17D-015 (3) ..
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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 � �'c1 e �i 2"A-C Lot No.
2. Owner s name l 1tiZ Address
i
3. Builder's name Address 3c) 1�'l �1^
Mass.Construction Supervisor's License No. >>6 Expiration Date
4. Addition
5. Alteration �' .0
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 cos1 ,00,
The undersigned certifies that the above statements are true to the best of his. her
knowledge and belief.
�1 Signature of responsible applcant
Remarks
Date Filed � � �`2 � `fi 003300
_ File No.
ZONING 17��PERMIT APPLICATION (§1.0. 2)
,;&
1. Name of Applicant: 1� _L) r\
Address: au k'(c \ �'�,. F'1 ae,\c e. Telephone: ,� g�- 0
2. owner of Property: ))Z_
Address: �k Ur r;ncti Srt- Telephone:
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 17 Parcel# ,
Zoning District(s) (include pverlays
Street Address �_ - ,
Required
5. Existina Proposed bv Zoning
Use of Structure/Property L
(if project is only interior work, sk to 6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L:
- rear
Lot size
Frontage.
Floor Area Ratio
aOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use additional sheets
I f sary) k -16, JA
r
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.-erg
Date: �� ( t Applicant's Signature: J��I
r THIS SECTION FOR OFFICIAL USE ONLY: r
�/ Approved as presented/based on information presented
Denied as presented--Reason:
Special* Per and/or Site Plan Required:
ng Re ed. variance Required
7 19
gnatu f Wuilding In or to
NOTE: fssuarm of a zoN�tmit does not refiove an applicant's burden to comply wills all zoning roc lromonts and obtain all required permits
from tho Board of Hoaith,Consarvatlon Commission, Dopartmant of public Works and other applicable permit granting authorities.
lell-
City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
$ e BUILDING DEPARTMENT 2. Structural Components in Place*
e
3. Complete Building*
No. 915 Office of the Building Inspector
Zoning Form No. 003300 Date 9/16/94 Fee 20 Check# 108
Page, 17D pal 15 Zone URB Section 127 ❑ Yes ❑ No
BUI]LDINGPERMII-I
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Brown before Building Inspections
has permission to Strip & reshinqlp rnnf Inspection on Site—Foundations
situated on 11 Verona Street 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 CONSPICUOUS AC ON PREMISES
,'ertificate of Occupancy --
Buildin or rl_
-� l