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17D-058 (7)
a ,a > o 70 � T ^► 3 orn et Cn Z O Z j Z m r 0 O _a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions • Repair ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location uwal4) *yf NOM 4rj (tLyfwee Lot No. 2. Owner's name M K S 51qr-iC#YL4r4 Address 6,4fFFAD AAA 1 CdefW 3. Builder's name gEjatj Address 4-OF FI,L9 AW /44011'a;1 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 41�tkt GG4SS 4F-&2 13. Siding house 14. Estimated cosL- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible applcant Remarks 1 i i J I 1 j i i 1 i I i j I i 1 3 I I i i 1 1 i 1 I i I i i i i i i i I Date Filed �l ! 003548 File No. ZONING PERMIT APPLICATION (9 . 2) 1. Name of Applicant: &W =Address: 2, ?171FZfCa5A; AtE PPIV —Telephone: 2. owner of Property: Address: , ,aA „ Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheetj`_ Parcel#i�, Zoning District(s) (includ , overlays Street Address { Aw Required 5, Existincr Proposed by Zoning Use of Structure/Property (if project is only* interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front side L: R: L: R: rear Lot size Frontage- Floor Area Ratio . %Open 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) 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: / 9V Applicant,'s Signature: + THIS SECTION Vd_R OFFICIAL USE ONLY: ZApproved as presented/based on information presented Denied as presented--Reason: cial�' Permit And/or Site Plan Required: Requi Variance Required: ' / 3 /,r 4g4na r =�Ildin or \��1 t NOTE: issumm permit does not rettave an applicanrs burden to comply with all zoning roquiromonts and obtain all requirod parmits from tho Board of HoaflN Conservation Commission, Dopartmont of Public Works and other appiicablo permit granting authorities. PERMIT APPLICATION CHECK LIS NO DATE omw 3 . OWNER OCCUPANT STATEMENT NOT 3 SE P 5 . NEW CONSTRUCTION 6 CURB OUT 7 WATER B . REMODELING 9 . ADDITION a . ACCESSORY 11 . SIGN / AWNING 2 E — MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 4 . UNDER E — C R 780 FORM A 6 . FILL �. COMMENTS: i � � I I i i i I i I i I i i i I i I I I I i I I i i i i I I i i i i i i i i i I I City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls a 2. Structural Components in Place* 3. Complete Building* No. 1131 Office of the Building Inspector Zoning Fonn No. 003548 Date 11/7/94 Fee 20 Check# 0395 Page, 17D Parcel 58 ,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Kevin Houle before Building Inspections has permission to Re-roof with single layer of shingles Inspection on Site--Foundations situated on 15 Garfield 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 Install per Manufacturers information: windows, vinyl siding, roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOU PL �CE 9N PREMISES Certificate of Occupancy Buil for �l_