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17C-033 (7) PERMIT APPLICATION CHECK LIS PAGE 176 PLOT 33 ZONE UAL 17 P, Af ES NO DATE 1 . ZONING FORM LIC IO 2 . - PERMIT APPLICATION 3 OW �- 3 SETS 5 . NEW CONSTRUCTION 6 . CURB- CUI 7 WATER -AVAILABILITY 8 . REMODELTNG 9 . ADDITION 0 . ACCESSORY UC 11 . SIGN / AWNING 2 PERMIT FEE - CHECK ONLY - MONEY ORDER C- 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLIC B 4 . UNDER SECTION 127 - CMR 780 15 , FORM 16 , FILL COMMENTS : a 171 70 a =1 3 Z r > Z.l m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 25 3 2-3 Alterations NORTHAMPTON, MASS. 0c�- -3 19-nv Additions ✓ APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 27 N lmnl2zz ST, FG!'--c I-zAle C- Al A Lot No. 2. Owner's name:30h 1!��`LiZAeE f7� �3,aCESNEHA�L' Address 4 7 /1�r /�PcE ST fecg.zc,vct_ 3. Builder's name :7& 22ft.5 T ��/.'S_S_i f __ __ _ Address V3 /L S'T` A rr -1ZST Mass.Construction Supervisor's License No. D S/ D 3 Expiration Date / ` Q 9 7 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? Aft) 8. Repair after the fire 9. Garage/2ERV6,c- CrA I9G-E , Aj;--1.x..1 t7() No.of cars / Size /Ve w i9---iA 10. Method of heating 11. Distance to lot lines 12. Type of roof HIP pZ/T 5/+jv6r C -42n62ir IA J�- 13. Siding house 14. Estimated cost:- 7-FO cj The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. �l1 Signature of responsible app,icant Remarks Date Filed File No. ZONING PERMIT APPLICATION (§10.2) 1. Name of Applicant: T rJ/Y),q �_ /�£-/i,.5-� Address: y3 A,rF,�, 5; Telephone: 2 . Owner of Property: ahk,� Cc� z�hEt�, 13iarsivc.ti�+✓ Address: q7 & 99R,-ze- Telephone: 5-gy -3F�5h 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# der✓ Parcel# Zoning District(s) (include overlays Street Address Required 5. Existina Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to(' #6) Building height %B1dg.Coverage (Footprint) Setbacks - front - side - 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) „ � NFrcJ '��� �y sr �_r � 1-J 0aJ9&C— 066>c 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:_K),,-7 �36 , )9?y Applicant's Signature: �'l� � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: j'` Approved as presented/based on information presented Denied as p sented as o for i4l: AgA igna u 6T Buildi pector DgYte 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. ti City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls p 2. Structural Components rents in Place* 3. Complete Building* No. 1171 Office of the Building Inspector Zoning Form No. 003517 Date 11/18/94 Fee $40 Check# 1884 Page, 17C Parcel 33 ,Zone URB Section 127 ❑ Yes ® No BUILDING PERNM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Thomas Pelissier before Building Inspections has permission to Reroof,, new fascia & new garage door Inspection on Site—Foundations situated on 97 North Maple street Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terns 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,ifnot 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 CONSPICUOUS PL CE 'THE PREMISES Certificate of Occupancy Buildin for ��'t 11?.1111 Si1�)l