17C-161 (3) > >
o
Z ^� v
-� ^► m
J � �
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 6)(,' i C 1 '>5 -7 elf t,{T E161XZCqZCC Pl a. Lot No.
2. Owner's name kMLi L f i�jC Address
3. Builder's name . tAotZ S— Address ti 1. �`►LLB IAA
Mass.Construction Supervisor's License No._� Z �l Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage /e s No.of cars Size 7_c) K S
10. Method of heating
11. Distance to lot lines
12. Type of roof -2 5 12 ,2 c_YN t, c i�:j C 'r 2CJc3 F T -01J fJ
13. Siding house
14. Estimated cost- \2_ p C�
The unde ned certifies that a above statements are a to best of his, her
knowledge an lief. l
Signature of responsible app,i ant
Remarks
r
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 comma to be filled in
by the Bnildi.ng Department
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
# fof Loading Docks
Fill:
volume--& location)
13 . Certification: I hereby certify that the 'nformatio contained erein
i is true and accurate to the best of my k
0_ edge.
1 q
DATE: l �-17 \ l �p APPLICANT's SIGNATURE
NOTE: lasuanoe of a zoning permit does not relieve an a pl oanYs burden to oom ly witt�,. 11
zoning requirements and obtain all required permits fro a Board of Health, C nervation
Commission, Department of Publio Works and other mpplioable permit granting uthoritles:-
FILE #
NOV2 I
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: `t C,O iN
Address: �;//i-1(, ,,n E N1d ,-i iTelephone: z
2. Owner of Property, AiAg L 1 NC.04--o
Address: Telephone: 2
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: Ca C �E
Parcel Id: Zoning Map#__ Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMrNT)
5. Existing Use of Structure/Property S O
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
12 2cx�F 2 N9
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)
1
NOV 2 1 1 FILE #
�y !
APPLICANT/CONTACT PERSON: ® _
ADDRESS/PHONE: U/ `'�3
PROPERTY LOCATION: -4
PARCEL: / Z
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FH,T.FD OUT
r ate -"
Fee pnifi T-ype of Construction- -
New Cnngtrivetinn
Addition M Existin2 40-r
THE�FOLLOWING 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
Permit from Conservatio mmission
Signature of Building bate
NOTE: lasuanoe of a zoning permit does not relieve an applicant'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 applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
$ e 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1084 Office of the Building Inspector
Zoning Form No. 961746 Date 11/22/96F420.00 Check# 357
Page, 17C Parcel 161 , Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT J Morse & Son Roofing before Building Inspections
has permission to reroof over 2nd layer house & garage Inspection on Site—Foundations
situated on 66 Chestnut St - Amy Lincoln 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 CON$PJCVOUS P CE ON TW P ISES
Certificate of Occupancy
1 Building Inspector