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25C-073 (3) PERMIT APPLICATION CHECK LIST PAGE QL C PLOT 0'_73 ZONE URB � DQ.y A t, YES NO DATE - 1 . ZONING FORM APPLICATION 2 . PERMIT P LIC T 0 l--- 3 . OWNS OCCUPANT -STATEMENT L A I 0 4 . O f C_; 3 SET OF S ZELOT PL AN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER FORMS 8 . REMODELING INTERIOR - 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN / AWNING G -7 '7 2 . PERMIT FEE - CHECK ONLY - 0 E ORDER 't- 13 . SPECIAL E I E UIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS • © p t Oid ! arch Y 70 TJ C C n C�7 � O c�i� E. y bga F V, Z CA � y W Cn Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ti NORTHAMPTON, MASS. 19 Uj �� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 2 ��� �, /y�/� h T C)/+( 144 Lo[No. 2. Owners name J D S/=�a /i �1 nt 15 w z Address z {i T H a Aj\ o/V M lk 3. Builder's name J- a d J Address /f.4 V ( P— Lt( k t /l P o S Mass.Construction Supervisor's License No �. / v Expiration Date `f 3 4. Addition 5. Alteration 6. New Porch ,� ,/�//� d ,��J? C- 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:-�` a c a The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. N Sign ure of responsible app,icanl Remarks p.S ItN hT • 00031x1. Date Filed— -7//&l(i .;2-- File No. a5G- 0-73• ZONING PERMIT APPLICATION (510 . 2) I . Name of Applicant : � /(�" oScd J Address : Telephone: 2 . Owner of Property: U -�. y (1 A ej,, s o uc i C 2 Address : y Telephone: � `t- 6 N W 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: Iii v j'l- 0-e r ) 4, Parcel Identification: Zoning Map Sheet# a5�_ Parcel# 0-73 , Zoning District (s) (include overlay Street Address 15 Required 5 . Existing Proposed bv Zonincr Use of Structure/Property (if project is only interior work, skip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side - - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area in. building and parking) Parking Spaces Loading Signs Fill (volume & location)_ 6 . Narrative Description of Pro, onal sheets if necess ry) � w; ti; Y LCi-T«e� 7 . Attached Plans : Sketch elan 8 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: q��ca�� _ Applicant ' s Signature:� 1 ^THIS SECTION FOR OFFICIAL USE ONLY: �' Approved as presented/based on information P resented De ied as p esented Aignat'r on for ial : of Buil nspector � `J 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. 7/92 FXAS City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls C e ' BUILDING DEPARTMENT 2 . Structural Components in 3. Complete Building 1 No. 585 Office of the Building Inspector Date September 17, 1992 19 BUI DING P RMIT THIS MAY CERTIFY THAT Frank Kosior/Joseph Anisowicz Insp. on Site — Foundations has permission to Rebuild porch - no change to footprint Insp. of Plumbing — Rough situated on 25 Day Ave. 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 CONSP UOU LACE ON TfiE PREMISES Certificate of Occupancy Inspector P-G� 0003 ". q_• Date Filed G�/j _ r File No. �Z C- 073 ZONING PERMIT APPLICATION (§10 .2) Q P B 1 . Name of Applicant : �_ � k6s(en� J{' Address : ,/ �G�C jjd- ), V I a„_Telephone: :?6 F - 7c/33— 7 2 . Owner of Property: e- (1 A #j,`s o c,� Address : Day C�_t/e ; 1,/c,c27--t,1cchwTT _gym,, Telephone: s Y- 6 N iP W 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: mac, cr/ tr ) 4, Parcel Identification: Zoning Map Sheet#_g,-6 Parcel# ©­7 r Zoning District(s) (include overlay Street Address S Required 5 . Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %Bldg. Coverage (Footprint) Setbacks - front --- - side 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) " ,," t- 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: Applicant ' s Signature: fir#-- - - - - - _ - - -THIS SECTION FOR OFFICIAL USE ONLY: - - _ - _ � . SEp 1 6 i ��� Approved as presented/based on information presented De ied as presented son for nial: q Z ignat r 6 of Buil nspector �r7 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. 7/92 FXAS