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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 f�� �l I�Ca o�` / Lot No.
2. Owner's name ,, co, Address
3. Builder's name -5(,/T I,IZ 774 Address -t
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
13. Siding house
14. Estimated c -
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app icani
Remarks
�.. 1 003336
r
Date Filed -" y n _ File No.
ZONING PERMIT APPLICATION (910. 2)
I. Name of Applicant:
Address: ��� S�_ Telephone:
2 . owner of Property:
Address : Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain n )
4 . Parcel Identification: Zoning Map Sheet# � 1 � Parcel#
Zoning District(s) (include over L ys)
Street Address
Requ' ed
5. Existinq Proposed Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg . Coverage (Footprint)
Setbacks - front -°
- side L: R: L: R:
- rear
Lot size
Frontage.
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) ,_,9 6"? -" -;� l� j . ►�1 ,1,2
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: '/�- `� Applicant's Signature: /A��Xl(Z
r THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S cial' Permi rd/pr Site Plan Required:
4g"na.tu Requi e : variance Required:cf4
B lC Z Date
NOTE: Issuance-o ng permit does not repave an applicant's burden to comply wiii aft zoning requirements and obtain ail required permits
from tho Board oT loafth, Conservation Commission, Department of Public Works and otiior applicable permit granting authorities.
iei*)_
PERMIT APPLICATION CHECK LIS
PAGE � PLOT a-Z3 ZONE Items �,� YES NO DATE
1 . ZONING FORM APPLICATION
2 . PERMIT I
3 . OWNER OCCUPANT IF NO C_
4 . 3 SETS OF S PLAN
5 . NEW CONSTRUCTION
6 , CURB CUT
7 WATER S
8 , REMODELING
9 . ADDITION
10 , ACCESSORY STRUCTURE
11 . SIGN / AWNING
2 , PERMIT FEE — C — MONEY OR D /` �a3
13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 — CMR 780
15 . FORM
16 . FILL
COMMENTS :
City of Northampton REQUIRED INSPECTIONS
$ a 1. Footings and Walls
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 952
Office of the Building Inspector
Zoning Form No. 003336 Date 9/22/94 Fee 20 Check# 146223
Page, 17C parcel 273 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERM I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Scott Paquette before Building Inspections
has permission to Strip and reshingle roof Inspection on Site—Foundations
situated on 27 Lilly Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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,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
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS P A ON PREMISES
`Certificate of Occupancy --
Building I for
. I