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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tell.No. g eIK 7rC) Alterations
NORTHAMPTON, MASS. - 2 S 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location ��P A v c! v .Sa o— tr' A L- Lot No.
2. Owner's name L&- t°, -v� s��'t coi+� Address L A : u v---
3. Builder'sname �/ t� C, !S Wit( Address d,AeGIL S I
Mass.Construction Supervisor's License No. if G lG 't o 00 Expiration Date J ''L`/ Ce G
4. Addition
5. Alteration r- 0 j_ i �-
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:- j C/
The undersigned certifies that the above statements are true to the best of his, her
knowledge d belief.
Signature of responsible app,icant
Remarks
HOME IMPROVEMENT CONTRACTOR
Registr,atian :.;:104000 .
Type - IMDIVIDUAI ,
Expiration 07/1046"-' ,f 4
john J, Corbet#
( 56 Disock St. Y�
(GTS�s'Mk-01053
aAQb�MISTRIITOR
r:
004445
Date Filed �"�� File No.
ZONING PERMIT APPPPLICATION
1 . Name of Applicant: �cyC, ►v ! f
Address: Sir /�;wt.ac (r_ Telephone: f �'k 7
2 . Owner of Property: C41A Y•v� �`yl sl�rn v
Address: p /�„ S� -, Telephone: � 7 yi,
3 . Status of Applicant: Owner Contract Purchaser
Lessee x Other (explain <f
4 . Parcel Identification: Zoning Map Sheets Par elf ,
Zoning District(s) (include overlays)
Street Addressst
Required
5 . Exis-tincf proposed by Zoning
Use of Structure/Property �
(if project is only interior work, skip to #6)
Building height
oBldg. 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) !'c". ru:j=
to - r-L C t T /L� ���
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: v-
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as pres ted--Reason
S cial Pe 't and/or Site Plan Required:
as
R d: Variance Required:
t-
el/.7:>7A 5 7-S
gnat gi6f uilding r;zpector 1� ate
NOTE: Issuance of a zoning permit does not reliove an applicant's burden to comply with all zoning roquiroments and obtain all roquirod permits
from tho Board of Hoalth,Consorvation Commission, Dapattmant of Public Works and othor applicable pormtt granting authoritlos.
lc9�
PERMIT APPLICATION CHECK LIST
�' 'LL _5
PAGE PLOT ZONE ,ir;%/> S O. DATE
ZONING 0 RM APPLICATION
2 , PERMIT I
3 , OWNER OCCUPANT STATEMENT o e'
3 SETS
NEW . OONSTRUCTION
6 CURB CUT
7 WATER
8 , REMODELING
9 , ADDITION
0 , ACCESSORY C
11 , SIGN / AWNING
2 , PERMIT F E - - MONEY ORDEA46-
13 , SPECIAL PERMIT REQUIRED IF APPLIC B
4 , UNDER SECTION 127 - CMR 780
5 , FORM A
6 , FILL
COMMENTS:
_ ee�ieei�seee.ese�wieewseeuwR�.
Cit y Northampton of REQUIRED INSPECTIONS
' 1. Footings and Walls
BUILDING DEPARTMENT
` 2. Structural Components in Place*
3. Complete Building*
No.
519 Office of the Building Inspector
Zoning Form No. 4445
Date 6/28/95 Fee 20 Check# 574
Page,(4 Parcel06 2 , Zone RR/WSP/WP Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Wayne Eastman before Building Inspections
has permission to Reshingle roof Inspection on Site—Foundations
situated on 546 Audubon Road Leeds 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 Manufacturer's information: windows, vinyl siding,roofs Smoke Detectors (Fire Department)
and woodstoves
Other
THIS CARD MUST BE DISPLAYED IN A CON$PJ, L N THE PREMISES
Certificate of Occupancy
ing nspector