25C-057 (6) T ty
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � Alterations
NORTHAMPTON, MASS. C 19 Additions
APPLICATIO FOR PERMIT TO ALTER Repair
a
Garage
1. Location 071 Lot No.
2. Owner's name Address
3. Builder's name '` Address d!v/
Mass.Construction Supervisor's License No.'s 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
12. Type of roof LeG;n/g le,
P o�
13. Siding house
14. Estimated cosL-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and b .
Signature of responsible app icanl
Remarks
r 002 7811
Date File:f"Applica
� � File No.
ZO N PERMIT MAPPCATION (910. 2)
1 . Name nt•
Address: _ Telephone: -Q g
2 . Owner of Property:
Address : Telephone:
� . Status of Applicant: Owner Contra- Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# :,�G Parcel# 5 ,
zoning District(s) (include overl s) (,(�
Street Address ?, i
Required
5. 'Exis t ing Proposed by Zonin
Use of Structure/Property
(if project is only interior work), skip (to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- 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) Je
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is tru d accurate to the best of my knowledge.
Date: Applicant Is Signature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit d/or Site Plan Required:
in g Requ ' ed: Variance Required:
gnatu a ,vf Buy ding specter 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 othor applicable permit granting authorities.
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City Q Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
e BUILDING DEPARTMENT 2. Structural Components in Place*
e ,
3. Complete Building*
No. 535 Office of the Building Inspector
Zoning Form No. 002784 Date-6-/16./q4 Fee $20 Check# 3958
Page, 25C Parcel 57 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI r I-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Repair slate roof & shingle porch Inspection on Site—Foundations
situated on 31 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 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.
** 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 CONSPICUOUSJAA O PREMISES
Certificate of Occupancy l` --
4 Buildin r