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17D-005 (3) -�v > o c '! D wI r Z r-1 0D D 3 cn O _. ^ q Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.. Alterations a NORTHAMPTON, MASS. O' De Z-6' —1943(—,' Additions APPLICATION FOR PERMIT TO ALTER Repair r / Garage 1. Location '7�G� 7�C C � Lot No. 2. Owners name A iAY '' ' Address 1QCSE RE WK-tFIAaAf3T616 3. Builder's name V—C(xl �76 ELD Address �� LN1�T 4�D CttAu�I�T Mass.Construction Supervisor's License No. D��' �4- Expiration Date_ / _('�! ' , 4. Addition 5. Alteration 6. New Porchf� 7. Is existing building to be demolished? N© 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 d 41ief. Signatur jresponsible app,icant Remarks N*x r F IF. 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This c02tmm to be fi2l,ed in by the Building Department Required Existing Proposed By Zoning Lot size 7� �`- C ,7 -//G czrz� Frontage '�5 Setbacks U - side L: ' d R:I�b L: -40 R: - rear Building height J Bldg Square footage (oQo ,�in 0 %Open Space: _(Lot area minus bldg j ' &paved parking) C, # ,P"f. Parking spaces 1. fof Loading Docks Fill: (vol�ime -& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knocvled e. DA'Z'E: APPLICANT's SIGNATURE �r NOTE: lssuan of 46 zoning permit does not relieve a 9 P applioant's urde o oomply with all zoning requirements and obtain all required permits from the Boa of Health. Conservation -_ Commission, Department of Publio works and other applioable permit granting authorities. r yl a FILE # %J ' 281996 Fi 1 e No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE, OR PRINT ALL INFORMATION 1. Name of Applicant: L41'IM �g&1121 r,EL Address: ( U-)At'. LS j !S%L PSTMIM P16wTelephone: 2. Owner of Property: (Z�( 'r( V K Address: h�0� �l( RID, POU(44(,ifelephone: 3. Status of Applicant: Owner Contract Purchaser kl"�Lessee Other(explain): 4. Job Location: ?Ypo�sc RD Parcel Id: Zoning Map#_.z Z/2 Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property �7t 1�� �---- 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? NO DON'T KNOW X 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 X 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 # ,. 2 a ?996 - APPLICANT%CONTACT PERSON: ADDRESS/PHONE: c PROPERTY LOCATION: MAP /72 PARCEL: 5~ ZONE THIS SECTION FOR_OFFICIAL USE ONLY: PERK UT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIT LED OITT Fee Pgid c A, q TFOLLOWING ACTION HAS BEEN TARN ON THIS AP ICATION- 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 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 C mission Signature of Building Imp Date NOTE: Issuance of a zoning permit does not relieve an applioant's burden to oomply with all zoning requirements and obtain all required permits from tha Board of Health, Conservation Commission, Department of Public Works and other applioable permit granting authorities. — City of Northampton REQUIRED INSPECTIONS e BUILDING DEPARTMENT 2. Stroucntugral and Components in Place* 3. Complete Building* No. #567 Office of the Building Inspector Zoning Fonn No. Date g�q_Fee Check# -263 - Page, 17D Parcel r;_,Zone _ Section 127 ❑ Yes ❑ No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT _x;mrrassf ield --Larry Takki before Building Inspections has permission to R x 16• aark. Inspection on Site—Foundations situated on 550 Bridge Road Inspection of Plumbing—Rough provided that the person accepting this pemiit 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) lb Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PL ON SES Certificate of Occupancy Building Inspector s,. •�° goy Cit y Northampton of REQUIRED INSPECTICANS ! - 1. Footin sand Walls A BUILDING DEPARTMENT 2. Structural Components in Place* ' 3. Complete Building* Office of the Building Inspector No. #567 Date r ''��- Fee _ $40_Check# 2c,3 Zoning Form No. Page, 17D Parcel 9) _,Zone RjR — Section 127 ❑ Yes ❑ No G .,N411' BULLDIN PER *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Kim C'ra GGf;Am d --Larry Takki before Building Inspections has permission to construct- R x _1 ti• dock Inspection on Site—Foundations situated on 550 Bridge Road Inspection of Plumbing—Rough Inspection of Plumbing—Finish provided that the person accepting this permit shall in every respect Gas Inspection conform to the terms of the application on file in this office,and to the 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. Inspection of Wirin Finish Any violation of any of the terms above noted is an immediate revocation Pe g— 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 Dot .9--e-74 Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYS IN A CONSPICUOUS PLACE ON SF S . Cer►;ficat,8f Occupancy ..//������ Building Inspector At