23D-076 (9) °l �°ti City of t Northampton REQUIRED INSPECTIONS
Le��' ��,1��-� 1. Footings and Walls
1' �► ��„���e BUILDING DEPARTMENT 2. Structural Components in Place*
`�'�--'" 3. Complete Building*
No. 721 Office of the Building Inspector
Zoning Form No. 960156 Date 8/24/95 Fee$48 Check# 1462
Page, 23D Parcel 076 ,Zone URB Section 127 ❑ Yes ® No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT John Zieminski j \ before Building Inspections
m
has permission to construct a 4 X 17 1st floor additi J spection on Site—Foundations
situated on 121 Warner St. - Daniel Olshansky Z i i spection of Plumbing—Rough
provided that the person accepting this permit shall in every rE a 1N \� ispection of Plumbing—Finish
conform to the terms of the application on file in this office, and \ _ 8 . 1 Gas Inspection
provisions of the Statutes and the Ordinances relating to the Constru `q z 'r-
Maintenance and Inspection of Buildings in the City of Northan , z Z Inspe lion of Wiring—Rough fx /�'
Any violation of any of the terms above noted is an immediate revs o 0 / Inspection of Wiring—Finish ;. 0
of this permit.Expires six months from date of issuance,if not sG Z Buil:ing Inspection—Rough
oa� o
Note;A certificate of occupancy will be issued by this office upon an wInsulation Inspection
of this card signed by the Plumbing,Wring and Building Inspec' 5a. .
00 4 '2 o Building Inspection—Finish (( ,fin•C. --
; :t ke Detectors(Fire Department)
'4,* Other
THIS CARD MUST BE D PLA ,,„l „. ._ _ P ACE N PREMISES
Certificate of Occupancy
nildin or
kLo1:>;1r silbiI
r r:r1 - --) ; p \
FILE # U
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APPLICANT/CONY CT P RSON• iA1i&(
ADDRESS/PHONE:ij) , / 7 -- tn. ewe,' / ,57 -,v(
PROPERTY LOCATION: Jo?f it/a /J- ! r D,Z c.e
MAP 2 3 D PARCEL: ZONE // -
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FII.I.FT) OITT _
Fee Paid
Building Permit Filled rout
Fee Paid ae/4/6c YI41Z'
Type of Cnnctructinn• _
New ('nnctrurtinn
Remodeling Interior Addition to Fxicting'9X/ /r1 f J//-l k z6-7 Zeel .e Gr"Yt `-----------
Acceccnry Structure
Building Plans Included• �
Owner/Occupant Statement ntc�icencP j74"7 ti79
3 Sets of Plans /Pint Plan
THVOLLOWING 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
roe
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 f Cons ation Commission �"
1- 7J
Signature of B g Inspector Date
NOTE:Issuanoe of a zoning permit does not relieve an applioants burden to comply with all
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Public. Works and other applicable permit granting authorities.
•
File No. % k/.5-(p
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ("f)" � . 2I G'I I 'ASK-(
®6O
Address: IUD tic 60�cfe 11)Dr<TliWin4lirM Telephone: T.3 - Y 'g z-
2. Owner of Property: yt!`L /f`SCct
Address I k/4 "3 S-T Telephone: SS`{
3. Status of Applicant: caner Contract Purchaser Lessee r)77 i 7LR. J7
Other(explain):
4. Street Address: ,/�?/
Parcel Id: Zoning Map# 073v Parcel# 2 2 District(s): /1
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property P3ID
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
U c-f X /? ' / 5 f l-cx - SP/a'-E Z^'
�b77NG CwT�L��� S//10E
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?
NO X 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 X DONT 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)
10. Do any signs exist on the property? YES NO X
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 colnmm to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage / 70'
Setbacks - front 30 3c% o769
- side L:)--'-/ R: L: 02 t/ R: -5-
- rear / 7S-`- mac,
Building height ,
<22 1
L /
L 7 i_l
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Bldg Square footage se
%Open Space:
(Lot area minus bldg T-h
&paved parking) 7 y /.7 /�'
# 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 kn wledge.
DATE: �22 5� APPLICANT's SIGNATURE
NOTE: Is us
rioe of a zoningpermit
p t does not relieve an p -
I�oanYs bu n to comply with all
zoning requirements and obtain all required permits fro the Board of Health. Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
FILE #
HIC Reg. 100133 Phone & Fax
(413) 584-4002
JOHN H. ZIEMINSKI
BUILDER& GENERAL CONTRACTOR
PO Box 60248
53 Maple Ridge Road
Northampton, MA 01060
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 71,FVVCC Alterations
%r NORTHAMPTON, MASS. 1 2'Z' 16S— Additions
; .A' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location I).- I L)Al-/Q OR_ 57- Lot No.
2. Owner's name )Afr /LZ- 121-514795,c%- M 6 Ad ess 'Pb2- //��l Z--1/17 -i'-' �S7'.
3. Builder's name Tom/ #, _�/E�'U ' S lC( Address P -C1) k t'O a-Y6 I/Z hyi P1 C/0,0
Mass.Construction Supervisor's License No. &/ 7 ? Expiration Date (c f 6
4. Addition 4 i X / 7
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 I--/<DY c.:,l'72 lE>lk: EI.3od 25
11. Distance to lot lines
12. Type of roof &X1S77i-6 •
-
13. Siding house GE�/)-/2
14. Estimated cost-
CV 0 " The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
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N.\:6-t-t----
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nature of responsible app'icant
Remarks t 1) T‘X /7 I da,Y 76 ( S'"F- �Loe)i. i-t rJDt
2.--ND -�, DTI (---El