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17A-137 (2)
r y < n• !� A7 r M > z d a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. ��/Z[ 193 Additions APPLICATION FOR PERMIT TO ALTER Repair �/J Garage 1. Location /C� e,5 fii,vT P Fl or,sc e // !c� Lot No. 2. Owner's name r^c1 I . Z Z ® Address_ 2�. c r t iwT '9T (^ �e�^< c r ✓V . 3. Builder's name fS f P-,i R,*,c,� S SF/,,,,� ,r 1?.vir'±V Address 63 clsl 9r CS n Ik Mass.Construction Supervisor's License No. 0 t< 3 .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 13. Siding house tit ©C)n C 14. Estimated cost:- 6 0 The undersig d certifies that the above statements are true to the best of his, her knowled belief. Signature of responsible app,icant Remarks r U j•� j1 '1 Date Filed 1 File No.00 I ZONING PERMIT APPLICATION (§10 . 2) 1 . Name of Applicant: . T� Address :- T- , .� , ,, AM Telephone: re C-S 2 2-� 2 . Owner of Property: r«!o� Address : Z 2� Y CL. -e s r,1,r S7' Rc, . Telephone : 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: C g k*Yee.L r0:. ) 4 . Parcel Identification: Zoning Map Sheet# L7 arcel# 137, Zoning District (s) (include overlays) Street Address Required 5 . Existing Proposed _by Zoning 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) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use additional sheets if n 7 cessary)_R®f( 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 : l d12,1'L7 c7 Applicant' s Signature : — — — - - — — — — - — — — — — — — — — — — — — — — O— — THIS SECTION FOR OFFICIAL USE NLY—: — — — — — — — — — k Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: in Vnq ired: Variance Required: gna e -of Build ' or /� 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 olher applicable permit granting authorities. City of Northampton REQUHZED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 981 Office of the Building Inspector Zoning Form No. 001893 Date 10/21/93Fee $20 Check# Page, 17A Parcel 13�Zone URA Section 127 ❑ Yes ® No BUI]LDINGPERMII *Plumbing and Electrical Inspections required THIS CERTIFIES THAT �enzsr�abato before Building Inspections has permission to Re-roof roll roofs ,�,�= Inspection on Site--Foundations situated on 229 Chestnut street 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 pen-nit.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. , a Building Inspection—Finish 12 Smoke Detectors(Fire Department) Other THIS CARD MJJST BE DISPLAYED IN A CONSPI P ON THE PREMISES Certificate of Occupancy . — g Inspector �--- -- L(�l'�_--- -- I:�J;11 Si101