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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 2l-�� " M�_U� �+V Lot No.
2. Owner's name 1T"� OIL X �A'5 ! IN Address Z-1 FL- M6Vt A-V ,
3. Builder's name Am-mu�- S1 Uj I'_�_ Address Q ► �O l O �.
Mass.Construction Supervisor's License No. 1-431-f zt3 Expiration Date 1 '"� C)
4. Addition
5. Alteration Q fl 5,L_ 7-1-4c> F/-jOO yr-
6. New Porch
7. Is existing building to be demolished?
S. 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. Estimate cost:- �-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
4P
Signatu ojresponsible app,icont
Remarks
PERMIT APPLICATION CHECK LIST
pto
YES NO DATE
1 ZONING = J / Z
2 . PERMIT APPLiCAtION
3 . OWNER OCCUPANT STATEMENT r:. IF NOT
4 . 3 SETS OF PLANS T PLAN
5 . NEW CONSTRUCTION
6 . CURB CU
7 . WATER AI BI T 0 S
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIG N / AWNI
12 . PERMIT FEE - CHECKI 0 - MONEY ORDER � �--
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SEC ION 127- CMR 780
15 . FORM
16 . FILL
COMMENTS :
. .. . ..................
Date Filed r 0 0 1 6 9
File No.
ZONING PERMIT APPLICAT,IO'NI
1. Name of A�p licant: � 'rL. �T . S�I.-� (e—,
Address : O .F=DX_ 9pt K170 , -Telephone: $
2 . Owner of Property: �DS tM
Address:_z�l 'fit_ a AuNl�* :E17r&Tr4CC'e1ephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain �KkA f L _ )
4 . Parcel Identification: Zoning Map Sheet# / L Parcel# / 7 7,
Zoning District(s) (include ov rlays (,_
Street Address z r
Required
5•
Existinq Proposed by Zoning
Use of Structure/Property
(if projeot 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
%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) ZV\,D ROU(1— �Y� --NrC 'Ulcer
.y
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.
t
Date: MA- 3t I " Applicant's Signature:
ZAp'proved THIS SECTION FOR OFFICIAL USE ONLY2 as presented/based on information p resented
Denied as presented--Reason:
Sp ial' Permit , nd/or Site Plan Required:
F' d' Requ Variance Required:
A-L
gnature o ulldi.ng Ins D to
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 Health,Consorvation Commission,Dopartmont of Public Works and othor applicable permit granting authorities.
g�°� Doti City of Northampton REQUIRED INSPECTIONS
e
• 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
NO. 446 Office of the Building Inspector
Zoning Forin No. 002691 Date /94 Fee 40 Check# 2060
Page, 17C Parcel 177 ,Zone URB Section 127 ❑ Yes ® No
BtUDINGPER,MIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Arthur Silver before Building Inspections
has permission to Remodel 2nd floor bathroom Inspection on Site—Foundations ` p
situated on y'
29 Pl ,outh Ave. Inspection of Plumbing—Rough
Inspection of Plumbing—Fini "
provided that the person accepting this permit shall in every respect " ��"� "� 6
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—Roug
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above rioted is an immediate revocation Ins,�ection of Wiring—Finis
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
the Plumbing,Wiring and Building Inspectors.
of thrs card signed by g, g g p
Building Inspection—FinisK p�1���1'
Smoke Detectors(Fire Department)
Other
THIS CARD MUST B ISIS ,LA D IN A CONSP71CU001,ACE ON PREMISES
Certificate of Occupancy
�' Building In -