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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR ERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address
3. Builder's name Address d�` �'�
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 cost: y
/ The undersigned certifie the ve statements u to best of his, her
knowledge and beli
Signal a of responsible app icane
Remarks v/ryJ
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-.1. 00331G
Y
Date Filed File No.
I G P IT P IcATION 10 2
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1. Name of Applicant;,?- �✓d
Address:
2 . Owner of Property: .
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
zoning District(s) (includ overlay ) (�
Street Address ,
Required -k
5 . Existing Proposed by Zonin
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
Frontagb.
Floor Area Ratio
Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proop.aped ork/Project: se additional shee
if necessary) J Al
7 . Attached Plans: Sketch Plan Site Plan
8 . certification: I hereby certify that the informa ontained r
is tr;and accurate to the best of my knowled
Date: Applicant's Signature: -
THIS SECTION FOR OFFICIAL USE QNLy.
P/Approved as presented/based on information presented
Denied as presented--Reason:
Special*' Permit nd/or Site Plan Required:
ndi Requ ' : variance Required:
S gnature Buildin D to
NOTE: issuance of a zoning permit does not rotiove an applicanCs burden to comply wrur all zoning requirements and obtain all required permits
from the Hoard of Health,Consorvation commission,Department of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
A 8
e e
1.BUILDING DEPARTMENT 2. Structural Components
in Place*
3. Complete Building*
No. 926 Office of the Building Inspector
Zoning Form No. 003316 Date 9/15/94 Fee 20 (deck# 4946
Page, 17C Parcel 288 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMI F-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Reshingle reef Inspection on Site—Foundations
situated on 22 Sumner Ave. 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,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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUO PL CE PREMISES
Certificate of Occupancy --
Buil pector (�_
City of Northampton REQUIRED INSPECTIONS
• 1. Footings and Walls
BUILDINGDEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 926 Office of the Building Inspector
Zoning Fonn No. 003316 Date 9/15/94 Fee 20 Check# 4946
Page, 17C Parcel 288 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERM] l
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Bob Thibodo before Building Inspections
has permission to Reshing1p roof Inspection on Site—Foundations
situated on 22 Sumner Ave. 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,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 �� '� � +�t!�
** Install per Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD ONSPICUO VW:2;MISES
Certificate of Occupancy —
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