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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATIO FOR PE M TO ALTER Repair
a Garage
1. Location Lot No.
2. Owner's name -,-%Address
3. Builder's name a6�
Mass.Construction Supervisor's License No. 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
13. Siding house
14. Estimated cost:- SV p
The undersigned c that the above statemen e ti Ito the best of his, her
knowled be
Signature of responsible appucane
Remarks
4�,
a
X. 003310
ti
Date Filed �/ File No.
ONI G IL'LICATI ( 10.2)
1. Name of Applicant:
Address: l/ w ephone: —6
o/dGa
2 . Owner of Property: A A „
Address: , Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /7 L Parcel# q�, ,
Zoning District(s) (include o rlays)
Street Address I
Required
5,
Existincr 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 Description of Propo d Work/Project: (us . ditional sheets
if necessary)
�y 7
-7C
7 . Attached Plans: Sketch Plan ite Plan
8 . Certification: I hereby certify that the informa on c tained r i
is t e and accurate to the best of my knowled -- /�
Date: / Applicant*s Signature• �2
/ HIS SECTION FOR OFFICIAL USE ONLY: r
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
nd g Req 'red• Variance Required:
nn�q �C
gnatu uTlding Inspe or bdte e
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning rgquiroments and obtain all required permits
from the Board of Health,Consarvalion Commission,Department of Public Works and other applicable permit granting authorities.
�0 4 �°� City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls,
e �
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 919
Zoning For<n No. 003310 Date-9/16/94 Fee 20 Check# 4946
Page, 17C Parcel 96 ,Zone URA Section 127 ❑ Yes ❑ No
BUI]LDINGPERMI[I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Install 1 ply rubber roof Inspection on Site—Foundations
situated on 140 C'hpstniit Otrppt 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS LA E O JHE PREMISES
Certificate of Occupancy --
Building I r IMF