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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS.' 7 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location V I � Lot No'
2. Owner's name C I
14 Address
3. Builder's name
Address
Mass.Construction Supervisor's License No. Expiration Date 2
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 COSL-
The un4prsigned certifies that the above statements are true to the best of his, her
kno Wfq og e and belief.,-
Signazure �Sporzslj +,Icanl
V
Remarks
Ijvf� V
O O 3 0-4
Date Filed - ` File No.
y_
(' ZO IN PERMIT`APPLIpATION ($10'. 2)
I Name of Applicant:
Address elephone:
2 . Owner of Propert.yv _j L-4 r
Address: Telephone: e�) 4.
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /7A Parcel# 7
Zoning District(s) (include overlays)
Street Address
Required
5. Existina Proposed by Zonincf
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
%Bldg. 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)
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the inform a 4on contained herein
is true and accurate to the best of my knowledg
. � f
Date: � _ Applicant's Signature:
r` THIS SECTION FOR OFFICIAL USE ONLY:
V Approved as presented/based on information presented
Denied as presented--Reason:
S ial' Perm' and/or Site Plan Required:
in Req e Varian�e Required:
gnatu � -. ng.. .. c or � � DatAe r
NOTE: issuance of a zon n1 g permit does not reiicve an applicant's burden to comply With all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Departmont of Public Works and other appiicablo permit granting authorities.
City of Northampton REQUIRED INSPECTIONS r
BUILDING DEPARTMENT 2. S�rcttugral and Walls
Components in Place*
3. Complete Building*
No. 935 Office of the Building Inspector
Zoning Form No. 003324 Date 9/15/94 Fee $40 Check# 1 826
Page, 17A Parcel 74 ,Zone URA Section 127 ❑ Yes 0 No
BUI]LDINGPERM] l
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Charles Kenyon before Building Inspections
has permission to Remodel bathroom Inspection on Site—Foundations
situated on 14 Carolyn Street Inspection of Plumbing—Rough
provided that the person accepting this pem7it 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 CONSPICUOU PL CE QN TJ1E PREMISES
Certificate of Occupancy
B ' spector _