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17A-295 (3) o b 'C O � i C n a S. -h y °ztTj ' G 0 Cn cn O z `" y � y � o I r.. Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No._-EZ 1270 Alterations so NORTHAMPTON, MASS. �J.�ri �� 19 Additions ✓" APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location rc s t r iy,e- Fl/l f-&)l<-e Lot No. 2. Owner's name Je( �,"�e f KE /�,'7exc ke, z ;'c Address /20 )/,'//c rz-,�,7` Du r EZ,rr-s(r c? 3. Builder's name c C- /��'lc`CI Address a�/ Z-e crab< Mass.Construction Supervisor's License No. e7L)1 s'aU Expiration Date G; 3c�•_J 3 4. Addition * 5. Alteration /V.- 6. New Porch CA 7 'X1�� 7. Is existing building to be demolished? 1Ur� 8. Repair after the fire .tea 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines Frbvn 10c,cc --1) Fran 12. Type of roof Ci f��{r j u f� �"D°r S,; 5 41 ti c/e 13. Siding house V i rn v/ 14. Estimated cost:- 1700 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. , Signature of responsible applicant Remarks PRINT�SROP PERMIT APPLICATION CHECK LIST `7 -Z S �- Yes No Date 1 . Zoning Form Application . 2. Permit Application 3. Homeowner statement if a licable Lic, # if not 4. 2 sets of plans �K�rti"c 5. Curb cut 6. Water Department. memn 7. Permit fee - check only oz—/O, o© $. Special—Permit required with de if aDDI !cable 9. Under section 197 Form A f i 4i I f i i t r t i i � f i � I { i � f r t y 5T � a Date Filed File No. ZONING PERMIT APPLICATION (510.2) u 1. Name of Applicant: R6 F, C 1 as[� 6e,4" Cols Address• 80y 3Y Leer s Telephone: 2 . Owner of Property: -Te-fCc y 4- R u fA /v?�,c Address: 1 'a4 Telephone:_ 3 . Status of Applicant: Owner Contract Purchaser Lessee ,/Other (explain: Q ;1det- ) 4 . Parcel Identification: Zoning Map Sheet# 17,4 Parcel# , Zoning District (s) (include overlays) Street Address ,16 J4;1/c-c-es4 Or, ,tee Required 5. Existina Proposed by Zoning Use of Structure/Property L`ec- 'rnc io5ec,( Por`c (if project is only interior work, skip to #6) Building height a� Sin e %B1dg.Coverage (Footprint) Setbacks - front hov 5"' s� - side iG ' sa _ - rear su- Lot size Frontage s=� Floor Area Ratio %Open Space (Lot area minus building and parking) 15-07o Parking Spaces Loading Signs Fill (volume & location) 6. Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) _ ne ce ssar y) A dJ 7'X1 )- 7,, kl Jeek R L4 OLI(� de-d( T -5c i--,eft ✓N ��rfi're 7. Attached Plans: Sketch Plan L� Site Plan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. v ,� Date: �9- Applicant' s Signature: �K •-•,�. THIS SECTION FOR OFFICIAL USE ONLY. proved as presented/based on information presented —Denias presented ed s for n ' 1: gnatu of Buildin nspector ate 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. j City of Northampton REQUIRED INSPECTIONS e 1 . Footings and Walls BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 289 Office of the Building Inspector Date May 20, 19 92 BUI DING P RMIT Roger P. Clark C_ THIS MAY CERTIFY THAT General Contractor Insp. on Site — Foundations rx has permission to Add 7' x 12' to existing deck Insp. of Plumbing — Rough situated on 120 Hillcrest Drive Insp. of Phimbing — Finish !� provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date of issuance, if not started. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPIC OU,� PLACE ON THE PREMISES Certificate of Occupancy � _----Buflding Inspector rnf' . r