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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. qC-9, - '773-3 Alterations
ti NORTHAMPTON, MASS. A�l7ri I I} 19— Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 7/2,E n� t'�1 � � (� , Lot No.
2. Owner's name -&�1 Address 7,0 5-02
3. Builder's name Address '
Mass.Construction Supervisor's License No. 1 �� Expiration Date zz !3
4. Addition
5. Alteration _ {tY _c.tr� ,
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
13. Siding house
14. Estimated cost q C)eL 6 G
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. _
Signature of responsible app,icanl
Remarks
�"�'" ` 000 ."
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Date Filed L* - f - 9 3 File No. o -.- oo Q, ,
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant:
Address : Telephone: le 617733
2 . Owner of Property:
Address: • a 3 — Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# o�L Parcel# cc; , ,
Zoning District(s) (include overlays) �W E p
Street Address
Required
5. Existing Proposed bv Zoning
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 nec ssary)
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: ' 3 Applicant's Signature:
�i�--
THIS SECTION FOR OFFICIAL USE ONLY: t'� �T17 T
!✓Approved as presented/based on information presented € P
Denied as presented--Reason: w APR
Special Permit and/or Site Plan Required: -
Finding Required: variance Required:
Signature of B dincf Inspector at
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 other applicable permit granting authorities.
10 1 7" -
PERMIT APPLICATION CHECK LIST '
PAGE 0 0 PLOT Co ZONE Wc3P— r7n.ta N- f°< Y-YY�5 �� YES NO DATE
1 . ZONING FORM APPLICATION L' - 93,
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT LIC .# IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
S . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR V
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN I G
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 5' 4 0,
13 , SPECIAL PERMIT- REQUIRED WITH DEED IF APPLICABLE
14 UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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0a
y of Northampton REQUIRED INSPECTIONS
4
BUtLDING DEPARTMENT 2. Footings Walls Components in Place*
3. Complete Building*
No. 163 Office of the Building Inspector
Zoning Form No. 000841 Date 4/5/93 Fee $40. Check# 703
Page, 02 Parcel 002 ,Zone RR/WS P Section 127 ❑ Yes No
BUI]LDINGPERMI rr I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Ed Everett before Building Inspections
has permission to Install a New Ream in ('Pi 1 i na Inspection on Site—Foundations
situated on 705 North Farms Road 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 {;' `�- %f ✓ ,
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. Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector -
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