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17A-199 (4)
y r a Z -9 0 i 7C 'v z m x Z �• m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location _ (f Lot No. 2. Owner's name.\Gt' a Vo k t.-k6 Address 14 1 I`y"�" r4cr pye tat 0 - 3. Builder's name W A*10 G W P r R N eY Address °0 3 K 5 , 'rypPZ'_, FALLS, r''A, Mass.Construction Supervisor's License No. 0 V..3 3 Expiration Date 4. Addition 5. Alteration dtr o ..a,��<"f. 6. New Porch 7. Is existing building to be demolished? [10 , 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating - 11. Distance to lot lines 12. Type of roof t,5 e #', t t = '1 r.t 13. Siding house 14. Estimated cost- 45 O d cry _- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of res on !e app icam Remarks /+ t' y "r. / o _. �.:, � -,; �. �- ,f (�' / � � � 4 t.4 s .q �. I �,p � � � � � .l �� i k ta; Date Filed F 1��96'. ZONING PERMIT APPLICATION 1 . Name of Applicant: `lr ''. '=:r t_ ; "r', 'Y Address: loo rC Telephone: Y owner of Pro erty: �&-)a ,� }�j1�A Address:41 > }� N(c°t�l�. ref Telephone:_ Y,j(j x6,z, p a. Status of Applicant: Owner Contract Purchaser Lessee Other (explain 4 . Parcel Identification: Zoning Map S eet Parcel# , Zoning District(s) (include . Qvgzlays) �( Street Address /4/ / Regf i.rcd Exis-tincf Proposed 1bv Zonin Use of Structure/Property (if project is only' interior work, skip to #6) Building height Nr-(!-. %Bldg. Coverage (Footprint) ^ Setbacks r - front 1 - side L: R: R: - rear IIY40 Lot size l` Frontage. Floor Area Ratio oopen Space (Lot area minus building and parking) Parking Spaces Loading signs Fill (volume & location) h 6.) Narrative Description of Proposed Work/Project: (Use additional sheets / if necessary) ,# k4-C , 7. Attached Plans: J _ 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: r - - - - - - - - - - - - - - - - - - -OFFI- -CI-AL- U-SE O- - - - - - - - - - - - - THIS SECTION FOR NLY: Approved as presented/based on information presented Denied as presented--Reason: Special• Permit and/or Site Plan Required: Finding Required: variance Required: S. gnature of Building Inspector Date NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply witit all zoning roquiroments and obtain all required permits from the Board of Hoalth,Conservation Commission, Dopattmont of Public Works and other applicablo pormit orantino authorities. /i 71- 990204 r' .T FILE # APPLICANT/CONTACT PERSON: ADDRESS/PHONE: PROPERTY LOCATION: MAP PARCEL: 9 ZONE THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECIMST ENCLOSED REQUIRED DATE 7,()NINC-FORM FITTFD OUT Epe Paid a� 116 4,4111,,o Renindplin Ownpr/nrevipant Statement ense 9- ! L THE OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under:§ PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of Health Well Water Potability-Bd Health P it from Co se atio Commission ijatWuke o din r NOTE:Issuanoa of a zoning permit does not relieve an a p 'ant's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health. Conservation Commission. Department of Publlo Works and other applioable permit granting authorities. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT, 2. S�c"t�l Walls Components in Place* 3. Complete Building* No. 763 Office of the Building Inspector Zoning Form No. 960204 Date 9/7/95 Fee$40 Check# 2728 Page, 17A Parcel 199 ,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Wayne Whitney before Building Inspections has permission to repair porch columns, replace hand railing & ballister4nspecdon on Site—Foundations situated on 141 North Maple St. - Florence - Celena Holub 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 �Jlff Smoke Detectors(Fire Department) Other THIS CARD T BE SPLAYED IN A CONSPICU S LACE PREMISES i Certificate of Occupancy _ Buil ' spector �opycof'I!�GI1 Si1z�7 �