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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location c WA Qk Lot No.
2. Owners name Address sx-
t
3. Builder's name Address
Mass.Construction Supervisor's License No. Zf��� Expiration Date �q 8
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
13. Siding house
14. Estimated cost-
The undersigned certifies that the above statements are true to the best of his, her
y r � knowlerelp
ignwure of responsible app,lcani
Remarks y
• .turn
003552
Date Filed File No.
ZONING PE IT APPLICATION (5-ib-. 2)
1. Name of Applicant: L:LL-,��
Address: �q Telephone:
2. owner of Property: V► ,
Address: Telephone:
3 . Status of Applicant: —Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheetf O L Parcel# ,
Zoning District(s) (include ov lays) Wt�Y
Street Address ,
Required
5. Exis-ting Proposed by Zoning
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
oBldg. 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 W rk/Proj t: se additional sheets
if necessary). rt
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: X hereby certify that the informat' n contained herein
is true nd accurate to the best of my knowledg .
Date: 2 4 Applicant's Signature:
r THIS SECTION FOR OFFICIAL USE ONLY:
a�
Approved as presented/based on information presented
Denied as presented--Reason:
Sp ial.• Pe t and/or Site Plan Required:
d g R it variance Required:
gna a of n- 2 ctor D e
NOTE: issuance of a zoning pormh does not relieve an applleanVa burden to comply with all zoning roquiroments and obtain all required pormlta
from tho Board of Haalth,conservation Commission, Dopartmont of Public Works and oUwr applicablo permit granting authoddas.
PERMIT APPLICATION CHECK LIS
S NO DATE
3 . OWNER OCCUPANT STATEMEN IF NOT
4. 3 SET S PLAN
NEW CONSTRUCTION
6 , CURB CUT
7 WATER
8 . REMODELING INTERIOR
9 . ADDITION
10 , ACCESSORY
11 , SIGN / AWNING
2 ERMIT FEE - MONEY ORDER wow
13 , SPECIAL UI D WITH DEED IF APPLICABL
14 . UNDER SECTION - C R 780
15 . FORM A
16 . FILL
COMMENTS:
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
e e 2. Structural Components in Place*
3. Complete Building*
No. 1122 Office of the Building Inspector
Zoning Form No. 003552 Date 11/2/94 L2La4 Fee $20 Check# 2283
Page, 17C parcel 84 ,Zone URB Section 127 ❑ Yes ❑ No
BUIULDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Paul McCutheon before Building Inspections
has permission to Strip & reshi ngl P roof Inspection on Sites--Foundations
situated on 87 Chestnut 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—Finish
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
** Install per Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PL CE O THE PREMISES
Certificate of Occupancy ---
Buildin or r�_