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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �f Alterations
NORTHAMPTON, MASS. 19 Additions
a APP Repair
CATION FOR PERMIT TO ALTER Garage
1. Location Lot No.
t
2. Owner's name ess_
3. Builder's name °_ 1/ G�' Address - 'le.� - '�' r
Mass.Construction Supervisor's License No,//! �/1'�`�— Expiration Date
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
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost-
The undersigns to that the above n are true to the best of his, her
knowledge d belie
Signature ofresponsi a app,icant
i
Remarks Z
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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This coltmm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
Parking spaces
# of Loading Docks
Fill:
'_{voZ ime--& location)
13 . Certif ation: I hereby certify that the information contain herein
is t and curate to the best of my know g .
.l
DA'Z'E: 11C APPLICANT's SIGNATURE
NOTE: 1 canoe t oning permit does not relieve an 1loanra urd n to oom
P Ply wlt4',qt1-
zoning requir ents and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities,
a FILE #
r
File No. � / 1
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE OR T ALL FORMATION
1. Name of Applicant: O��
Address: a elphone*-
2. Owner of Property:
y�
Address: S. Telephone:
r-
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# D Parcel# District(s):
(TO BE FILLED IN BY T E BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. ttached Plans: Sk tch 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)
f V, i - FILE # far rs 9 6 I✓��
r
CDM,IiLjQT/CONTACT PERSO
ADDRESS/PHONE: 6
PROPERTY LOCATION: �r
MAP PARCEL:
THIS SECTION FOR-OFFICIAL USE ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.nNlfNr.FORM FILLED MIT
Fee P.9id
Addition to Existing
S
TEE
,F'OLLOWING 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
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
—Permilfrom Conservation miss'
Signature of Building or Dat
NOTE:Issuanoe of a zoning permit does not relieve an applicant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission. Department of Publio Works and other applioabie permit granting authorities.
City of NorthaINSPECTIONS 1.REQUIRED BUILDING DEPARTMENT Footings and Walls
2. Structural Components to Place*
3. Complete Building*
No. 1139 Office of the Building Inspector
Zoning Form No. 961796 Date 12/13/96 Fee $20.00 Check# 5894
Page, 17D Parcel 44 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to install shingles over 1 layer Inspection on Site—Foundations
situated on 62 Straw Avenue - Bonifacis Contreras 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
** Install per Manufacturer's information: windows,vinyl siding,roofs Smoke Detectors(Fire Department)
and woodstoves
,. Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
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