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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 3 k K" a V",e LIJ. *Am' Lot No.
2. Owner's name Vr ,G', 7` "k,4 Address
3. Builder's name c✓ � C�'�'�' (1�f`y St-74 Address 7
Mass.Construction Supervisor's License No. 0 G Oc'd Expiration Date
4. Addition
5. Alteration ' 1U)
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire N
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof /J 'P�oil-r
13. Siding house A/
14. Estimated cost-A
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
S na re of responsible app icanf
Remarks 1]
003573
Date Filed /� 7 �l�i File No.
ZONINGp PERMIT APPLICATION (910'.2)
1 . Name of Applicant:
Address:_ ;aA Telephone: S > i 9
G�lo?S"
2 . Owner of Property: 11,%k e
Address: - 5c Telephone: ISY3
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain
4 . Parcel Identification: Zoning Map She t# 0 Parcel#
Zoning District(s) (include ove ays)
Street Address r
Required
Exis-tincr Proposed bV Zoninct
Use of Structure/Property
(if project is only, interior work, skip to #6)
Building height
!.',Bldg. Coverage (Footprint)
Setbacks - front 35-
- side L: j y R: e 5 L: /£ R:
- rear 5-
Lot size
FrontacjAa.
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) Pwv-) *V , Nov ✓VW 17 'ttz ties L, S
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: ! t
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S cial" P it and/or Site Plan Required:
d ng ed: Variance Required:
S. gnat C4 Buy. nspector ate
NOTE: tssuaaeo of a zoning permit does not rellove an applicant's burden to comply Willi all zoning requirements and obtain all required pormits
from tho Board of HoalUt,conservation Commission,Department of Public Works and oU%or applicable permit granting authorttios.
It
City of Northampton REQUWXD INSPECTIONS
$ i 1. Footings and Walls
• BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1147 Office of the Building Inspector
Zoning Form No. 003573 Date-11/10/94 Fee 40 Check# 2378
Page, 12C Parcel 81 ,Zone URA Section 127 ❑ Yes No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Ray smith before Building Inspections
has permission to Install siding, replacement windows & new roof Inspection on Site—Foundations
situated on 36 Mary Jane Lane 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 tenors 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 CONSPICUO L O PREMISES
Certificate of Occupancy
Buildin for
(A?I - (L1i?C11 ri()t I
PERMIT LICATIO CHECK LIST
`AGE j�G PLOT 0 ZONE W� 3& mm" a T S NO DATE
ZONING I IO l�
2 . PERMIT I Ci
3 . OWNER OCCUPANT I NO
3 SETS OF S IPLOT PLAN
NEW— CONSTRUCTION
6 . CURB CUT
7 WATER
8 . REMODELING
9 . ADDITION
10 , ACCESSORY C
11 . SIGN / AWNING
2 PERMIT FEE — CHECK ONLY — MONEY ORDER
13 . SPECIAL PERMIT REQUIREp I IF APPLICABLE
14 . UNDER SECTION 2 — C R 780
15 , FORM
16 , FILL
COMMENTS :