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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. //�� Tel.No. ��7/ "1 Alterations
NORTHAMPTON, MASS. 0L1d.(90 19 Additions
P
APPLICATION FOR PERMIT TO ALTER Re air
Garage
1. Location / v Lot No.
a
2. Owner's name Address /
3. Builder's name Address
Mass.Construction Supervisor's License No. 0.0 (5 Y Expiration Date
4. Addition
0
5. Alteration
7. Is existing building to be demolished?�
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
;20 i
11. Distance to lot lines
12. Type of roof v
P v
13. Siding4m)ew
14. Estimated cost Jj�`,;? 411 al)
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature responsible app,icanl
Remarks
Date Filed r'1 �"" 003171
File No.
ONING PERMIT APPLICATION (510 . 2)
1 . Name of Ap lica 01 a
Address : Telephone:
2 . Owner of Propert : C
Address : Telephone : 57
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#_JIL � LParcel# JZ_,
Zoning District(s) (include ov ays) 4 -
Street Address 4, k—
Required
5 . Existin P o osed b Zonin
Use of Structure/Property
(if project is only interior work,(Yskip to #6)
Building height
%B1dg. Coverage (Footprint) )'Q
Setbacks - front r
- side L: (0y;0 R: S R; /
- rear if F' y ,
Lot size X O
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descri t' on f Proposed Work/Project: (Use additiona sheets
if v e o ary)
v
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: e-9,41 Applicant's Signature:
a.
THIS SECTION FOR OFFICIAL USE ONLY:
_ZApproved as presented/based on information presented
Denied as presented--Reason:
Special* Permit d/or Site Plan Required:
Vd Requi d• variance Required:
S na ure o --Building Inspector (� Dat
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
,n the Board of Health, consorvation commission, Department of Public Works and other applicable permit granting authorities.
City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Strucntural Components in Place*
3. Complete Building*
No. 859 Office of the Building Inspector
Zoning Form No. 003171 Date 8 30 94 Fee 40 Check# 3660
page, 17D Parcel 18 ,Zone URB Section 127 ❑ Yes 0 No
BUI]LDINGPERMI F-1 1
* Plumbing and Electrical Inspections required
THIS CERTII'IES THAT Peter Payne before Building Inspections
Rebuild old garage into storage building.
has permission to Same foundation & same footprint. Inspection on Site—Foundations
situated on 121 Straw 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
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS ON REMISES
Certificate of Occupancy
Buil ' pector
� Glt Sil�)7
PERMIT APP4ICAT.TON CHECK LIST
Ai-
p ES NO DATE
1 .
3 . OWNER OCCUPANT STATEMENT NOT
4 . 3 SETS OF PLANS OT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNI
12 . PERMIT FE MONLY - MONEY OR
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL _
COMMENTS :