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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19-9!� Additions
APPLICATION OR PERMIT TO ALTER Repair
Garage
1. Location 71L en- 6 Lot No.
2. Owner's name Address ap,-k M....e _M H- p 10(Z o
3. Builder's na Address 33 jij ll)d.tip/ ee�rlTMR c aG6
Mass.Construction Supervisor's License No. Expiration Date 0
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:- 461,7'P a •ad
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
6AMA6L2 t.4 Q.OWf1J�
Signature Jf responsible app,tcant
Remarks
Elate Filed v� 0 0 `�8 (
File No.
ZONING PERMIT APPLICATION
I. Name of Applicant:
Address: Telephone:
2 . Owner of Pro erty: .
Address: 1,o jra Telephone:
3 . Status of Applicant: ---'Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 171V Parcel# tr
Zoning District(s) (include ov„�rlays) Gfi?�
Street Address MI t
Required
5 • Existi Pro nosed by Zo in
Use of Structure/Property Iri
(if project is only interior wo k, skip to #6)
Building height
%B1dg. 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 necessa y)
•r
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: r
ZApproved as presented/based on information presented
Denied as presented--Reason:
S ecial• Permit and/or Site Plan Required:
i, ing F red: Variance Required.,
X 7 ;Y
gna Vie" o But "inspector ate.
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 the Board of Hoallh,Conservation commission, Dopartrnont of Public Works and other applicable permit granting authorities.
it,TL
PERMIT APPLICATION CHECK LIST
PAGE ���' PLOT diOZ- ZONE' S' 7� �"'`" 6Y, YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT C. # I NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER S
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMI T FEE - CHECK ONLY - ONEY O D R
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 FORM A
16 . FILL
COMMENTS:
City ,of Northampton REQUIRED INSPEC nQNS
BUILDING DEPARTMENT 2. Footings Components in�Place*
3. Complete Building*
No. 585 Office of the Building Inspector
Zoning Form No. 002874 Date 6/27/94 Fee $20 Check# Money Order
Page, 17A parcel 264 ,Zone URB Section 127 ❑ Yes ® No
BUIULDINGPERMII
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT W.M. Brown before Building Inspections
has permission to Reshingle garage Inspection on Site—Foundations
situated on 72 Oak 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. Biding 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 CONSPIC U PLAC THE PREMISES
Certificate of Occupancy --- --
Building Inspector IMF