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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. _ Alterations
NORTHAMPTON, MASS. 19__ Additions
APPLICATION FOR PERMIT TO ALTER Repair
2/ J .,c �^ Garage
1. Location ��l[p 5���/ F Cr711 fit` Lot No.
2. Owner's name J12I°CA 111 to c,3,71 �Ajd s 5
3. Builder's name �' U - � A� ess P�A C Y l L? rah /�� Z 6- , /?I�
Mass.Construction Supervisor's License No. f1W13Gt) Expiration Date 70
4. Addition �l .rG � C',t'�I�R�� C �L - : . cl�� AV'X /I f
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-key e)
The undersigned certifies that the above statements are true to the best of his, her
J A C, knowledge and belief. -- --
gnature o/responsible app icant
Remarks /W �/ �,AU t �/ i j� ✓t✓C � /f T
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Date Filed L `�'%�
`�,� � File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: (` c�
Address: /�� �'f US f-Sf u Telephone: 5���.. 7,y-j.)
2 . Owner of Property:
Address:_* 6& (,hj ti� J�i ` � Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee ,;. other (explain !Cy-&4X
X )
4 . Parcel Identification: Zoning Map Sheet# (16- Parcel# q , ,
Zoning District(s) (include ov r aye 1�
Street Address l _
Required
5• Existing Proposed by Zoning
Use of Structure/Property S'; 1 1117,M
(if project is only interior work, skip to #6)
Building height , I
%Bldg. Coverage (Footprint) 7
Setbacks - front fr -I-
- side L: 5.7' R: 301 L: y7 R: 30 '
- 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 necessary) t'o�, 7Y!vi -H- ,;
1
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. /J
Date:- , ' . `/-%y 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:
F' d1w Requ 'r d:t Variance Required:
S gnatu Buy ldint _I_napeetor �.'�
D
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply witli all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission, Department of public Works and other applicable permit granting authoritlos.
ERMIT APPLICATION CHECK IST
P�G E I I P O T I � Z Qr!E � '� � �'x-t �' S 0 DATE
ZONING FORM APPLICATI O L�
2 . PERMIT APPLICAIION
v
3 OWNER OCCUPANT STAT EMENT LICJ IF NOT (/
4 . 3 �✓
5 . NEW CONSTRUCTION
6 CURB CUT
WATER
8, REMODELING INTERIOR
9 ADDITION
ACCESSORY
11 . SIGN / AWNING
2 E -3 ' D C/
3 , SPECIAL IF APPLICABLE
4 . UNDER 8
15 , FORM A
6 . FILL
COMMENTS:
to
City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 2. Strucntural Components in Place* {
3. Complete Building*
Office of the Building Inspector
No. 769
Zoning Form No. 003097 Date 8/9/94 Fee $40 Check# 3748
Page, 17C Parcel 94/95,Zone uRB Section 127 ❑ Yes ® No
BUI]LDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Valley Home Improvement before Building Inspections
has permission to Construct a deck 10'x12' & construct a ex .ovedeck Inspection on Site—Foundations
situated on 136 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC SES
Certificate of Occupancy
g Inspector -
�0�+1 I.G11 Sil��I