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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. c� Alterations
NORTHAMPTON, MASS. �rC- 1z 19 i L Additions
APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location ''1 lU O P^A%K) r14 n(O G Q Lot No.
2. Owner's name t^nS l 1 tT'6 � � Address
3. Builder's name P.rn C;�t.ry c Address 3 3 W e s-t
Mass.Construction Supervisor's License No. Expiration Date__ l �i
4. Addition
S. 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 �^1
12. Type of roof �rAT e7)d- —
13. Siding house
14. Estimated cost-
The undersigned certifies that the above statements a true to the best of his, her
knowledge and belief.
c
\ sign ure of ponsible appicani
Remarks
Date Filed File No.
ZONING PERMIT APPLICATION (§10'. 2)
I. Name of Applicant: ��,�
Address: 4T t�j �:'� Telephone -2 5(7 - g F 3 -7 .
2 . Owner of Property: 6V-\g \/th l
Address: r,,� — Telephone:
3 . Status of Applicant: Owner ��ontract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map heetf 1 _ Parcel# D-'S.� r
Zoning District(s) (include over la s)
Street Address q l
Required
5 • Exis in Pro osed bv Zonin
Use of Structure/Property
(if project is only, interior work, Okip #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: 12: L; R'
- rear
Lot size
Frontale.
Floor Area Ratio
oOpen 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)
.r
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is tru accurate to the best of my knowledge. '
Date: 1 � Zan;�
Applicant's Sig natur
THIS SECTION FOR OFFICIAL U E LY:
Approved as presented/based on information presented
Denied as presented--Reason:
s ,ecial' ermit and/or Site Plan Required:
n ing / uired: Variance Required:
5, gA!tp o ng Inspector �� Crate/;�-A�44,
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning requirements and obtain all required permits
from the Board of Health.Conservation commission, Dopattmont of Public Works and other applicable permit granting nuthodtlos.
fell_
saw
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. S°uc�al Walls Components in Place*
3. Complete Building*
No. 1229 Office of the Building Inspector
Zoning Form No. 003693 Date 12/7/94 Fee $20 Check# Money Order
Page, 17C parcel 251 Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Brown Roofing before Building Inspections
has permission to Strip and reshi ng1 P roof Inspection on Site--Foundations
situated on 41 North Main St. 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;ifnot 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection--Finish
roofs and woodstoves. Smoke Detectors(Fine Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUO PCE N PIE PREMISES
Certificate of Occupancy
Buil spector �_