17C-027 (6) z
r Cn Z
> 0
-X Z m
C7
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
r Garage
1.,Location t�S F �`�� Lot No.
2 Owner's name V�����5+ '� �t �'' . ' l Address ;U, (�`6W (tv �'"t'w,t A `7 �%
L-/ Builder's name t's e Address )% k G- tclia
qq/
Mass.Construction Supervisor's License o. G 1 9� 75 /OO<S$� Expiration 6Y
' Ltd i, 4 c r
Addition N�lc
`./ Lv//vv0 w /TsT 7 v/t�/ 5
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
f3. Siding house
4. EstimatedcosL- sQd, !✓ w/NVO�✓
p oo. -�
n/?pL /L/T A1/7� .v`( //YPO G✓
Z S
Tv �� �,��0� The undersigned certifies that the above statements a true to the best of his, her
knowledge belief.
Signature of responsible app,ican!
Remarks
PERMIT APPLICATION CHECK LIST
ES 0 DATE
2
3 . OWNER OCCUPANT STATEMENT— IF NOT
3 SETS OF PLANS /PLOT PLAN
NEW S
6 . CURB CUT
7 WATER
8 , REMODELING
9 . ADDITION
0 , ACC S 0
SIGN / AWNING
a_
2 , PERMIT FEE NLY — -MONEY ORDER
3 . SPECIAL I IF APPOCABLE
4. UNDER SECTION 127 — CMR 780
5 FORM A
6 , FILL
COMMENTS :
Date Filed-- File No.
�� ZONING PERMIT APPLICATION (§10'. 2)
Il Name of ANiTtt.,
Address: �V. d- ae IA Telephone U1.3 L2�
b2 " Owner of Property:
Address : - t. Telephone: - �,+ to
Status of Applicant: Owner V11contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet` I
Zoning District(s) (include overla s a,
Street Address
Required
5 .
Existin A-Proposed --by Zoning
Use of Structure/Property •1_V ,c.r
(if project is only, interior war s ip to 6)
Building height
%Bldg- Coverage (Footprint)
Setbacks - front
side L: R: Ly R
rear
Lot size nr
Frontage.
Floor Area Ratio
aOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
06 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) J:r,3 g+a tV %KZ ! IJ +cLiY W"
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 knowledg `
Date:�j/y��� Applicant's Signature
THIS SECTION FOR OFFICIAL U ONLY:
ZApproved as presented/based on information presented
Denied as presented--Reason:
ecial" Permit and/or Site Plan Required:
ding iced: Variance Required:
na -
g u e o ing Inspector 7� at
NOTE: issuance of a zoning permit does not repave an applicant's burden to comply with all zoning roquiroments and obtain all required pormits
from the Board of Hoallh,Conservation Commission, Department of Public Works and other applicable permit granting authorilios.
(AtY of Northampt,,,' BUIlliINGD- F
Q URED
nvCT�aj• s PART M��IT 1 Footin gs
and walls
NO. 470 2• Struuc
Office of the Building 3 Complete Building*omponnts Places
Zoning Form No. 004382 Inspector
Page, _Parcel —27 ,Zone CURB
Date 6— 112 Fee $40
BUILD Check# 3598
ING Section 127 ❑ yes Q No
PE-R,,Alff
THIS CERTIFIES THAT
ohn Fuller
has permission to *Plumbing and Electrical In
Install window sPeCtions n�quired
situated on in stairway - before Buildin
86 North InsPecdon on g Inspections
Provided - Maple Street Sly Foundations
that the perm accepting Inspection of PI —�-
conform to the terms of the a P g t}us pemut shall in every respect bing Rough
provisions of the Statutes andtj a icado�j on file in this Office, t Inspfuaon of Pi �-
Maintenance and Ins 01•dinances relating to the Constructionsb�g Finish
pecdon of Buildings in the City �-
Any violation of any of the terms above noted is an tY of Northampton, Inspection
of this permit.Expires ama ton. InsPeCdon of
P es six months from date ofissuan immediate Wiring—Rough
Note:A certificate of started. IrsPecdon of Wiring—Finish
of this card signed �uPancy will be issued b
geed by the Plumbing, V�'irin Y this office upon return Budding Inspection—Rough 0y� 9
g and Building Inspectors.
Insulation Inspection
Building Inspection—F
uush
Smoke Detectors
ors(Fire Department)
THIS CARD MUST BE DISP
LA Other
Certificate of Occupancy . OoCONSPIcU A THE P
REMISES
ng Inspector
G9P'1 1aG!!Sit U�