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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
® Garage
1. Location h? � Lot No.
2. Owner's name /!1 i Address 6,1, �
3. Builder's name >.�1/�/I�ia� G'it�i9f�/ Address ss-�U
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 /T,P gz le
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knoowlle dge(/�/f and belief.
/ V\ \ S
v Signature of responsible app,ican!
Remarks
. • �
Date Filed 00019690 File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: >^
Address: q-5- L`c Telephone:
2 . Owner of Property: . Ar
Address: " Telephone:
3 . Status of Applicant: Owner e--Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel#�_,
Zoning District(s) (include overlays) n
Street Address hG (v
5. Existinq�_
Use of Structure/Property 2
(if project is only interior work4 skip
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side 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) "I,
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: S s' ( " `� / Applicant's Signature:
THIS SECTION FOR OFFICIAL USE ONLY: r
Approved as presented/based on information presented
Denied as presented--Reason:
S cial.* Permit and/or Site Plan Required:
gi g Requ' variance Required:
ganatureB lding Ins e --- to
NOTE: Issuance of a zonlng permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Hoaith,Conservation Commission,Department of Public Works and other applicable permit granting authorities.
ieT L
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 1. Footings and Walls
� e 2. Structural Components in Place*
3. Complete Building*
Office of the Building Inspector
No. 447
Zoning Form No.
002690 Date 5/31/94 Fee $20 Check# 391
Page, 6 parcel 1 SR Section 127 ❑ Yes ® No
BUI]LDINGPERMI r-I-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Gnatek before Building Inspections
has permission to Repair slate roof Inspection on Site—Foundations
situated on 666 Haydenville Road Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect
Inspection of Plumbing—Parish
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 Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
r
THIS CARD MUST BE DISPLAYED IN A CONSPIC P _ N THE PREMISES
Certificate of Occupancy --
Building Ins for
F