17C-104 (3) a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
1
NORTHAMPTON, MASS. 19 gel Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location '7..TG Stony 44/t Lot No.
2. Owner's name W r-, e" /a a-> o r2 Address �� 51-:7t5c)"i 4'l'"e:
3. Builder's name ICV,7,J P. UfiC Address 3 lKd�C:r v Ay
Mass.Construction Supervisor's License No. 066)39-7 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 / a? F� 5 o S/1%VU 4c,5 R a ziv
r
13. Siding house
14. Estimated cost:- !
The undersigned cert ifies that the ve sta[cments are true to the best of his, her
knowledge and belief. 1 0, 4a
Signature of responsible app icant
Remarks
r
Date Filed File No.
ZONING PERMIT APPLICATION (§ib . 2)
1 . Name of Applicant: 4o,-V f�5011c
Address: ?-3KZWE 7PIQ AVE Telephone: 5a? -I/-
2 . Owner of Property: i1/1IS 42c, dl✓���
Address: I:�' Sf11_5rY0 .4 Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# 17L- Parcel# / 7 ,
Zoning District(s) (include o erlays)
Street Address 13 ,
Required
5. Existinq Proposed -by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
oB1dg. 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 Work/Project: (Use additional sheets
if necessary) n _rl
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.
Date: /( Applicant's Signature:
• —
/ Approved —a s r presented/based N on OR i nOfoFrFmIaCt I Ao L n Upresented
Denied as presented--Reason:
S bi n /or Site Plan Required:
"n g Requir d:;' Variance Required:
`'
gnatur u� ding Ins Date
NOTE: tuuance of a zoning permit does not rellove an applicant's burdon to comply with all zoning roqulroments and obtain all roquirod permits
from tho Board of Hoalth,Consorvation Commisslon,Department of Public Works and othor applicable pormh granting authoritlos.
101-
PERMIT APPLICATION CHECK LIST
PAGE PLOT J04 ZONE �� � '� YES NO DATE
1 , ZONING 0 RM APPLICATIO
2 . PERMIT APPLICATION �~
3 . OWNER OCCUPANT "LT . # IF NO
4 . 3 SETS OF PLANS PLAN
NEW CONSTRUCTION
6 CURB- CUT
7 WATER--AVAILABILITY
8 . REMODELING
9 , ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN / AWNING
2 . PERMIT FEE - C - MONEY ORDER
V
13 . SPECIAL PERMIT UI D WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - C R 780
15 . FORM
16 , FILL
COMMENTS :
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City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
2. Structural Components in Place*
3. Complete Building*
No. 944 Office of the Building Inspector
Zoning Form No. 003332 Date 8./22/94 Fee $40 Check# 0347
Page, 17C Parcel 104 ,Zone URB Section 127 ❑ Yes ® No
BUILDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT xe yin Houle before Building Inspections
has permission to Strip, replace plywood & shingle roof Inspection on Site—Foundations
situated on 13 Stilson Ave. 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 6 ij/"/j
THIS CARD MUST DI L YED IN A CONSPICUO PI CE N PREMISES
Certificate of Occupancy
B nspector C¢t –
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