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17A-051 (4) • a v � .,fin z �^ -4j Z _, m -a .. Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 7 19 a•5 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location J,�2 J-Jd13 f�� �7 rG �r*- r� C.)` Lot No. 2. Owner's name W�LTEXJC,Z•1►f«- Address s— z2�NcL� 79.(x• 3. Builder's name si.?;►u �, S ,Z y- Address 791 5/'J�.0 �l �� ? fd Y� o 10 p✓'-'�' Mass.Construction Supervisor's License No. 0,14 10 y!v 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 ✓�' r `'�'n J�' �" `' 14. Estimated cost:- 7o n r, The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Sign ure of responsible app icani Remarks 'v Date Filed File No. ZONING PERMIT APPLICATION 010 . 2) 1 . Name of Applicant: 731P Sspi JD(-, .,s z, w. / Emu ri Z Address : 74� lrl „?n- 7o rJ �v.4 Telephone: 2 . ' Owner of Property: .f-U•<IL7 , �' �,z. ✓'— Address: s; ) -� Telephone: 3 . Status of Applicant: Owner ----/ Contract Purchaser Lessee Other (explain ) 4 . Parcel identification: Zoning Map Sheet# Parcel# 51 . r Zoning District(s) (include ov, rlays) street Address - 2t Required 5 , Existing Proposed by Zoning 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 information contained herein is true and accurate to the best of my knowledge. J Date:— ) 7 � ' �� Applicant' s Signature: !THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: Sn ial' Permit and/or Site Plan Required: di Re e : Variance Required: gnature f Buzl nspector NOTE: issuaneo of a zoning permit does not relieve an applicant`s burden to comply with all zoning roquiroments and obtain all required permits from the Board of Noalth,Conservation Commission, Dopartmont of Public Works and o(tior applicable permit Uranting authoritios. lei-)- City of Northampton REQUIRED INSPECTIONS e BUILDING DEPARTMENT 2. struccttugral and Components in Place* 3. Complete Building* No. 99 Office of the Building Inspector Zoning Form No. 003884 Date 2/17/95 Fee $20 Check# 14322 Page, 17A parcel 51 ,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERNM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT B. &- R. Siding Spec. , Inc. before Building Inspections has permission to Install vinyl siding Inspection on Site—Foundations situated on 121-123 Bridge Rd. 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 ** Install per Manufacturers information: windows, vinyl siding, roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUQ10is PACE N PREMISES Certificate of Occupancy �` B ' spector