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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 1 q Additions
APPLICATION FOR PERMIT TO ALTER Repair
\ Garage
1. Location P K != S"T' ,�012TN A.0► � �. M rTu c o c,cE 6£ E tU ELot No.
2. Owners name 're-y -rk'f'-S F S.0 r-rm a[[86£ Address '70 13EL 4f VT a ✓€
3. Builder's name DravlD A. VAC Ny t a Address ti 0 t,6
1066
Mass.Construction Supervisor's License No. O y Y V 1 Expiration Date 7
4. Addition ✓
5. Alteration
6. New Porch
7. Is existing building to be demolished? ,e.o
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating Ft E CT le I C
11. Distance to lot lines F 2a,1-T- / 60 .f W-C Ig e— s i b€ S, J00 ±
12. Type of roof --5"4€O o t' Ti:
13. Siding house t.A.$o o r S!�r.(., 6 [Ff'
14. Estimated cosLAr c o o
The undersigned certifies that the above statements are true to the best of his, her
knowledge did lief.
\ "anatu of responsible app,icanl
Remarks
10. Do any signs exist on the property? YES LI/ NO
IF YES,describe size,type and location:_ 157/ N S Fa F_ E m v>_ -rW +&,A,, c CGiV
Are there any proposed changes to or additions of signs intended for the property?YES NO L--"-
IF
/IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Badding Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: ioo! R: foot L: R:
- rear
C)
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
:of -Parking Spaces
# of Loading Docks
Fill:
volume -& location)
13 . Certification: I hereby certify that the information contained herein
rf is true and accurate to the best of my knowl e.
DA-E: /i �� - APPLICANT's SIGNATURE
NOTE: 1 uan a of a zoning permit does not relieve an ap know:
ant's burl to oomply with all
Czoning requirements and obtain all required permits from the Board of 4kealth, Conservation
ommission, Department of Publio Works and other applionble permit granting authorities.
FILE I
s
Fi 1 e No .
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Q 44 y(4) I4 v>✓ A ( #U L iq
Address: G P AAti7 jQ-y w-b N ,44TFiet i� Telephone: 02 4'7 -9 5'f 9
0166
2. Owner of Property: -rwy S i EE-S- G f 5-4A j -1-44 roL L E 6 E
Address:_ -2 O 0 I-L.yt 0 Al—, P-,/E Telephone:
3. Status of Applicant: Owner ✓Contract Purchaser Lessee
Other(explain):
4. Street Address: ? to X21 F ST S 4 »,4 rot C& C F Dv C> STRI 4Ai �ivTE�
Parcel Id: Zoning Map# 34arcel# <<' District(s):-
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property A 0 P- SC hA la—V 41 1'T a 14--04 c N f J)
6. Description of Proposed Use/Work/Project/Occupadon: (Use additional sheets if necessary):
k.IDD 14Dni-n'4y TO At'A X.rt Ju5NT Wla1 ' H f-5
C atiNrCTED 1+0 CIF r,7P-wzv
7. Attached Plans: i✓ Sketch Plan `� Site Plan Engineered/Surveyed Plans
I , ' F
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 `� DONT KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO l/ 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 # 960485 ���'.
APPLICANT/CONTACT PERSON: t /'
ADDRESS/PHONE:
PROPERTY L CATION:
MAP PARCEL: &/-,f ,ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.0NING FORM FILLED OUT
Fet- Paid
G
New Cnnqtriir1f;nnlt�`c �. t-K . ,
Add;tinn to Existing
JHFJXOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM <'
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
Permit fro Conserva ion Commission
i ature of B g ector Date
NOTE:lasuanoa of at zoning permit does not relieve an appiioants burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioeble permit granting authorities.
° City of Northampton REQUIRED INSPECTIONS
• 1. Footin s and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1034 Office of the Building Inspector
Zoning Form No. 960485 Date 11/22/95 Fee $40 Check# 1295
Page, 38 Parcel 61 ,Zone URB. Section 127 ❑ Yes 0 No
BUI]LDING PERmi r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT David Vachula before Building Inspections
has permission to construct a 12 X 17 addition to apartment to horse barn.Inspection on Site—Foundations
situated on 178 West St. - Smith College Equestrian Center 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 CONSPICUP ACE PREMISES
55
Certificate of Occupancy