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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. /2 _19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
r r
_ / Garage
1. Location � (L y 2 e/V C11- 9/) Alder 4 fj P To/L) Lot No.
2. Owner's name 4400 A��lf C
T iu � Address /"Le%2 tj ti C It !QD X,1d12—( 44t�rZ ✓
3. Builder's name Address to t�e?«_t_ G% AiC C TW-n,-ryr 1
Mass.Construction Supervisor's License No. (%t%2'C, p Expiration Date C 4/-3
4. Addition ae)l )e q 1 Ej�L�-
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 belie .
ZAr
Signature of responsible app,icant
Remarks
a�
Date Filed 000506 File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant: U /tJ, }-6 r-T I
Address: P u Telephone: � -
2 . Owner of Property: L `A; P v rY T„ ,;� z 5
Address:�Lz }=/_ �y��:��a�y� Telephone: 5-IZLI - 31._ L
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,2d ,
Zoning District(s) (include o=vl ys)
Street Address �(atiu
Required
5. Existing Proposed bv zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
tB1dg.Coverage (Footprint)
Setbacks - front
- side R L R -
- rear U '
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
f necessary) tzn<;r`y mot- rLXIr flc rct-' �Ecc",a rL(�02 T—(,
PLO ✓ , c n"k� r .; (� �2.u r� L u
i;DL1<J-1 L 3 L b ' ' 1-0 �` EIV T
7. Attached Plans: __4]Sketc; Pl Site Plan
S . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowladge.. .-
Date: I Applicant's Signature: + ,
THIS SECTION FOR OFFICIAL USE ONLY:
yApproved as presented/based on information presented
Denied as presented
R o fo ni 1:
gnatu of B ng Inspector D to
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,D-partment of Public.Works end other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
A �
s BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 767 Office of the Building Inspector
Zoning Form No. 000537 Date 12/4/92 Fee $56 Check# 121
Page, 22D Parcel 70 ,Zone URA Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Jones before Building Inspections
Remodel second floor into accessory apartment &
has permission to add 20'x4' & stairs Inspection on Site—Foundations
situated on 86 Florence Road 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 thispermit.Expires six months from date ofissuance,ifnot 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 O S P ACE ON THE PREMISES
Certificate of Occupancy
g Inspector -
City of Northampton REQUIRED INSPECTIONS
A g
BUILDING DEPARTMENT 2. Footings Components in Place*
3. Complete Building*
No. 767 Office of the Building Inspector
Zoning Form No. 000537 Date 12/4/92 Fee $56 Check# 121
Page, 22D Parce1 70 ,Zone URA Section 127 ❑ Yes ® No
BIMDINGPERAW ��-�-`- `'1\' l
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Larry Jones before Building Inspections
Remodel second floor into accessory apartment &
has permission to add 20'x4' & stairs Inspection on Site—Foundations
situated on 86 Florence Road 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 CONS PIC O S PLACE ON THE PREMISES
Certificate of Occupancy
g Inspector -
J i1 SIl�i7
r
of Northampton REQUIRED INSF S
1. Footings and W
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 767 Office of the Building Inspector
Zoning Form No. 000537 Date 12/4/92 Fee $56 Cj=k# 121
page, 22D Parcel 70 -,zone URA Section 127 ❑ Yes No
BUI]LDINGPERMII
*Humbmg and Electrical Inspections required
THIS CERTIFIES THAT Larry Jones before Building Inspections
Remodel second floor into accessory apartment & tiononSite
has permission to add 20'x4' & stairs —Foundations
situated on 86 Florence Road Inspec tion of Plumbin g AL0
Inspection of Plumbing-F ``��'3�
provided that the person accepting this permit shall in every respect �y g �
conform to the terms of the application on file in this office,and to the Gas Inspectio0 ;1—
provisions of the Statutes and the Ordinances relating to the Construction, ]
Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rou
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this pemut.Expires six months from date of issuance,if not started. Building Inspection—Rou 2
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspecti
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 O S P 'ACE ON THE PREMISES
Certificate of Occupancy
g Inspector
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