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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