31D-126 (9) ` ,.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No..2'547— 9957 Alterations
NORTHAMPTON, MASS. Q4AMAZ a 19-W Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 79 7XQe &•• nor A µp t,)_ IUA- Lot No.
2. Owner's name . AA.12 Address
3. Builder's name JC IA m rftJ Address 334 LL1e.d 11�e"Cl dm*1 M n 113 4.16
Mass.Construction Supervisors License No. d3 P J" Expiration Date 1974
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 ask ,rI
13. Siding house
14. Estimated cost- (.Sc).0-0
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sl natur of res risible a p icanl
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Remarks
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; - 0028r
Date Filed File No.
Z N NG PERMIT APPLICATION
I. Name of Applicant:
Address: Telephone:
2 . Owner of Property:
Address : Telephone:
3 . Status of Applicant: ,i owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# SiO Parcel# 1-16 ,
Zoning District(s) (include over ays)
Street Address z� 1
Required
5• Existinct 2 Pr6nosed bv Zollina
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
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 necess ry)
-r
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:
r/ Approved as presented/based on information presented
Denied as presented--Reason:
Spe ' 1" Permit and/or Site Plan Required:
F ian ng Re d: Variance Required:
4Sg na u --o Buy. Inspector at
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.
iell_
PERMIT APPLICATION CHECK LIST
PAGE 3 PLOT ZONE . � 7� d `?�J` �`` YES 0 DATE
1 . ZONING FORM APPLICATION
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT C IF NOT
4 . 3 SETS OF PLANS PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
SIGN / AWNING
12 . PERMIT FEE - CHECK ONLY - E O D
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 . FILL
COMMENTS : --
4
pl-ti City,of Northampton REQUIRED INSPECTIONS ,
g 1. Footings and Walls
$ 6 BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 587 Office of the Building Inspector
Date 6/27/94 Fee $20 Check# Money Order
Zoning Form No. 002872
Page, 31D parcel 126 Zone CB Section 127 ❑ Yes ® No
BUI]LDING PERT"H
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT W.M. Brown before Building Inspections
has permission to Repair slate roof Inspection on Sits--Foundations
situated on 79 Masonic Street Inspection of Plumbing—Rough
Inspection of Plumbing—Finish
provided that the person accepting this pemmit shall in every respect
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. 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. Building Inspection—Finish
** Install per Manufacturers information: windows, vinyl siding,
roofs and woodstoves. Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPIC. U , PLA THE PREMISES
Certificate of Occupancy --
Building Ins Qr
19F