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17C-140 (4) a T ^► z v 3 o a ., LA Z .y r Z � u Z -s Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. I g Additions APPa LICATION FOR PERMIT TO ALTER Repair Garage 1. Location 4.16 Ve -t- A.,e(4 J t r e-�� Lot No. 2. Owner's name O eb of a ii �� •(�c� L Address ref G �� t A a le 3. Builder's name 1,3j'1211 c'f'11 #e(e--"5 Address�5�Old e;�.}..• ��� +� l�rf t e�� �14- ,,J-t'r Mass.Construction Supervisor's License No. G 3/x..3 OTC ioa`f0 F Expiration Date Gk1ji a 4. Addition 5. Alteration .�.r n c�'•.k�cQ s c C ...� a 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 r° 7 e �,Sh+• - S' t 75 �.�• N 12. Type of roof r"� n31� c>3�kii, 13. Siding house 0-f 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signaiure of responsible app,icani Remarks L4 c 0 0 3U 6 Date Filed File No. ZONING PERMIT APPLICATION (§10'.2} 1. Name of Applicant: , -(� .„ Address: .5j, „ ,( A-<,� Telephone: ay �c / 2 . Owner of Property: C-,� -A'de-1 C. Address: �G z.:f�, ���(� �(.,ru��� Telephone: 3Fy - 3 . Status of Applicant: Owner ✓'Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheetf 176 Parcel# Zoning District(s) (include overlays) Street Address Required 5. Exis-tincr Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height tBldg. Coverage (Footprint) Setbacks - front — side L: -7 S, R L: R: )t C' - rear Lot size Frontage. Floor Area Ratio oOpen 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) Qc�^ V,, --z r a ( ��+� c 1r, 1{ mot n s- Gn. l9 .51 { �OCaVIA ` -•e.n P t r l�l L..n( •. 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: �! I � � Applicant's Signature: ZApproved THIS SECTION FOR OFFICIAL USE ONLY:as presented/based on information presented Denied as presented--Reason: pecial' rmit and/or Site Plan Required: e uired: Variance Required: s, gn lure of Bu i.1 e141 Spector NOTE: issuance of a zoning permit does not rallove an applicant's burden to comply will'all zoning roqulroments and obtain all required pormris from the Board of Health,Conservation Commission, Dopartmont of Public Works and otlwc applicable permit granting authorluos. PERMIT APPLICATION CHECK LIST P GE PLOT NO DATE ZONING FOR � f6iurur� 2 . PERM T T APPLI&AAWN 3 . OW 3 SETS OF PLANS PLAN 5 . NEW CONSTRUCTION 6 CURB CUT 7 WATER 8 . REMODELING 9 . ADDITION 0 . ACCESSORY C 11 , SIGN / AWNING 2 , PERMTT FEE - -- MONEY QRDE 13 . SPECIAL PERMIJ REQUIRED WITH DEED IF APPLICABLE 4 . UNDER SECTION 127 - C R 780 15 FORM A 6 , FILL COMMENTS ; TT V City of Northampton REQUIRED INSPECTIONS • BUILDING DEPARTMENT 2. S��t>�Comte nts in Place* 3. Complete Building* No. 1198 Office of the Building Inspector Zoning Form No. 003636 Date 11/29/94 Fee $40 Check#p 1525 Page, 17C parcel 140 ,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMI r I I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Joseph Helems before Building Inspections has permission to Remove brick front entry & replace with PT lumber Inspection on Site—Foundations situated on 46 North Maple 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 CONSPICUO L O PREMISES Certificate of Occupancy Burl ' spector f�0 'L ,If Si16P