17C-211 (32) Date Filed File No.
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10 . 2
1 . Name of Applicant: 1,Lj.dL,T1= h, Z 11110A.
Address : ^/ o64-) /Z p ���s�►F� /y/� s Telephone: a687/
0/G7a-
2 . Owner of Property: �s�
Address : /1/J/ Av 3 AF_.Lc, T •6-S-a'elephone: �500
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: e2U/G CF r>, )
4 . Parcel Identification : Zoning Map Sheet# (7C� Parcel# .71 ,
Zoning Districts) :7-7 Mme S�reC--
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property
Size of Structure (sq. ft. )
Building height
% Building Coverage
Setbacks - front
/ - side
- rear
Lot Size
Frontage
Floor Area Ratio
% Open Space
Parking Spaces
Loading Spaces
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Prof ect: (Use
additional sheets if necessary)
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: j 3 p Applicant ' s Signature:
THIS SECTION FOR OFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial:
Signature of Building Inspector Date
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
�� TOti NORTHAMPTON, MASS. /g 3 19�! Additions
! Repair
APPLICATION FOR PERMIT TO ALTER
� Garage
�
1. Location — 1� /A' .S FG G R r k�,c ; /"1 p Lot No.
2. Owner's name FL Q h n>G r SA E4 ti K Address 41Q/ ti 37- 75L A r,- k'c G M/
3. Builder's name lv �J�-7"I= 2 M/Jik F_ Address <S'uA�� h
Mass.Construction Supervisor's License No. 0 0 4/ r�� Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire y S
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:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of fInsible applicant
Remarks
PR
17e _2
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
` - BUILDING DEPARTMENT Structural Components in
Place
3 . Complete Building
.No. 724 Office of the Building Inspector
Date December 5 1990
BUI DING P RMIT
THIS MAY CERTIFY THAT Walter Marek Insp. on Site — Foundations
has permission to repair of ter f ire Insp. of Plumbing — Rough
situated on 77 Main Street Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Buildin- Inspec