25C-149 (2) Date Filed File No.
ZONING PERMIT APPLICATION
Zoning ordinance Seotion 10 . 2
1 . Name of A no 1icant :
Address : �. ', Telephone : - 7
2 , Owner of Property : _CAe iE (n�Hti
Address : Telephone :
3 . Status of Applicant : Owner Contract Purchaser
Lessee/ Other (explain :
4 . Parcel Identification : Zoning 14ap She eti�/ `-- P'arcel '
Zoning District (s)
Street Address
5 . Compliance- with Zoning ; E. istin Proposed
Use of Structure/Property L
Size of Structure (sq, Pt , )
Building height
Building Coverage
Setbacks - front
t' - ,.side
{i - rear '
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking Spaces
Loadin'g Spaces
Signs
Fill (volume & location)
6.. Tlarrati�ie Descri do of 'Pro osad Wor Pro ec (Use •
addita final sheets if-necessary) _
7 . Attached Plans : Sketch Plan _ Site Plan
8 , Certification : I hereby certify that theih�ormation, o tained
herein is true and accurate to the best of my k dg
Date : d °� - � � Applicant ' s Signature : /
THTSrSECTION-FOR^OTFTCIAI, USE Oi1L`1
V Approved as presented
Denied as presented
Reason for Denial :
Signature of Building Inspector., r Date
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. "` � ` 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location `-`> Of—.�f�-,.ya f> Cst Lot No.
2. Owners name (xDg-4 iv Address ;7:f-5 f Vii- ST .
v
3. Builder's name C)A n ,�A{cam. Address '
Mass.Construction Supervisor's License No. Z Expiration Date
4. Addition c,
5. Alteration YG rtF N f11 t',Eim t-r
6. New Porch ��
7. Is existing building to be demolished? V-�,
8. Repair after the fire tia
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 ve statements are true to the best of his, her
knowledge and belief.
t
Signature of responsi a a&t
Remarks
PR P
City of Northampton REQUIRED INSPECTIONS
I . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
3 . Complete Building
No. 141 Office of the Building Inspector
Date APRIL 10 19 91
BUI DING P RMIT
1
(� THIS MAY CERTIFY THAT CLARK CONSTRUCTION COMPANY Insp. on Site — Foundations
has permission toKITCHEN RENOVATION & 2nd FL. BATHROOM Insp. of Plumbing — Rough
REMUDEL
situated on 25 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 CONSPICUOUS PLACE N THE PREMISES
r
Certificate of Occupancy
Building Inspe P`� oP