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17A-046 (2) PERMIT APPLICATION CHECK I -1 Ltlxk PA NO OATE 2 3 . OWNER OCCUPANT 'I 0 3 SETS OF S LA 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER S 8 . REMODELING 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN / AWNING 2 . PERMIT FEE - CHECK 13 , SPECIAL PERMIT BEQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION - 127 - C R 780 15 . FORM 16 , FILL COMMENTS: a T � � a r CA Z a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 9 Additions APPLICATION FOR PERMIT TO ALTER Repair a Garage 1. Location Lot No. 2. Owner's name Address 3. Builder's name Address Mass.Construction Supervisor's License No. /0 7 tO Expiration Date 4. Addition 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 � p 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app,icant Remarks A l � l t ? 1 Date Filed lr— �- 1�� 003G File No. ZONING PERMIT APPLICATION 1. Name of Applicant: ! ' Address: Telephone: 2 5 2 . Owner of Propert Address:_* . Telephone: J . Status of Applicant: Owner G-�Contract Purchaser Lessee Other (explain 4 . Parcel Identification: Zoning Map Sheet# I L Parcel# Zoning District(s) (include overlays) . Street Address ,7' Required 5. Exis-tina Proposed by Zonin Use of Structure/Property (if project is only- interior work, skip to #6) Building height %B1dg . Coverage (Footprint) Setbacks - front side L: R: L: R: - rear Lot size Frontage. Floor Area Ratio • %Open Space (Lot area minus building and parking) y. Parking spaces Loading signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) �� ���P J 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: c� Approved as presented/based on information presented Denied as presented--Reason: special'' Perm t and/or Site Plan Required: Zin "di Re led: Variance Requirdd: tur ding Inspector Dti,to NOTE: lssuwm o(a zoning permit does not rettove an applicant's burden to comply witli all zoning roquiroments and obtain all roquirod permits from the Board of Hoalth,Conservation commission, Dopatimon(of Public Works and odor applicable permit granting authoritios. lei.)- City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT e 2. Structural Components in Place* 3. Complete Building* Nom 1167 Office of the Building Inspector Zoning Form No. 003621 Date 11/18/94 Fee 20 Check# Money Order Page, 17A Parcel 46,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERM] l *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Neil Grise before Building Inspections has permission to Strip & reshingle roof Inspection on Site-Foundations situated on 174 Bridge Road 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 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 dcY roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD T DI L 'YED IN A CONSPICUO S P A ON TIC PREMISES Certificate of Occupancy � -- g Inspector ri_