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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. J `�" Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name `)a x : v2-AJ? Address 12 9 o r�:l ,k,wti Pis,
3. Builder's name M sa.� h�.i Address i'Yd R i � 11 q C , C-u G l A . U T 0 5`1 3 3
Mass.Construction Supervisor's License No. (D a_ Expiration Date
4. Addition /+
jpc�ri G t i O'.-, N on
5. Alteration r>) Ai in+znAAn, w t{ o .a
6. New Porch %
7. Is existing building to be demolished? 9it�
8. Repair after the fire v
9. Garage tPti No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
` 14. Estimated cosL-
% �X>� o 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app icant
Remarks
s
1
10. Do any signs exist on the property? YES ✓ NO
IF YES,describe size,type and location: rr
Are there any proposed changes to or additions of signs intended for the property? YES NO V
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This C07— to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
_ 1Uo
Setbacks - frnnt c,VIA P 35'
- side L: lgt4. R: H,11 L:St tV R:
- rear
r t ��
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
' &paved parking) c
f Parking Spaces
#of Loading Docks
0 0
Fill:
"-(voldme--& location)
13 . Certification: I hereby certify that the information contained herein
4j is true and accurate to the best of my knowledge.
DATE: /�t t� APPLICANTs SIGNATURE i2�1�
' ,NOTE: Issuanoe of a zoning permit does not relieve an applioant's burdn to oomply with all
zoning requirements a e
and obtain
call required permits from the Board of Health. Conservation ..
Commission, Department of Publio Works and other applloable permit granting authorities.
°;'' FILE #
4
File No.
ZONING PERMTT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: < ti e_t
Address: i ci kk�,,,_ S _zzz tJ�s._ k.��.�....-«; Telephone:_ =541-1 - 3-32-1
2. Owner of Property:
Address: / Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: l-�? V,)o,1- Ms _ St Y (�ti�ti•zz
Parcel Id: Zoning Map# � c— Parcel# ;7^'o District(s): (�-
LJ R
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property k�l�,��-.� � �_ r^_r• _7 cam- t -n'-`� � ,,
r
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
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 V YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO .vl 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
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE: C
z 4,rl es
PROPERTY LOCATION: t��
MAP % 7d, PARCEL: 1121'0 ZONE
THIS SECTION FOR_OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7,ONTNC-FORM FIT JED OUT
Rivild no Permit Filled ()i;t ,
Fee Paid C_�4
0'�npr/Orrnpant Istatement or License flL'�, 3,3 -3
0
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 Conservation in iss'
Signature of Building IW20&r 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
1. Footings and Walls
BUILDING DEPARTMENT
e a 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. Aa6
Zoning Form No. 961568 Date 10/11/96 Fee$40.00 Check# 143
Page, 17C Parcel 220 ,Zone GB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT R Joseph Murphy I I I before Building Inspections
has permission to construct interior walls,non-bearing partition walls Inspection on Site—Foundations
=or office space
situated on 17 North Maple St - ServiceNet 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy ze