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12C-079 (2) • a a o It c �• W M CA E. Y '+ �• d O d o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. f 19 Additions 1 e Repair APPLICATION FOR PER IT TO ALTER Garage 1. Location r- Lot No. 2. Owner's name f Address d`O A I C C)r, 3. Builder's nam E icWlio Address o Mass.Construction Supervisor's License No. /0"1 y� 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 OAR 9 rN�110 13. Siding house 14. Estimated cost:- � The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. 1�cia 1 Signature of responsible app, canl Remarks i1 )J ' 001041 Date Filed File No, ZONING PERMIT APPLICATION (910 . 2) 1 . Name of Applicant ; Address : f Tel hone ; 2 . Owner of Property: Address : Telephone : 3 . Status of Applicant : Owner Contract Purchaser Lessee Other (explain ; ) 4 . Parcel Identification: 'oning Map Sheet# 1.2-Z- Parcel# 7 1 , Zoning District (s) (incl o �rlaysl Street Address Required 5 . Existinq Proposed _by Zoning Use of Structure/Property ;4-,Lz.•_ (if project is only interior work, skip to #6) Building height %B1dg . Coverage (Footprint) Setbacks - front - side L: "-I�- __L: R: - rear Lot size _ Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) -` Parking Spaces i Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use dditional sheets if necessary) + I i" 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 : Applicant' s Signature : THIS SECTION FOR OFFICIAL, USE ONLY. 1- pproved as presented/based on information presented Denied as presented--Reason : Special' Permit and/or Site Plan Required : Finding Required : Variance Required : S gnature of B lding Inspector G� Date' NOTE: Issuance of a zonin47 permit does not relieve an applicant's burdon to comply with all zoning roquirornonts and obtain all roqu from the Board of Health, Conservation Commission, Depatimonl of Public Works and other applicable permit grantin47 authorities, y � 2 © r-111*/ w . ��^ #2 l <F 1_i T1= 0 J' RETURN IN 5 DAYS r DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' :Municipal Building Northampton, Mass. 01060 George RThib Charles Mar tin 20 Mar Leeds. 53 \ l��k l44IkT111'f4{{!�kkkll4l4'.�1� go� T o, City of Northampton REQUIRED INSPECTIONS A �� A 1. Footings and Walls A e BUILDING DEPARTMENT 2. Structural Components in Place* � - 3. Complete Building* Office of the Building Inspector No. `y` 5%7/93 Fee $20 Check# 19015-54466481]_ Zoning Form No. 00�_041 Date_.. Page, 12C Parcel Zone 79 URA Secticr 127 ❑ Yes 0 No , BUII.-JDING * Plumbing and Electrical Inspections required George `'hibodo before Building Inspections THIS CERTIFIES THAT — has permission to Re-roof with fiberglass strips Inspection on Site—Foundations situated on 20 Marc Circle Inspection of Plumbing—Rough Inspectioc of Plumbing—Finish provided that the person accepting this pernzit shall in every respect Gas Inspection conform to the terms of the application on file in this office, and to the 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. Inspec",on of Wiring—Finish Any violation of any of the terms above noted is an immediate revocation of this permit.Expires six months from date of issuance,if not started. Builduig 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. Buil&ig Inspection—Finish Smoke Detecors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Building Inspector P� �7;.Cf 1 Silt�7