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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. , �3S 0 Alterations
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NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 3-e S-A-L� Lot No.
2. Owner's name 1�(11 R Address
3. Builder's name Li Address C, S�
Mass.Construction Supervisor's License No. � ? �`f Expiration Date 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 `� c?iC� tj
i ,
11. Distance to lot lines -
1
12. Type of roof
13. Siding house
14. Estimated cosL-
The undersigned certifie at e a ve stat is are true to the best of his, her
knowledge and belief. /J
Signature of responsible app,icanl
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 NO VZ
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —1== to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size '
Frontage ( \ d
Setbacks
- side L:1D_R: L•10 R•
- rear
Building height c � -7p-`
Bldg Square footage ti
%Open Space: qo
_(Lot area minus bldg /a
&paved parking) 111 C
# of -Parking Spaces
_ L.fof Loading Docks
Fill:
=(voi-lime--& location)
'13 . Certification: I hereby certify that the information cont ined herein
_ is true and accurate to the best of my knowle e
a
DATE:
APPLICANT's SIGNATURE
?' NOTE: Issua oe o a zoning permit does not relieve an api3iloanre burden to comply wjtf l*ll:=
zoning requirements and obtain all required permits from the Board of Health, s
,Conervation
Commission, Department of Publio Works and other applicable permit granting":iN Uthoritlos;
i1.Y. FILE #
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE E OR PRINT ALL INFORMATION
1. Name of Applicant: C 77
Address: Telephone
2. Owner of Property: J
Address: ) Telephone: c 2�
3. Status of Applicant: V/ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: -- o L�
Parcel Id: Zoning Map# F Parcel# 3 District(s):
(TOD IN BY THE BUIL ING DEPARTMENT)
5. Existing Use of Structure/Property _Z �ca(A4_
6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary):
Pti
7. Attached lans: Sket h 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 Per ' ariance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the rmit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or cument#
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)
I,,)--q
FILE it J 2
APPLICANT/CONTACT PERSON:
ADDRESS/PHONE:
PROPERTY LOCATION: J t.�"".' .-4,L,
MAP /Zy PARCEL: 3 ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNIIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FH,T,FD OUT
Rnilding Permit Filled Alit
Epe Paid (VI—447 �F
3G � --
Z(LC 1 C-LC'C
�s
T LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION'
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 Consery 'o Commission
/L
Signature of Building Inspector Date
NOTE: Issunnoa of a zoning permit does not relieve an appiioant's burden to oompiy with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other appiioabie permit granting authorities.
City of orthampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. ii--s9 Office of the Building Inspector
Zoning Form No. 961822 Date 12/31/96 Fee$40.00 Aleck# 3261
page, 17D Parcel 34 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMII
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Paul McCutcheon before Building Inspections
has permission to replace porch decks(fornt & back)& replacement windows Inspection on Site—Foundations
situated on 30-32 Straw Avenue Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the ternis 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 P SES
Certificate of Occupancy
Building Inspector r—�� -_-----
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A 4 City of Northam ton �I�SPECTIONS g
:DING DEPARTMENT I. Footings and Walls
e ti 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 11 s9
Zoning Form No. 961822 Date 12/31/96 Fee$40.00 Check# 3261
Page, 17D Parcel 34 ,Zone URB Section 127 ❑ Yes 0 No
BUIELDING PERM I I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Paul McCutcheon before Building Inspections
has permission to replace porch decks(fornt & back)& replacement windows Inspection on Site—Foundations
situated on 30-32 Straw Avenue 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. Budding 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 i'lr 7-4
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA D CONSPICUOUS PLACE ON TA P MISES
Certificate of Occupancy
Building Inspector
to"- '1:.1;11 Si&
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