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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERM I O ALTER GaapaRraggre
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1D.1. Location ` ` r\e, "tC Lot No.
2. Owner's name AddressCy �i`rtyc� Qve . �Cac�clTc® n
3. Builder's name \h Address PCZ �a_ �i�e� •h
Mass.Construction Supervisor's License No. G�\' \� Expiration Date \®-
4. Addition
5. Alteration h
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 cosL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r sponsible appicam
Remarks
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10. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
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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 column to be filled in
by the Building Department
Required
Existin-q 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
& aved parking)
# of Parking spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: r Applicant's Signature:
NOTE: Issuance of a ing permit does not relieve an applicant's burden to c ply with all zoning r qulrements
and obtain all required permits from the Board of Health,Conservation Commission, Department of Public Works
and other applicable permit granting authorities.
3 '
File No.
ZONING pERMIT APPLICATION ( 10 2EOF'iLi)srlG i }r Pr
ORTRAWTO KlA 0) ,
PLSASS TYPE OR PRINT ALL INFORMATIO
1. Name of Applicant:
Address: 14,- Ca�s���.\,A3 elephone:
2. Owner of Property:
Address:` ��C �► Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain):
4. Street Address: I�
Parcel Id: Zoning Map# �3Y Parcel# o& 3 District(s): dA
(rO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
e
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?
NOy' 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 #an
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 #
APPLICANT/CONTACT PERSON: � � //1
ADDRESS/PHONE: / > Qa�} �►tt,��� /��L �CD�
PROPERTY LOCATION:
MAP ' PARCEL: C,tP ZONEy( rC
THIS SECTION FOR OFFICIAL USE ONLY:
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out /� f�G}
Fee Paid K#�G, � U 7 /
Type of Construction:
i Caastruction
Remodeling Interior %/ Addition to Existing
Accessory Structure
Building Plans Included: J
Owner/Occupant Statement or License # (9c 1 3 7
3 Sets of Plans / Plot Plan
THEFOL OWING ACTION HAS BEEN TAKEN ON THIS ZONING APPLICATION:
:proved 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/ZON X 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 from DPW
Permit from Conservation Commission
Signature of B6411ding Inspector Date
NOTE:Issuance 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 Public Works and other applicable permit granting authorities.
�t MAMPl
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't City of Northampton
5 BUILDING INSPECTION LABEL
APPROVED
pector
Date
City of Northampton
BUILDING INSPECTION LABEL
APPROVED
tnspector �
Date 7Z// / —
City oNortha REQUIRED INSPECTIONS
P 1. Footings and Palls
BUILDING DE
$ � 2. Structural Components in Place*
3. Complete Building*
No. 559 Office of the Building I
Zoning Form No. 7595-1 7/6/95 Fee $40 Check#1050
Page, 38 Parcel 63 ,Zone ugg 127 ❑ Yes No
BUI]LDING T
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kevin C Netto Construction before Building Inspections
has permission to Kitchen renovations with new entry door Inspection on Site—Foundations
situated on 182 Earl St. - smith College Inspection of Plumbing—Rough ! -1 o
provided that the person accepting thispen-nitshall in every respect Inspection of Plumbing—Finish U p5pen-nit
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 Or(-
Maintenance
LrMaintenance and Inspection of Buildings in the City of Northampton. NS
Any violation of any of the terms above noted is an immediate revocation ;rX `v Inspection of Wiring—Finish -111� 1/�
of this pen-nit.Expires six months from date of issuance,if not started. Building Inspection—Rougher '� 9
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 TBE ISP APED IN A CONSPICU U PLA O THE PREMISES
Certificate of Occu anc -
P Y ,
Buildin
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