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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location l S ✓n �/.!► r f Lot No.
2. Owner's name �^✓:� ,�'��ai C Address
3. Builder's name I>iS%'i-�'G?i✓�*' / u-�crF C��xXC's ^Address Z�� 41-4A
Mass.Construction Supervisor's License No.��/i ` �D fr �(� 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
14. Estimated cost;u
,00-
tt /
The undersigned certifies that the above statements are true to the best of his. her
�`04 knowledge and belief.
Signature of responsible app,icant
Remarks 25-7k'l - �'�' ..�` 5 —14e -"4 &��a - if,60.G'C�v ' �✓rd�' �f't��
Date Filed 3 File No.
ZONING PERMIT APPLICATION (SIO. 2)
1 . Name of Applicant:1�/ i � , �•x-� -r- mss .
Address : -*2e ri ti�G.-v ;'; rccr;`�. Telephone:
2 . owner of Property riT.'f C
Address : ' mss._ : a _,T1_till-- Telephone:
3 . Status of Applicant: owner contract Purchaser
Lessee other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 011 Parcel#
Zoning District(s) (include overla ) W -
street Address i �( > I t
Required
5. Existincr Proposed by Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontagre.
Floor Area Ratio
aOpen 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) �T�� ��.z i,�s �f ?�,�' �� ,, /�'��zs Gva��,. S;l�/Z,
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herei
is true and accurate to the best of my knowledge."
Date: Appl icant s S ignature:
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
Re ed• variance Requ red•
f' r
gnatu e u ldin Ixetor to
NOTE: issuance of a zoning porn$does not reliove an applicant's burden to comply with all zoning rdquird'ments and obtain all required permits
from the Board of Health,conservation Commission,Dopattment of Public Works and other applicable permit granting authorities.
Ic•9')_
PERMIT APPLICATION CHECK LIST
P A G .. k � c
YES NO DATE
1 . ZONING R �l.
2 .� M (r
3 . OWNER OCCUPANT STATEMENT 4 .LLQj IF NOT -
4 . 3 SETS OF PLANS OT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITIO
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNI
12 . PERMI EE — ONLY — MONEY ORDER b
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS :
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City of Northampton REQUIRED INSPECTIONS
1. Footings and Walls
BUILDING DEPARTMENT
2. Structural Components in Place*
3. Complete Building*
No. 827 Office of the Building Inspector
Zoning Form No. 003204 Date 8/24/94 Fee $20 Check# 2028
Page, 17A parcel 184 Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Distinctive House Coverings before Building Inspections
has permission to strip & reshingle roof Inspection on Site—Foundations
situated on 181 North Maple Street Inspection of Plumbing—Rough
provided that the person accepting this pen-nit 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 penTAL 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
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS A O THE PREMISES
Certificate of Occupancy 1`
Building Ins «—
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