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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 1 q Additions
APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location /I /CIS fi 5';r, ,f/C3 A.64G Z 1�'1 �' Lot No.
2. Owner's name 1199 N w H Address_ /1 14I q
3. Builder's name 2Ra'-',J2 -1,o.,m C�_ Address 75J �'ai xq�7 /toa st14t ,V
Mass.Construction Supervisor's License No. _._Expiration Date 0'/.x7196
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 Y/u l 5igsX) G,
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of r sponsi6fe appicanl
Remarks 114sS H:Z 0a 6
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' 0016 .x ;
Date Filed File No.
ZONING PERMIT APPLICATION (§10 . 2 )
1 . Name of Applicant:
Address : rte Telephone :
2 . Owner of Property:ji Z,
Address : ii /�,cJ� ,�'r- Je� ,,,�,e Telephone :
3 . Status of Applicant : Owner �-- Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#__I- rj �� Parcel# ,
Zoning District (s) (include ,overla s) �j
Street Address
Required
5 . Existinq 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
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)
7
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 knowl dge .
Date: ' Applicant' s Signature
j THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason :
Special' Permit and/or Site Plan Required :
nd ' g Re ired: Variance Required '_
gnatur of Bui c or Y� Zate
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities.
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0=1011:V City of Northampton REQUIRED INSPECTIONS 1
BUILDING DEPARTMENT 1. Footings and Palls
2. Structural Components in Place*
3. Complete Building*
No. 748 Office of the Building Inspector
Zoning Form No. 001621 Date 8/23/93 Fee $20 Check# 1.3514
Page, 17D Parcel 69 ,Zone URB Section 127 ❑ Yes No
BUI]LDINGVERAM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT B & R Siding Spec. Inc. before Building Inspections
has permission to Install vinyl siding Inspection on Site—Foundations
situated on 11 High 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.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC U PL='Buildinspector
ISES
Certificate of Occupancy ,
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