Loading...
17C-285 (4) r a z T Pilo, Zm Z v A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS.�,7/9 / 9 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location -?,I- ���-�Y S/ ��r c ;L/C- C_ Lot No. 2. Owner's name /l n ALJ�/� �� f�-/f �>✓ Address s� 3. Builder's name J OF 4 A-) eo Address O C-/C- 5::/—/ S Mass.Construction Supervisor's License No. /� l G lQ O C!d Expiration Date 7/ 91R 4. Addition 5. Alteration ill c-LU /-00 i 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 /y S� `` L 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible aprI. n! 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 add(6on�r of signs intended for the property?YES IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col== to be milled in by the Building Dcpartmeat Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) 9f -Parking Spaces of Loading Docks Fill: 4voI-izme--& location) 13 . Certification: I hereby certify that the information contained herein 4 is true and accurate to the best of my know ge. DATE: APPLICANT's SIGNATURE !ROTE: Issuanoe of a zoning permit does not relieve a pplioants burden to oompty 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 authoritie-s. FILE if File No.96j.,ell ZONING PERMIT APPLICATION (§10 . 2 PLEASE =P OR~P=T ALL =FORMATION 1. Name of Applicant: v- X11 Address: &44 a C C-p;� <,, f Telephone:-- ,�� -�'�'Q' 7 2. Owner of Property:- O�J/ 4 Address: ..3,.,,2- L, L-LY S / Telephone: 3. Status of Applicant: _ Owner _Contract Purchaser Lessee Other(explain): 4. Job Location: ­5? — Z--i C. L Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) S. Existing Use of Structure/Property `j o c/3 C-- - tj � � JF 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/Vadance/Finding ever been issued for/on the site? fi 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)• FILE # 1� MAR 2 0 APPLICANT/CONTACT PERSON: ADDRESSIPHONE: � r PROPERTY LOCATION: o� — MAP C PARCEL: _5 ZONE THIS SECTION FOR.AFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING F01RM MIED OUT Riiild*n2 Permit Filled nilt EPP Paid ' i 6 i/ Addition to Eakfing L ��- T OLLOWING 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 mmissio Signature of Building ffisporor Date NOTE:Issuance of a zoning permit does not relieve an applioant's burden to oomply with ail zoning requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Footings t l Components in Place* 3. Complete Building* No. 194 Office of the Building Inspector Zoning Form No. 962017 Date 3/21/97 Fee $20.00 Check# 851 Page, 17C Parcel 285 ,Zone—ILRB WP Section 127 ❑ Yes ® No BUI]LDINGPERIMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT John Corbett before Building Inspections has permission to strip & reshingle house roof Inspection on Site—Foundations situated on 32 Lilly St - David Hickson Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 CONSPICUOUS P ACE ON ISES Certificate of Occupancy Building insnectnr