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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
ti
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location rr L�� = F Lot No.
2. Owner's name �- r G' li:u I +'% /'l` 'I Address
3. Builder's name 2k(, Address Jr
Mass.Construction Supervisor's License No. 0�'�'C�%� Expiration Date /Ib L/ f S
4. Addition
5. Alteration ±,'1, „4� ,
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars = ”0 Size
10. Method of heating "
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost'
The undersigned certifies that the above statements are true to the best of his, her
knowledge ,and belief.
J Signature of responsible appicant
Remarks
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 NOS_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED,, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coiner to be filled in
by the >U;Idi-q Department
Required
Existing Proposed By Zoning
Lot size --
Frontage f
Setbacks fmat
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
i &paved parking)
# ;Qf_ -Parking Spaces - -
#
of Loading Docks
Fill:
Avoliime--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
D21TE: 1 APPLICANT's SIGNATURE
NOTE: Issunnoe of in zonin g p ermit does not relieve an a
pplioanYs burden to comply with all
x9ning requirements and obtain all required permits from the Board of Hemam, Conservation
Commission, Department of Publio Works and other appiloable permit gran5ng authorities.
011,
FILE #
.`;T.
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: /S �- L - vl�i7 - �� F �'�� LTelephone: I
2. Owner of Property: A" zd�/ '%G
Address: tz/ cj: '�j"'c `-_% Telephone:
3. Status of Applicant: Owner Contract Purchaser . Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# G District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property_ 9")l -"'L z `Wy z j
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 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)
e , ' '�
FILE
APPLICANT/CONTACT PERSON: c�`�_
ADDRESS/PHONE: /r>�7
n _
PROPERTY LOCATION:
MAP �' PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.OMNG FORM M.T.F.11 OUT
G
New Cnngtrnetinn
Additonn to Existing
Strivrhirp
c '
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION' ?'
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
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
Permit from Conservation missi n
Signature of Building Imp or b A e
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
Commission, Department of Publio Works and other applioable permit granting authorities. _
City of Northampton REQUIRED INSPECTIONS
y
BUILDING DEPARTMENT 2. Strucntural Components in Place*
• e
3. Complete Building*
No. 700 Office of the Building Inspector
Zoning Form No. 961320 Date 8/7/96 Fee$0o00000Check#0000000000
Page, 38 Parcel 48 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Edward Hamel before Building Inspections
has permission to repair sills & build handicap ramp Inspection on Site--Foundations
situated on 91 Grove Street 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