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17C-278 (10) > Z Lm > rJ Z r S /� rn ..l m pp Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `7 L C�292 Alterations NORTHAMPTON, MASS. 5el7—1 Q-L Additions APPLICATION FOR PERMIT TO ALTER Repair a ,A Garage 1. Location 51 • P-loy? �Ce- Lot No. 2. Owner's name jLl I W 1 Address i ea S� 3. Builder's name LU lCfa N2" I > LILLDt''/iCpS Address Mass.Construction Supervisor's License No. T J y Expiration Date 4. Addition • / y,, /� , / 5. Alteration ✓ 1VfS� � �v llTCy � /7 ��C1Gf{SSLK� liN/�KA,Z 'f 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:-�?000 (� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of resp nsible app leant Remarks �� jam► ` 1 � CCeS�� TO 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 t/ IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be f177 in by the Building Department Required Existing Proposed By Zoning Lot size A i i � 6; e7-D Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minas bldg &paved parking) # of Parking Spaces # of Loading Docks Fill: (volume & location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledg . DATE: ��5- APPLICANT'S SIGNATURE , An NOTE: Issuance of a zoning permit does not relieve an applicant's bu en to comply with all zoning requirements and obtain all required permits from the Board 4W Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. FILE # 1. el File No. r LIB ' b _ u k f ZONING PERMIT APPLICATION PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address: � �(��17S1 � _ Telephone: 2. Owner of Property: �A Address:�� r (C� Telephone: 3. Status of Applicant: Owner t/ Contract Purchaser Lessee Other(explain): 4. Street Address: / Parcel Id: Zoning Map#. ZX, Parcel#_S� — District(s): (TO BE FILLED IN BY THE BUILDING, DEPARTMENT) 5. Existing Use of Structure/Property 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 i✓ 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 P" 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: y, PROPERTY LOCATibN MAP__42_C PARCEL: ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE iguilding Perwit MUM ant Arepgsary Structure i � 0 , THE�'OLLOWING ACT ON HAS B EN 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 fro Conserva ' Comm- ! Signature of Buil ' ector bate NOTE:lssuanoe of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from the Board of Health, Conservation authorities. Commission, Department of Publio Works and other applioable permit granting City of Northampton REQUIRED INSPECTIONS r e BUILDING DEPARTMENT 1.. Strucntural Components a in Place* 3. Complete Building* No. 663 Office of the Building Inspector Zoning Fonn No. 960097 Date 8/8/95 FeeNONE Check#NONE page 17C pal 278 ,Zone. URB Section 127 ❑ Yes ❑ No BU]flLDING PERAM *Plumbing and Electrical Inspections required �. ✓`: THIS CERTIFIES THAT Wright Builders before Building Inspections *NOTE: Specs per A.A.B. —Foundations k* has permission to install handicapped access ramp. Inspection on Site situated on 19 Meadow qt--- Flnrpnce - Lilly Library 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, Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough 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,Knot started. Building Inspection—Rough a 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 PL ON MISES sue= a Certificate of Occupancy LJ Building Itispector - �opy 1:?p SiI�J% City of Northampton REQUIRED INSPECTIONS g 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* ' 3. Complete Building* Office of the Building Inspector NO. 663 Date 8/8/95 Fee NONE Check#NONE Zoning Form No. 960097 Page, 17C Parcel 278 ,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERmi r r * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wright Builders before Building Inspections install handica ed accessaramoSpecs per A.A.B. Inspection on Site—Foundations has permission to pp situated on 19 Meadow St F1 nrAnra - Lilly Library Inspection of Plumbing—Rough Inspection of Plumbing—Finish provided that the person accepting this permit shall in every respect 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 -6 C7 Smoke Detectors(Fire Department) Other THIS CARD S E PL YED IN A CONSPICUOUS PLA E ON MISES Certificate of Occupancy _Lj Building Inspector — -- �� 19.1;I1 SiIU�