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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. D " �95� Alterations
RTHAMPTON, MASS._,
�y 19 Additions
' Repair
A PPLICATION FOR PERMIT TO ALTER
Garage
1. Lot No.
2. Owner's name Address /R-ti< <- > ✓�✓
3. Builder's name x Address
Mass.Construction Supervisor's License No. 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-
The under ned certifies that the above statements are true to the best of his, her
know lief.
Si nat a app can!
Remarks
00225 : GL
Date Filed fvii) File No.
ZONING PERMIT APPLICATION
1. Name of Applicant: Cowl C
Address: ux Telephone -
2 . Owner of Pro erty:
Address:- �/���� ,��1� .�t�/� ,�1� .< Telephone: 59�y1 7S Z
3 . Status of Applicant: Owner contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /7L Parcel# %l'' ,
Zoning District (s) (include overlays)_
Street Address
Required
5 . Exist incT 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 necessary) �ro��
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:
�'/� �� Applicants Signature: _
THIS SECTION FOR OFFICIAL USE ONLY: a
Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and/or Site Plan Required:
Finding Required: Variance Required: _
v� z 12-
S gnatu: a of BuSIding Inspector D e
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 aulhorillos.
t'31-
City of Northampton REQUIRED INSPECTIONS
e BUILDING DEPARTMENT 2. Strucntural Components in Place*
3. Complete Building*
No. 115 Office of the Building Inspector
Zoning Form No. 002255 Date 2/24/94 Fee $40 Check# 0129
Page, 17C Parcel 175 ,Zone URB Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Frank X. Sienkiewicz before Building Inspections
has permission to Remodel bathroom 1&1& i ' t� •� -)(1 jq f inspection on Site—Foundations
situated on 26 Fairfield Ave. rrr"`"` 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. Biding 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
r THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE OWHE PREMISES
Certificate of Occupancy
Building Inspector
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