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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. DEG 5 199-5 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location 1-15 //t A 11J Lot No.
2. Owner's name I IJ INS SPA/A. Address 1441 /AA I N SJ- S p EI-D AAA
3. Builder's name A 1A S r2u=W Address &00 U N T O tJ S'� W, S P FLS 1^A
Mass.Construction Supervisor's License No. G6 224t 1 Expiration Date 1 I 21,q 8
4. Addition
5. Alteration N E:Vy (KAE i f=12p, Co rZal Doi.
6. New Porch
7. Is existing building to be demolished? No
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:- Z I ejOo, C70
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ignature of responsible app lcani
Remarks PGQ/A l:r 1`J F=O`- (fQ NS('R UCTI o N OF N WO D l` /-A rizi NC1
cozet o02 I N BPsP,/Ae✓)-Qn tvo
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 COMPUTED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This col— to be filled in
by the Bai.lding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L:-R:-
-
: R:- rear
Building height
Bldg Square footage
%Open Space:
Lot area minus bldg
' &paved parking)
#
.9f -Parking Spaces
rof Loading Docks
Fill:
(vol-lime--& location)
13 . Certification: I hereby certify that the information contained herein
�f is true and accurate to the best of my knowledge.
DATE: i�
-�=� A'S' APPLICANT'S SIGNATURE__.Z�a��
NOTE: Issuanoe of in zoning permit does not relieve an applioanre burden to oomply with all
zpning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other npplioable permit granting authorities.
FILE #
����=a��� BEG
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: _
Address: /7S Ale,nT,v,1r,^;C)Al Telephone:
2. Owner of Property: :5/5'
Address: IIY411 jr ve- --1�6'4A Telephone:
3. Status of Applicant: ;/Owner Contract Purchaser Lessee
Other(explain):
4. Street Address: 73 -3; ��.n
Parcel Id: Zoning Map#- Parcel#_ '91 District(s): C
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
S. Existing Use of Structure/Property � �?�)•r
6. Description of Proposed Use/Work/ProjecUOc7c�upabon: (Use additional sheets if necessary):
y.0 a T�ce^ i'/O N 1..3�� /VC C✓ !1<-:H� � s Svc- Lc7'fin 1%�cr 2 l'�/ i�rt s c:r<:.y�-
7. Attached Plans: _ r+� 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 r/ 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 # 9 G 05 2 5
3
APPLICANT/CONTACT PERSON: 1y',�
ADDRESS/PHONE: /,}GC
PROPERTY LOCATION:
MAP PARCEL: ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FH,T,FD OJIT
�i
111nilding Permit Filled njit
1311ilfi ng Plan-, Tnrinded
�.
THYFOLLOWING 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
mit from Conservat' Commission
00,
afore of it Date
----
NOTE:lasuanoa of a zoning permit does not relieve an applio nt's burden to oomply with all
zoning requirements and obtain all required permits from he Board of Health. Conservation
Commission, Department of Public), Works and other applioable permit granting authorities. -
1
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City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. SmzcctturalComponents and in Place*
3. Complete Building*
No. 1069 Office of the Building Inspector
Zoning Form No. 960525 Date 12/19/95 Fee $86 Check# 5338
Page, 31D parcel 142 ,Zone CB Section 127 ❑ Yes ® No
BUI]LDING PERIN/HT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Adams & Ruxton before Building Inspections
has permission to construct new demizing corridor in basement. Inspection on Site.—Foundations
situated on 175 Main Street - SIS Bank 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 CONSPIC US PLAC THE PREMISES
Certificate of Occupancy
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City of Northampton REQUIRED INSPEC'T'IONS
1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
I Complete Building*
No. 1069
Office of the Building Inspector
Zoning Form No. 960525 Date 12/19/95 Fee $86 Check# 5338
Page, 31D parcel 142 ,Zone CB Section 127 ❑ Yes ® No
BUILDING PER.N. 41T
*Plwnbing and Electrical Inspections required
THIS MV TIFIES THAT Adams & Ruxton before Building Inspections
has permission to construct new demizing corridor in basement. Inspection on Site—Foundations
situated on 175 Main Street - SIS Bank 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 Z�/�/`
Maintenance and Inspection of Buildings in the City of Northampton. l _
Any violation of any of the ternis above noted is an immediate revocation Inspection of Wiring—Finish
of this pen-nit.Expires six months from date of issuance,if not started. BuildingU ,c,4'S l�tion—Rou h g C
Note:A certificate of occupancy will be Insssued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finisl�j�
5 Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAr IN A CONSPIC US PLAC THE PREMISES
Certificate of Occupancy
Buil or0 _
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