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17C-203 (5) i CD Z m 0 > pp E .� Z m g tN C > c_ O � ) .+ I �c Zoning Miscellaneous Additions,Repairs,Alterations.etc. Tel.No. 5 Alterations NORTHAMPTON, MASS. 1 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 r�� f'�-D" Cam,l Z-Y' T Lot No. 2. Owner's name C Address 3. Builder's nameJ t/h-- /1 2- y ' f S�4 Address Mass.Construction Supervisor's License No. / 7 i Expiration Date 2 f z.t )y' 4. Addition 5. Alteration h t_--j fC "1z, 6. New Porch 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 cost• 6� The undersigned certifies that the above statements are true to the best of his. knowledge and belief. Siena re of responsible eppicont Remarks 10. Do any signs ebst 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 corm to be filled in by the B= d=g Department Required Existing Proposed By Zoning Lot size Frontage Setbacks -front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &pai,ed parking) # of -Parking Spaces #- 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. DATE. � ��� APPLICANT s SIGNATURE NOTE: lamunnoe of a zoning permit does not relieve an app loan urden to comply With all zoning requirements and obtain all required permits fro, he Board of Health. Conservation Commission. Department of Publio Works and other appiioabla permit granting authorities. FILE # OCT 2 8 W File DEPT OF BUILDING N 0 ZONING PERMIT APPLICATION (§10 . 2) PLEASE =E OR PRINT ALL INFORMATION 1. Name of Applicant: Address: )L31 tljl�7 5< -Telephone: 2. Owner of Property: bc"s-"J '� Address:- Telephone: 2-6S 3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)- 4. Job Location: Parcel Id: Zoning Map# Parcel# 403 District(s):- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) '7 5. Existing Use of Structure/Property 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): /1- Z-c�ew C,-'1YA1-16C- 7. Attached Plans: Sketch Plan X 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? e NO DON'T KNOW X 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) File#BP-2000-0459 APPLICANT/CONTACT PERSON John Zieminski ADDRESS/PHONE 16 Dwight St (413)247-9014 PROPERTY LOCATION 1 BRATTON CT MAP 17C PARCEL 203 ZONE GB THIS SECTION FOR.OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid c_ O Typeof Construction: INSTALL KITCHEN CABINETS,COUNTERS,FLOORS&REPLACEMENT WINDOWS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 017889 3 sets 91 Plans/Plot Plan THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presentedibased 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 fr Conservation Co ssio Signature of Building Official Da e 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. I BRATTON CT BP-2000-0459 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-203 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2000-0459 Proiect# JS-2000-0796 Est.Cost: $7000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: John Zieminski 017889 Lot Size(sq. ft.): 1960.20 Owner: COWAN DONNA Zoning: GB Applicant. John Zieminski AT. 1 BRATTON CT Applicant Address: Phone: Insurance: 16 Dwight St (413)247-9014 Workers Compensation HATFIELD 01038 ISSUED ON:1112199 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL KITCHEN CABINETS,COUNTERS,FLOORS & REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Rough Frame: Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Shmature• Fee Type: Receipt No: Date Paid: Check No: Amount: Building 11/2/99 0:00:00 $50.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Building Commissioner-Anthony Patillo