25C-051 (5) T �
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 9 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 'l C v Gov Ay-e Lot No.
2. Owner's name Ary e4^ A e1/2 I.z Address S '�
3. Builder's name Qu.r J � '� Address 3"'' /0,o Cl
Mass.Construction Supervisor's License No. oil d&4) Expiration Date �
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
II /
12. Type of roof�Sj4,:�_r o n Cu r i o a d 4- it-sle'LA 00 Sit-2 5 eW � 7
13. Siding house
14. Estimated cost:-
-� The undersigned certifies that the above statements are true to the best of his, her
knowledge d belief.
Signal!,,of responsible app,icant
Remarks
at
h
Date Filed ` , 00350 , File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of 1plt* ant: -ror,,
Address: &4"'J ►��, 1�,, c Telephone:
2. Owner of Property: INJO&I C4 / : 11 n;/�e
Address: )5-9 e Lap A4,J,=° Telephone:
3 . Status of Applicant: Owner V Contract Purchaser
Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# .2,5-(:- Parcel# J i ,
Zoning District(s) (include o erlays)
Street Address 5-47
Required
5. Existina Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side
- rear
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
if necessary) d w V mac;r
7. Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: Z0)-;25Z1 y Applicant's Signature:
y",
THIS SECTION FOR OFFICIAL USE ONLY:
- - - - - - - -
Approved as presented/based on information presented
Den' as pre -ted
0 or De 1
gnatu f Buildin or t
NOTE: Issuance of a-zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pennies
from the Board of Mealth,Conservation Commission,Department of Public Works and other applicable permit granting authori ties.
PERMIT APPLICATION CHECK LIST
PAGE PLOT -�/ ZONE y 4 k ES NO DATE
ZONING FORM APPLICATION
2 . PERMIT APPLI
3 . OWNER OCCUPANT STATEMENT NOT
3 SETS OF PLANS /PLOT PLAN
NEW CONSTRUCTION
6 CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
0 , ACCESSORY
11 , SIGN / AWNING
2 , PERMIT FEE - - MONEY ORDER
13 , SPECIAL I D WITH DEED IF APPLICAB
4 . UNDER SE - CMR 780
FORM A
6 , FILL
COMMENTS ;
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Structtugral Walls Components in Place*
3. Complete Building*
No. 1120 Office of the Building Inspector
Zoning Form No. 003507 Date 11/2/94 Fee 2�0 Check# 1106
Page, 25C parcel 51 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMI r I-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Tom Quinlan before Building Inspections
has permission to Strip & reshingle roof Inspection on Site—Foundations
situated on 59 Lincoln Ave. 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 pernut.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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU P CE N PREMISES
Certificate of Occupancy --
Bu' nspector
I