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38A-061 (11) v tL �� � �i O• `^ M -� LC-) V) �= ' 7C � •� �' Z > cn O �X Z �, -� ..j m I1 Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions i ' APPLICATION FOR PERMIT TO ALTER Repair a '., Garage 1. Locationylb WN � ��� t� Lot No. - 2. Owner's names "N Address 3. Builder's name Address � � ,n Mass.Construction Supervisor's License No. ®�\�i�l Expiration Date �Q l 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 undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature o responsible appican! Remarks 161 15 65 — 81 W {fin WB2430 3033R REFRIG 223 BFH15 1318LL SB30 DISH. 24" �BD118.04 RC3684 U1824R CUi 7C)f-1T- 354 1272 �- BgF�H�339g I 311 1512 -W3930- 1512 - - -- - 1 42a 54_ B15R O 0 B30 38 RW1530 W3018 W3030 78 — -� 40 _,z 43 -------- - — - 161 -- — S S ypgr 'p 4 ddd { 1 F \ 1% V Scale:maximum Design: 06/29/97 Dwg no. All dimensions 8 size designations This is an original design and must 170WEST Date : 06/30/97 given are subject to verification on not be released or copied unless Smith College-Rental -- job site and adjustment to fit job applicable fee has been paid or job — conditions. order placed. Designer — Scott W.Anderson o �0 f &� 9 ilsAa?? IT _ xJrrL�yti.�� "!' tasaacEtxrsrlfa j ! -- ' f DPP/VRT'?r.l1JT OF 7 U!LDG INSPICTiONS It 212 Main Street " '-Y.aixlclpal Ltciling, Northampton, " ass. 01OGO WORKER'S COMTENSATrO N ENS ITRAIN C A.?`17DAVIT. with a principal place of business/residence at: (:�secL�city/�tl c�7ip) do hereby certify, under 6e pains and pen<'ties ofperjtlry tt41t: (v'<I am an employer providing the fo"otiving workers compensaton coverage for my employees working on t}ii.s job: \`t 6 (ILLS;L Ce Company) (Por.icy (E-xpirauon Date) ( ) I am a sole propric,tor, genera! cont-Tactor oc homeowner (circle one) and have liirec? the Contractors i sted below wao have fie fcHo,.',,Mg wo.,ke,-'S COl]1pt. t� �orl pC' CieS: (Nate of Contractor) (insurwcr CompxlyToiicy Numb,-)-) (F-XpinI on D,Ite) (Name of Contractor) (lj-.Lsu ,mce Comp yiPo':icy Nmlxr) (' xpirlaon lea e) (Nan1e of Contractor) (Iruurnice Comp:ury/?'o icy Nlur_��K } (Expiration'Date) (Name of Contractor) (LnsTimce- Company/I'ot cy Nu1n}),,r;— (r:xp rat on Date) (attach additional SbAnt ifn0c'miry to i1w1v%dc iufvr"l-aioa patnix4ig to nll cc�ztruc ory) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performung a!l t-he work myst-Y. NOTE:please be awvc the.while kmmeowmn who anploy pervint to do cnaintmwc;coa:uvctioa ar repair work ev a dwelling of am more than throe units in which the horr»owrcr zcsicka Of oa the graz1)Ah aPWOLI! ant ttxzro at c rKA p,-ccWalky anvulu-i to be caVloytav under the work,e t cexvnczssaz:an Ara(GL1✓'2 1(S)),npJl cat or;by a hocncow,ur far a Uciz;or pertrut ntny evictcocc t.'za legal statue of an.=Moyer uodor dw W of ka's i.ampaaxai.ion Jut. I uadaYixnd that a oopy of Chia rta taint cnay!w fa,-ward to tfio Cktxuvnrrd of ln'.ujtl OIh vo of layu"w.for tho covm&c vcrificatioa and that faint c to rwv.- Qovera{,^o utx:at Te,--ti on 2 SA cSM 11iL 1`i2 r=''—x to the im pwition of crientul pcwitics eonsisI-Ig of a fine of up to S 1 5WI.00 crv4'or irnpriscxurx=of LIP to enc ycrr rux!civil per tl6i ler1rc fcmn of a Stop`'70 L ori cr:uxl n ft o of 5100.00 a day LPM51 ax. J Signed this `Z1��day of 1997 ` For&P-etmanl u or ly 1 ?vlpr _ Lot# Si tore of Licanse&Pemittf-c; 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 MOIST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This col.== to be fl2led in by the Bu12diag Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: '(Lot area minus bldg ' &paved parking) ,of Parking spaces %f Loading Docks Fill: '4vol-Lime--& location) 13 . Certification: I hereby certify that the information contained herein �jis true and accurate to the best of my knowledge. DTTE: +C � APPLICANT's SIGNATURE MOTE: Issu a of a zoning permit does not relieve an app oanre burden to mply with all zoning requl menta and obtain all required permits from tije Board of Health, conservation Commisslon, Department of Publico Works and other applicable permit granting authorities. :„ FILE # File No. _1 /d ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: Address:440D �. W'�G�1 Telephone: 2. Owner of Property: Address: � � t't+t�� �1'�Cn Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee "Other(explain): L> c �'C 4. Job Location: Parcel Id: Zoning Map# 3� Parcel# _ District(s)aZ) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property \ 6. Description of Proposed UseANork/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 YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES y 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 # l -- A1"PLTC'AM/CONTACT PERSON: ADDRESS/PHONE: ) . t ;n P PROPERTY LOCATION: U MAP �f` PARCEL: ZONE_ .1� r- THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM VH,T,FD OITT Fee PAid / Xr✓` T OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 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 Pe '�fro o /-v on Signature of Building irjofector to NOTE:Issuance of a zoning permit does not relieve an applicant's burden to oompty with ail zoning requirements and obtain ail required permits from the Board of Health, Conservation Commisslon, Department of Public works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS e 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 807 Office of the Building Inspector Zoning Form No. 962701 Date 8/27/97 Fee $40.00 Check# 2291 Page, 38 Parcel 61 ,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Kevin C Netto Construction Inc before Building Inspections has permission to remodel kitchen,closet into 1/2 bath Inspection on Site—Foundations situated on 170 West St - Smith College 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 THE POEMISES Certificate of Occupancy - ding Inspector