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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No
� �.,y�xr � /r Alterations
I
NORTHAMPTON, MASS. Additions
Repair
ATION FO PERMIT TO ALTER Garage
1. Location f ���`�L� °=`- �. , �`�� . .✓ Lot No. /
f r.
2. Owner's name �`>'✓`A, Address,
3. Builder's name {' >= )-2.-4i-,L,; a-« L. L:i-Y' Address dd
Mass.Construction Supervisor's License No. ,'1/ 5 Expiration Date7-
d�
4. Addition
5. Alteration
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- �� �C)®
The undersigned certifies that the above statements are true to the best of his, her
knowledge.,and beef'
Signature of responsible appucant
Remarks
t
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 Cohn= to be f!22ed in
by the BmncUng 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)
-Parking spaces
# fof Loading Docks
Fill:
4v0l-time--& location)
13 . Certification: I hereby certify that the information ntained herein
is true and accurate to the best of my kno�wQldge.
DATE: APPLICANT'S SIGNATURE
ss„
NOTE: 1 ua oe of a zoning permit does not relieve a plioanra burden to mply wit h„mil
zoning requ remants and obtain all required permits from the Board of Heanh. Cohaervntion..;
Commission, Department of Publio Works and other applioable permit granting muthoritles:
�'._;: FILE #
0 s.,i 2 File No.
1
ZONING PERMIT APPLICATION (510 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: _,/ /fit Z'"�� �.�� C r -e t- Lz--K
Address&) Tele hone:
i e c,iI
2. Owner of Property: �.
Address: 4" eAle C :A C_r� -_ Telephone. -
3. Status of Applicant: Owner Contract Purchaser Lessee
Other ex
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s): /CI—
(TO BE FILLED IN BY THE BUILDING DEPARTMENT
5. Existing Use of Structure/Property
6. Description of Pro osed se/Work/Pr 'ergt/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 f 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 el'� 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 I
OCT 2
APPLICANT/CONTACT PERSON: `a'1 ?7•
ADDRESS/PHONE: 6 3 ` ' 610111`1_
r r
PROPERTY LOCATION: ✓?Z
MAP ry PARCEL: , ' lvG% ZONE i--
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLO ED REQUIRED DATE
ZONING FORM EMILED OUT
Fee PA41
Addit*nn to Existing
ment °j ,
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION:
66�� 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
I/
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
t frq o v on
Signature of Building Inspector Date
NOTE:Issuanoe of as zoning permit does not relieve an appiioant's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
t+nM
City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 906 Office of the Building Inspector
Zoning Form No. 961548 Date 10/2/96 Fe$20.00 Check# 3980
Page, 17C Parcel 260 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Tom Dawson Greene before Building Inspections
has permission to install vinyl siding Inspection on Site—Foundations
situated on 72 North Main St - Earl Antin Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
** Install per Manufacturer's information: windows, vinyl siding, roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A C0N$PJCV0US ACE T MISES
Certificate of Occupancy
t Bnildin!* Tn.snector