I am an employer providing the following wor'ker's compensation cove age for my
employees wor;dng on this job.
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a ole propriet , general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Nam of C tractor) �Company/Poky Number) (Expiration Date)
(Name of Contra(:7tor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Laairanc-- Compauy/Policy Number) (F_xpiratioo Date)
(Na ance me of Contractor) (Laair Company/Poticy Number) (Expimtion Date)
(attach additional shed ifneocssxry to,,Delude informstioD pertaining to an 000r4arton)
I am a sole proprietor and have no one working for me.
( ) I am a-home owner performing all the work myself.
NOTE:Please be aware that w%hiro homeowocm wbo cmplay pcacm to do—ird •_.___c comtuetioo or repair woryc on a dwmlliag of
not mocc thin thtoo units in which the bomoov o r=do or on the grounds zppurtcnsot lb=w arc Dot gaxrntly 000sidand to be
cmptoytrz under tho tvod ccez.ocr r cn Act(GL152,=1(5)�application Fry a bomcow=for a license or permit may cvidcooc the
legal rwxu of an employoc undortho Workcet Compomatioa Act
I understand that a oopy of ttsu cht®c at may bo forwwxW to tbo Dq,a of In&atrid Aodd—&OfSoo of Iawrwoe-for d.o
eovaxge va fieatioa and that&.dune to&a oover2lg0 under scetioa 25A of MGL 152 can lead to tbd imposition of criminal Pcaattic -
ooasisiiag of a fine bf uP to S1,500-00 and/of impriso®cat ofuP to o=year nerd civil PCDL16a iD the form of a Stop Wort;Ordcr and a
firm o(5100.00 a day agpinA ma
Sign this _da of cJ( 1997 For dPrtMalU--ly
Permit Number
iviaP# Lot#
Signature of Li crm.
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71997
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10, Do any signs exist on the property? YES' NO /
IF YES,describe size,type and location:_ /" /1+
Are there any proposed changes to or additions of signs intended for the property?YES NO_4
IF YES,describe size,type and location: t� A
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colt to be filled in
by the BaiIding Department
Required
Existing Proposed By Zoning
Lot size C� R ? L)
Frontage
Setbacks - frnnt Ito O
- side L: 1,6 R:35 L:16R:-s
- rear 3 3
Building height �3 13 / c
Bldg Square footage joI r I 3
%Open Space:
(Lot area minus bldg
' &paged parkingi
# pf -Parking Spaces
ffof 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 knowl dge.
_1
DATE: 7J3 `l'7 APPLICANT's SIGNATURE
NOTE: Issuanoe of a zoning permit does not relieve an applioanYs Alu an to comply 1011t4,.4ki1
zoning requirements and obtain all required permits from the Boa f Health, Conservation
Commission, Department of Publio Works and other appiioabie parNwflt granting authorities.
FILE #
F
JUL 71997
4
#Yle File No. �f�
ZONING PERMIT APPLICATION (§I0 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: L�OG!�Q.� �o w,5�Vuc�l /�J►� ( YQ�c-t/ C;"o
Address: 36�L- Awosfaw- . (,V• ,'Telephone: 21.3 23-)L 3-731
2. Owner of Property:
Address: —7( _k"t-Vt v f- •• Telephone: 59,b/ ?710
3. Status of Applicant: Owner V--`Contract Purchaser Lessee
Other(explain): jv
4. Job Location: �L� �ZGZ•� 4
Parcel Id: Zoning Map# Parcel#� District(s): �(�1
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) �" [ / e
5. Existing Use of Structure/Property pYIIV-q Gav"e� "_ t' C4✓ dl&(gi l _ .O
6. es 'ption of Proposed Us
-Q/Work/Project/Occ ti 1: (Use additional sheets if necessary):
roytS f cacti ov, c5F &"I) 6 fvc/r-LV;e- 7O Rv- •P_X a ct 04w elff l a'-5
Of eAl'h l ����a�►�o►�
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/Vadance/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)
(�o r�
FILE I n a 1
71997
APPLICANT/CONTACT PERSON:
ADRESS/PHONE:
_ n",TCe
PROPERTY LOCATION: / -(-3 L!
MAP Z2 C, PARCEL: Z/03 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERIYIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FULED 0111
Fee pnid
ETiflifing Permit Filled ntit
New Cnm4mirtinn
O
THE 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
!Permit from Conservatio ommission Q
r /
Signature of Building h or Da
NOTE:lasuanoe of to zoning permit does not relieve an appiioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applioable permit granting authorttles.
City of Northampton REQUMED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMEN T 2. Structural Components in Place*
3. Complete Building*
No. 627 Office of the Building Inspector
Zoning Form No. 962504 Date 7/8/97 Fee$40.00 Check# 512
Page, 17C Parcel 163 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Cowell Construction before Building Inspections
has permission to rebuild detached garage 14' X 19' Inspection on Site—Foundations
situated on 71 Chestnut St - Chandler Inspection of Plumbing—Rough —T
provided that the person accepting this pen-nit 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 terns 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON REMISES
Certificate of Occupancy
Building Inspector
prosy City of Northampton REQUIRED INSPECTIONS
' A BUILDING DEPARTMENT 2. S�vccttugral Walls Components in Place*
e
I Complete Building*
Office of the Building Inspector
No. 627
962504 Date 7/8/97 Fee$40.00 Check# 512
Zoning Form No.
Page, 17C Parcel 163 ,Zone URB Section 127 ❑ Yes 0 No
BUI[LDINGPERIWI r I I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Cowell Construction before Building Inspections
has permission to rebuild detached garage 14' X 19' Inspection on Site—Foundations
situated on 71 Chestnut St - Chandler 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 pem-iit.Expires six months from rate 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPL A CONSPICUOUS PLACE ON TWREMISES
Certificate of Occupancy
Building Inspector