17A-273 R
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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 r Address
3. Builder's name Address
Mass.Construction Supervisor's License No. 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
14. Estimated cost:-K
The undersigned certifies: t the ve statements tru the best of his, her
knowledge and bel�f.'
Signature oJ11esponsi a appicani
Remarks
00314
v
Date Filed File No.
ZONING PIT A PL ATION (5 .2)
1. Name of Applican T
Address: - ` telephone:
2 . owner of Propert ��
Address: Telephone:
3 . Status of Applicant: Owner 4-Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: zoning Map sheet# 174 Parcel, i
zoning District(s) (include verl s) t
Street Address ,
Required
5.
Existing Proposed by Zonin
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
. tOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume 4, location)
6. Narrative Description of sed WorkJProject: (Use additional heets
if necessary)
r
7 . Attached- Plans: Sketch Plan Site Plan
8 . Certifica ion: I hereby certify that the information--'co ained hereatn/
is true nd ccurate to the best of my knowledge
Date: Applicant's Signature:
THIS SECTION FOR OFFICIAL USE. ONLY:
y Approved as presented/based on information presented
Denied as presented--Reason:
S "cial' Perm i ndJor Site Plan Required:
i g Requ Variance Required:
gnature_ f Bu ttpector Date f
f'
NOTE: issuance of a zoning permit does not reiiove an applicant's burden to comply with all zoning roquiron{ents and obtain all required permits
from the Board of Health,Conservation commission,Department of Public Works and other applicable permit granting authoritios.
le?')_
g�°=El-;� City of Northampton REQUIRED INSPECTIONS
e 1. Footings and Walls
-
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No.
810 Office of the Building Inspector
Zoning Form No. 003141 Date 8/16/94 Fee $20 Check# 4985
Page, 17A Parcel 273 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Strip and reroof,, one ply rubber Inspection on Sits—Foundations
situated on 34 Fern Street 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUO L O - PREMISES
Certificate of Occupancy
29 1' nspector r�_