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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Oct Alterations
NORTHAMPTON, MASS. 197- Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location d /qW d e k o Lot No.
2. Owner's name 7/ / lea 17 Address
3. Builder's name C417 VC
�IdI7 Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New piPtli�F h d l��'/44d n 06 Dl r
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 P 7
12. Type of roof
13. Siding house
14. Estimated cost-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
Signature of responsible app icant
Remarks Zn �� ✓ / � �+ P
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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
IF YES,describe size,type and location:
11. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cold to be filled in
by the Banding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L:X R:1�0 L: /�V R: ✓�
- rear �-��/�
Building height
Bldg Square footage
%Open Space:
Lot area minus bldg
' &paved parkingi
of �Parking Spaces
ht 6f Loading Docks
Fill:
vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
G 1 is true and accurate to the best of my knowledge.
.
DATE: �_ 1_C/1/7 APPLICANT's SIGNATURE_
NOTE: Issuanoe of in monin `
g permit does not relieve an applioant's bu en to oom wit
",,all
.w fp•.a11
zoning requirements and obtain all required permits from the Board of Health. Conser.vtition
Commission. Department of Publio Works and other appliombla permit granting authoritIOU.
FILE #
File No.
96 ,s
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: "l cc, 1 16,/� /' (lm'll
t _
Address: S /r(('� J� p/'�� Telephoner()Y r q
2. Owner of Property: LT,
Address: 6v 1 aVV /lop Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain): Ce/J �&w��l"
4. Job Location: �°����/ y�
Parcel Id: Zoning Map#_ / / Parcel#�_ District(s):
(TO BE FILLED IN BY THE�BUILDING DEPARTMENT)
5. Existing Use of Structure/Property� C
o�/ �/
610
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
41(7 Ll &d_�kofi( A0 g
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— 4L 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_zy__ 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 v J Vf
5 I I
APPLICANT/CONTACT PERSON:�L ;SG3
ADDRESS/PHONE: �° 4466
PROPERTY LOCATION: u
MAP PARC ZOI �(,/,�THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZQNTNC�FORM M.T.F.1) OUT
Fee Pnid
Rnilding Permit MUM mit
Fee Pnid 2_537
New Cnngtriietinn
Accessory Strurture
i/
6_75-3 e
THF,F6LLOWING ACTION HAS BEEN TAKEN 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 Conserv�_Ot mmissio
/_f"
Signature of Building ffikeor Da e
NOTE:Issuance of a zoning permit does not relieve an npplloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authortttas.
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 850 Office of the Building Inspector
Zoning Form No. 962750 Date 9/9/97 Fee $40.00 Cbeck# 2337
Page, 17D Parcel 42 ,Zone t1RB Section 127 ❑ Yes No
BUI]LDINGPERMI r,I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT zak's Construction - Todd Rolland before Building Inspections
has permission to install handicap ramp Inspection on Site—Foundations
situated on 50 Straw Ave - James Hickson 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 P MISES
Certificate of Occupancy
Building Inspector
p�° -mss City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
I Complete Building*
No. 850 Office of the Building Inspector
Zoning Form No. 962750 Date 9/9/97 Fee $40.00 Check# 2337
Page, 17D Parcel 42 ,Zone URB Section 127 ❑ Yes U No
Bun-JDINGPERMIT
* Plumbing and Electrical Inspections required
Zak's Construction - Todd Rolland before Building Inspections
THIS CERTIFIES THAT g P�
has permission to install handicap ramp Inspection on Site—Foundations
situated on 50 Straw Ave - James Hickson 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 F11V41- 6_fT 0 j V7
d
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLA D INOA CONSPICUOUS PLACE ON P MISES
Certificate of Occupancy
Building Inspector