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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Additions
e APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location JC` (� C-kA r ( Lot No.
2. Owners name �\ 'P-- 4,e' CL AA ii t r I v1 Address ` - ®r 2 51�°
3. Builder's name e h a. 11 V Cft 1.z i k19 U 1 Address—L7
Mass.Construction Supervisor's License No. n to 7 53 _Expiration Date n 3O — 3
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage a C4 1~ ;4-0 X 11�0 No.of cars_ Size ,P-O X 3 <a
10. Method of heating n -t'
11. Distance to lot lines
12. Type of roof a. 0 °-e
13. Siding house V 1 V14 L
14. Estimated cost:- r1000 , 4 0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and befi f. I
Signature of responsible applicant
Remarks L eA Vic/ Y o t,<
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Date Filed File No.
` ZONING PERMIT APPLICATION (§10 . 2)
1 . Name ,of Applicant: r t �aOI L
Address , �� wm a. • Telephone: 3 -7
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: Owner contract Purchaser
Lessee Other_ (explain:
4 , Parcel Identification: Zoning Map Sh eto,2z Parcei,; ,
Zoning District (s) include ov r1 s) ue
Street Address � ' ��
12ec7uired
5 . L''Xistinc . 'Proposed by_-_'_onincf
Use of Structure/Property 1 .
(if project is only interio ork, „v to #6)
Building height
__..._._
%B1d J . Coverage (Footprint;) pia
Setbacks front _O
�- side /5 – ---
rear
Lot' size _
Frontage —_--
Floor. Area Ratio _
Open Space (Lot area minus – ^^
building and parking) ----._--
Pa.rl,ing Spaces
Loading ------
signs _
Fill (volume & location)
G . Narrative Description of roposed Work/Project : (Use addit.`Loi,.a.1 sheets
if rtec:essary) yv, ��� t :`)+I �.� � _ 14
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: �–�.7° `� � Applicant ' s Signature:
-'THIS SECTION FOR OFFICIAL USE ONLY: – – – –
_ZAipproved as presented/based on information presented
Denied as presented
R sore for De
y
8 gnatur of uildin Spector Date
NOTE: issuance of a zoninf7 pormit dons not reliavo an applicant's burdon to comply wiiti all zoning requiremants and obtair;ill :quire punrrts
from tlw Board.of 1-loallh, conservation commission, Dopartnwnt of Public Works and olhor applicablo ponnft granting authofiu”.
.City of Northampton ' REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 556 Office of the Building Inspector
Date September 27, 1991 19
BUI DING P RMIT
v
THIS MAY CERTIFY THAT Gerald Archambault Insp. on Site — Foundations
Demolish existing garage & construct a new v
has permission to garage 20'x301 on same set lines Insp. of Plumbing Rough
situated on 5 Orchard Street Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton.Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started.
Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
. THIS CARD MUST BE DISPLAYED IN A CONSP CVOUS PLACE ON THE PREMISES
;Certificate of Occupancy
Building Inspector
P OP