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17C-227 (12) Date' Piled File ZONING PERMIT APPLICATION (510. 2) 1. Name of Applicant: 42 n Address: Telephone: off _ 2 . Owner of Property: 8-t F w Address: L f4 d�/ , S I8= oe} Telephone: c/-�7 3 . Status of Applicant: Owner —Contr,4ct Purchaser Lessee Other (explain: -0 C 4 . Parcel Identification: Zoning Map Sheetil Parcel§:22 Zoning District(s) (include overlays) Street Address ( j/��4-� `Q In �n v�� Required 5• Existing Pro Dosed lbv Zoning Use of Structure/Property (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 Work/Project: (Use additional sheets v ?. 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: Z Applicant's Signature: - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -• - - - - THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented Reaso for enial Signature of Building Ins r Date �y/9% b � o b � o v b o r M � O O UQ Cn z o M ~ C1 �o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. _ Tel.No. Alterations a NORTHAMPTON, MASS. v( G /I - Additions ��APPLICATION FOR PERMIT TO ALTER Repair �/ ) / Garage 1. Location 1,6 � O Lot No. 2. Owner s name 16 f Address L �9 3. Builder's name C h 42 !M-O Address I Z w / Mass.Construction Supervisor's License No. d c/u Z/ Expiration Date �1 / / 4. Addition 5. Alteration 6. New Porch 1 7. Is existing building to be demolished? 8. Repair after the fire '�_h10 ( t'S 1`d w LOO 2 l� 9. Garage No No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cost:- The undersign7dbeAi�ertifies that the above state a to the best of his, her ' knowledge Signature of responsible applicant Remarks Do t`e, S szq_ S v, PR P �SpT City of Northampton g o o e REQUIRED INSPECTIONS 1 . Footings and Walls « BUILDING DEPARTMENT 2 • Place turai Components in 3 . Complete Building No. 350 Office of the Building Inspector Date JULY 3, 1991 19 BUI DING P RMIT THIS MAY CERTIFY THAT CHARLES AMO Insp. on Site — Foundations -�S DEMOLITION WORK TO SEE EXTENT OF DAMAGE Ins of Plumbing mb i n Rough h r has permission to p• g — g situated on 16 NORTWMAPLE STREET 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 s THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS LA E O ,T E PREMISES Certificate of Occupancy Building Inspe P� P