18-007 AKA 18AB-007 (4) ........
PERMIT APPLICATION CHECK LIST
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ZONING FORM APPLICATION
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2. PERMIT APPLICATION - ~~
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3. OWNER OCCUPANT STATEMENT / ^IF NOT
4. 3 SETS OF PLANS /PLOT PLAN :~
5. NEW CONSTRUCTION
6. CURB CUT
7. WATER AVAILABILITY FORMS
8. REMODELING INTERIOR
9, ADDITION
10. ACCESSORY STRUCTURE
11. SIGN / AWNING
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12. PERMIT FEE - CHECK ONLY - MONEY ORDER ~ ) |� | �� io,
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14. UNDER SECTION 127 - CMR 780 _
15. FORM A
16. FILL _____ ____-_
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Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
ii i-- : ;-:',# ) NORTHAMPTON, MASS. �' *� r 1 9 Additions
Repair
rr -: APPLICATION FOR PERMIT TO ALTER
�f - Garage
1. Location 2, / � /V [ t f if ✓ 1S -� /� Lot No.
2. Owner's name ern e fz. �N: -12 Address 2 / / . K1 ii E c)t !it�ATh . t-6,0 - i i d If
3. Builder's name f J I /r > uL) f, I A Spies Address e) W 5 St h �,41h'C'./ RA-�IE
Mass. Construction Supervisor's License No. d / 0 7 '7 Expiration Date / 2 — 3 0 - / 1 y.6
4. Addition
5. Alteration ;P1.. /. (!1 t', it,' 5 e ti� 4
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6. New Porch 12,4A171T7)
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7. Is existing building to be demolished? 4/4
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8. Repair after the fire ��; 0
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:- 4 -- `,
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The undersigned ce ' ies that the above statements are true to the best of his, her
knowledge and ie .
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Signature of responsible appicant e,
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19 Pleasant View Drive, Hatfield, MA 01038 Tel/Fax 413-247•5740
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Date Filed - " File No.
ZONING PERMIT APPLICATION ( 510.2)
1. Name of Applicant: V.0 14 ...,� i , ,; a 5 ,IC
Address: 1 !'ea 5 . „ �. gra, Telephone: 1,
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2 . Owner of Property: L / > I r
Address: 2g. /1/ .K,p3 57' v: i, , : i. Telephone: ,.5E `f - - '1 . -3 n3 . .
3. Status of Applicant: Owner Contract Purchaser
X Lessee Or (explain )
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4. Parcel Identification: Zoning Map Sheet# /D r ; E Parcel# `/ . ,
Zoning District(s) (include verla .1) ;:;
Street Address J (._ - w ■• ,
Required
5. Existing Proposed by Zoning
Use of Structure /Property a ;L
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(if project is only interior work, sk p 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 necessary) a. ,5 L • Gt __:f. -', ..--, , . A - _X . z . c'.ct.
_Si /fl_L.S .Sf4 ' � Rnr•'. i,U: /--a c?
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: I al. lS- Applicant's Signature: ,.c //1
THIS SECTION FOR OFFICIAL USE ONL
t/Approved as presented /based on information presented
Denied as presented -- Reason:
Special' Pe t and /or Site Plan Required:
n•'ng R q i d: Variance Require
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te
75
• SI gnat - of Bua.ldine _ _- - sector Ac? pate
NOTE: Issuance of n 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, Dopaarnent of Public Works and otter applicable permit granting authorities.
it'9')-
d'p City of Northampton REQUIRED INSPECTIONS
ti
•R 1. Footings and Walls
y BUILDING DEPARTMENT 2. Structural Components in Place*
• 3. Complete Building*
No. 64
Office of the Building Inspector
Zoning Form No. 003822 Date 2/2/95 Fee $40 Check # 1914
Page, 18AB Parcel 7 , Zone HB Section 127 ❑ Yes 0 No
Bump/NG PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Perry Messer before Building Inspections
has permission to Construct interior partitions, sheetrock &insulat Inspection on Site — Foundations
situated on 216 North King Street 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. Building Inspection —Rough
Note: A certificate of occupancy will be issued by this office upon retum Insulation Inspection
of this card signed by the Plumbing, Wiring and Building Inspectors.
Building Inspection— Finish
Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUOU LA O ► 1 PREMISES
certificate of Occupancy - .r" /
Buildin: 1. tor -- � ,���
�o�f [P91;11511*