17C-112 (3) a
T �
f �
C Q� Z rl
Z �.
v C
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOVPE MI T TOfALIFER Repair
Garage
G
1. Location Lot No.
2. Owner's name ess
3. Builder's name ddress S (�
Mass.Construction Supervisor's License No. S� Expiration Dat cf
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 ceit • at th bove statements ar ue .e best of his, her
' knowledge and tet.
q V q u
✓` Signature of responsible app,icane
Remarks
':`• � «%%
Date Filed 003315_ File No.
E
�9
G P IT CATION 10. 2)
1 . Name of Applicant: s�
Address : T p ne: d
2 . owner of Property:
Address: , - Telephone:
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /'7,*-"- Parcel#_ LA ,
Zoning District(s) (include ov r ys)
Street Address
Required
5. Existincr 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
Frontagb.
Floor Area Ratio
%Open Space (Lot area minus
.building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Pro e o k/ ect: (Use additional sheets
if necessary)
• s
i
.r
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the informat ' co tained he i
is t and accura e to the best of my knowledg .
Date: , Applicants Signature:
THIS SECTION FOR OFFICIAL USE O L_ r r w
'Approved as presented/based on information presented
Denied as presented--Reason:
Si ecial' Permit and/or Site Plan Required:
in 'ng R it d: Variance Required:
gnat o Building ector Dade
NOTE: issuance of a zonin n does not repovo an applicant's burd n to comply wiUi all zoning requirements and obtain all required permits
from tho Board of Hoalth, Consorvalion Commission, Dopartmont of Public Works and othar applicable pormil granting authoritios.
g�°� P�oti City of Northampton REQUIRED INSPECTIONS
e
BUILDING DEPARTMENT 1. Footings and Walls
� e 2. Structural Components in Place*
3. Complete Building*
No. 927 Office of the Building Inspector
Zoning Form No. 003315 Date 9/16/94 Fee $20 Cfieck# 4946
Page, 17C Parcel 112 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERmi r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Strip & reshingle roof Inspection on Site—Foundations
situated on 38 Stilson Ave. Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 CONSPICUOLS PLACE OP�1,� PREMISES
q
C-trtificate of Occupancy --
.�` B g Inspector �i-