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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. .SVZe--- 1'23'0 Alterations
NORTHAMPTON, MASS. 112 19_1— Additions
APPLICATION FOR PERMIT TO ALTER Repair
, a Garage
Location 'Tw,r e\- clec Axes °;-t t n/e 64,t,, r j N i4e Lot No.
Owner's namebdo (LA5f* QrycV Address SAti~a•�
3 Builder's name V-&) 3►v"PA Address .3 O 4vo s,% ►_r XAA
Mass.Construction Supervisor's License No. ll4 k3.S` Expiration Date (.&,b-
4. Addition
5. Alteration Sys-rucAu gj4 d volt wo-�" -6> l� so S-g-rA-oek c t�
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- *00.00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief
Signature of responsible app,lrant
Remarks
Date Filed ��� ( l� 0029` u,
File No.
ZONING PERMIT APPLICATION
1 . Name of Appli ant: NU., �' (�
Address : is qn ( Telephone: - 17a G
2 . Owner of Property: 006 t�VA r\n
Address: i 1U � Telephone: $
3 . Status of Applicant: Owner /Contract Purchaser
Lessee Other (explai.n
4 . Parcel Identification: Zoning Map Sheet# A6(�, Parcel# ,
Zoning District(s) (include ove layq)
Street Address-
Required
5•
Existing Proposed - by Zoning
Use of StructurelProper ' rn
` (if project is only interior work, skip to #6)
Building height
%Bldg. 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 Propose Work roject: (Us additional sheets
if a es ary) 1 fiR�. "F t ,� e �1�
•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.
Date: Applicant's Signature:
, � THIS SECTION FOR OFFICIAL USE ONLY:
y Approved as presented/based on information P resented
Denied as presented--Reason:
special' Permit and/or Site Plan Required:
in 'ng Rest d: Variance Required:
2S
-S gna re of Buildffig Inspector ate /may
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, Dopartmont of Public Works and other applicable permit granting authorities.
i0l-
PERMIT APPLICATIUN
PAGE PLOT qAS ZONE DATE
1 . ZONING 1 -7
2 . PERMIT APPLICATION 1� U
3 OWNER OCCUPANT STATEMENT IF NOT
3 SETS
5 . NEW CONSTRUCTION
6 CURB CUT
7 WATER
8 , REMODELING INTERIOR
9 ADDITION
0 , ACCESSORY STRUCTURE
SIGN / AWNING
2 PERMIT - MONEY 0 DER qW
13 SPECIAL E IF APPLICABLE
4 . UNDER - CMR 780
15 , FORM A
16 , FILL
COMMENTS:
City of Northampton REQUIRED INSPECTIONS
0 , BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 70 Office of the Building Inspector
Zoning Form No. 002998 Date 7/25/94 Fee $20 Check# 930
Page, 25C parcel 95 Zone URB Section 127 ❑ Yes ® No
BUI]LDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Kurt Brown before Building Inspections
has permission to Installation of structo board & shingles Inspection on Site—Foundations
situated on 211 North Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 S PLACE ON THE PREMISES
Certificate of Occupancy — --
_Buifdi ig or f�—