17C-227 (12) Date' Piled File
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: 42 n
Address: Telephone: off _
2 . Owner of Property: 8-t F w
Address: L f4 d�/ , S I8= oe} Telephone: c/-�7
3 . Status of Applicant: Owner —Contr,4ct Purchaser
Lessee Other (explain: -0 C
4 . Parcel Identification: Zoning Map Sheetil Parcel§:22
Zoning District(s) (include overlays)
Street Address ( j/��4-� `Q In �n
v�� Required
5•
Existing Pro Dosed lbv Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
side
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
v
?. 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: Z Applicant's Signature:
- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -• - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
Reaso for enial
Signature of Building Ins r Date
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. _ Tel.No. Alterations
a NORTHAMPTON, MASS. v( G /I - Additions
��APPLICATION FOR PERMIT TO ALTER Repair
�/ ) / Garage
1. Location 1,6 � O Lot No.
2. Owner s name 16 f Address L �9
3. Builder's name C h 42 !M-O Address I Z w /
Mass.Construction Supervisor's License No. d c/u Z/ Expiration Date �1 / /
4. Addition
5. Alteration
6. New Porch 1
7. Is existing building to be demolished?
8. Repair after the fire '�_h10 ( t'S 1`d w LOO 2 l�
9. Garage No No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersign7dbeAi�ertifies that the above state a to the best of his, her
' knowledge
Signature of responsible applicant
Remarks Do t`e,
S szq_
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PR P
�SpT City of Northampton
g o o e REQUIRED INSPECTIONS
1 . Footings and Walls
«
BUILDING DEPARTMENT
2 • Place
turai Components in
3 . Complete Building
No. 350 Office of the Building Inspector
Date JULY 3, 1991 19
BUI DING P RMIT
THIS MAY CERTIFY THAT CHARLES AMO Insp. on Site — Foundations
-�S
DEMOLITION WORK TO SEE EXTENT OF DAMAGE Ins of Plumbing mb i n Rough
h r
has permission to p• g — g
situated on 16 NORTWMAPLE 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 of issuance, if not started.
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
s
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS LA E O ,T E PREMISES
Certificate of Occupancy
Building Inspe P� P