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17C-083 (3) b "d o C C n v b o• r a Z tT1 a y o r x0 o�c Z CA v ° Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions a APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location I �c, . r t �V =�C Lot No. �r 1 2. Owners name r � 3. Builder's name Address t' Mass.Construction Supervisor's License No. Expiration Date s 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 L 13. Siding house J1 14. Estimated cost-�{ v, ( �,to The undersigned�certifies that the above statements are true to e b st of his, her knowledge vt G Signature of responsible app,icant Remarks 4si,�hT Y f OOOJ� Date Filed 4 - 1 3 - 9�9 � File No. f r7 C - ceo ZONI G PERMIT P LICAT ON (§10. 2) L1 R 1. o C Name f Applicant: Address : 7 Telephone: 2 . Owner of Property: Address : Telephone: 3 . Status of Applicant: Owner Contraq-t Purchaser Lessee Other (explain: 4 . Parcel Identification: Zoning Map Sheet# 1 -1 Parcel# ®13-3, Zoning District (s) (include overlays) Street Address Pin, , Required 5 . Existinq Proposed by 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 Descri iqQ of Proposed ork/Proms ct: (Use a ditional sheets if necessary) 7 . Attached Plans : Sketch Plan y Site Plan 8 . Certification: I hereby certify that the information contained herein is tru an accurate to the best of my knowledc��' Applicant's Signature: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ZApproved THIS SECTION FOR OFFICIAL USE ONLY: as presented/based on information presented Denied as presented--Reason: Special Permit and/or Site Plan Required: Fi din e uired: Variance Required: ig ure of B nspec or 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 other applicable permit granting authorities. 1071- yMriti�.sI Y �' ��° ` ,.�.� +"iF��' � �� ,�i,frr �.'n*�w� PERMIT APPLICATION CHECK LIST PAGE 1 '7 C PLOT 0'39 ZONE u Re _E;9 H l C vll YES NO DATE ZONING 0 APPLICATION F L. 4 1 3 2 . PERMIT LIC TIO 3 . OWNER OCCUPANT STATEMENT LICA IF NO ��'� L" 4 . 3 SETS OF S - /PLOT PLAN NEW CONSTRUCTION 6 . CURB CU 7 . WATER V B T O S 8 . RE ODE ING INTERIOR 9 . ADDITION 0 , ACCESSORY STRUCTURE 11 . SIGN / AWNING — r 7W ! '7 CC? 2 . PERMIT FEE - CHECK ONLY - MONEY ORDER SO-20' 13 . SPECIAL - PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 5 . FORM A 16 , FILL COMMENTS : boo vz City of Northampton REQUIRED INSPECTIONS A 8 e 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 211 Office of the Building Inspector Zoning Form No. 000901 Date 4/14/93Fee $20 Check# 1709 Page, 17C Parcel 8 3 ,Zone U R B Section 127 ❑ Yes © No BUI]LDINGPERNM *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paul M c C u t h e o n/Barbara M a t u s k before Building Inspections has permission to Strip and re-roof garage Inspection on Site—Foundations situated on 53 High Street 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—Fuiish 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. Building Inspection—Finish Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICU S PL ON THE PREMISES Certificate of Occupancy ' g Inspector