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17A-150 (2) y I a w 3 cps =II > � o 'S Z� . m C � r v Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. y ZG '"' 1 PP' Additions l9 / ✓ APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location /vex J�y J o�J �{ (.4,-,, z2J- Lot No. 2. Owner's name�e� �- t�� Address a tiC� M S P 3. Builder's name Ari�.t �J/�aiJi,ti Address a Ar A!91.4 S✓ Mass.Construction Supervisor's License No. O 7 Expiration Date 0 --(n -•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 cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible appicant Remarks 2 rn —� e �✓i /N ^ S "; -W Date Filed ! ��''% y File No. ZONING PERMIT APPLICATION (510. 2) 1 . Name of Applicant: QMy� /sari/ Address: 2,1 � 7ent, > ,, Telephone: -5 y P) 2 . Owner of Property:_ r Address :_ cj y x � �, j Telephone: 3 . Status of Applicant: owner Contract Purchaser Lessee Other (explain : 4 . Parcel Identification: Zoning Map Sheet# f7 ►� Parcel# Zoning District (s) (include overl jys) � Street Address fi4hrtU� , Required 5 . Existinq Proposed — by 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 Frontage. Floor Area Ratio oopen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume location) 6 . Narrative Descr ' tion of Proposed Work/Project: (Use additional sheets if necessary) --1&— ,6L" -7-e — 51,.1ck Are• w 1�_Q �'Ov✓ Y 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: � THIS SECTION FOR OFFICIAL USE ONLY: " Approved as presented based on information resented / p Denied as presented--Reason: ecial•&Pit and/or Site Plan Required: ing d: Variance Required;, gna e of Bui ec or at NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from tho Board of Health, Conservation Commission, Depaltmont of Public Works and other applicable pormit granting authorities. iell)- City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls • BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 310 Office of the Building Inspector Zoning Form No. 002519 Date 4/27/94 Fee $20 Check# 280 Page, 17A Parcel 150,Zone URA Section 127 ❑ Yes ® No BUILDINGPERM� 11 * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas St. Martin before Building Inspections has permission to Remove and rebuild top 5' of chimney, repair steps Inspection on Site—Foundations situated on 44 Fox Farms Road Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terns 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 pernmit.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 E P: ISES Certificate of Occupancy Buil ' for - �o�t ?.GI1 Silbr