17C-175 (4) � � Z
"d "v
7C
O �
til d
v
c o n
c y p o b O
5 G� Z
5 > ' ~ O
z t
d y
eD
I e
Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S `� �l S Alterations
so NORTHAMPTON, MASS. C ,� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owners name���y►�� 5 ' ��� k �� c —�_ Address �1-G
3. Builder's name S-4*1E= Address
Mass.Construction Supervisor's License No. e R 31 / Expiration Date
4. Addition
5. Alteration 1� P . 2 d-C � ,� er�.p v r� Tl :� h, z ,�fi/� •y -
a �
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 3 7��'
The undersigned certifies that the above statements are true to the best of his, her
knowl e and;4Signal
i
responsible applicant
Remarks
PHI,NTe
y
V-11
e
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: c Z
' ✓� Telephone: 5 �`-/ /'1 5,-L--Address: 41 , t�r GU
2 . Owner of Property:
Address: Telephone:
3 . Status of Applicant: /Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /,C Parcel# 175-1
Zoning District(s) (include overlays)
Street Address
Required
5. Existina Proposed by zoning
Use of Structure/Property - /' -Ad
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- 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 Wo /P o 'ect: (Us additional sheets
if necessary) e�
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 knowled .
Date: 9 Al Applicant ' s Signature, d
T THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
Reason for Denial:
'§igntLture of Building Inspector Date
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 authorities.
17e /7 - 1</5
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. 185 Office of the Building Inspector
Date March 9, 1992 19
B U1 DING P RMIT
THIS MAY CERTIFY THAT Frank X. Sienkiewicz Insp. on Site — Foundations
has permission to 26 Fairfield Ave. Insp. of Plumbing — Rough
situated on Re-roof garage, add shed, miscellaneous repairs Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton.Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started.
Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector