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25C-072 (5) PERMIT APPLICATION CHECK LIST PAGE Q,5C PLOT ZONE U �-' (��� �/� , YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT �io ,7 4----- 4 . 3 SETS OF PLANS LOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIG N / AWNING C 7C ' 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 0 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : L-r)L e �- ; a ►- -n! y b � o 7q b C �• C n d b 0• � a oM n. ►� p r � g � z z QD 0 trio o o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � � /�y s 7 Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1�(XL4 A.V 2 um Lot No. 2. Owner's name Address n-7 3. Buildei s name (;,)�ngJ e. ct Address 17 t Mass.Construction Supervisor's License No. Expiration Date 6 /3- /2 3 4. Addition , 1 , - nn 5. Alteration 1� mev� �t s1r'r Fronn V�x ��5 -_.n 5u -- to-,AT- 's y-12 C 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:-A,� 0, U The undersigned certifies that the above statements are true to the best of his, her knowledge and lief. 24, 4 Signature of responsible app,icani Remarks Kt-W�U4?- Uk-5tcy- -IASuItI 10 C.t,'R4L k e -e i: Im-c� �t PT Date Filed 23-`j2 File No. ;D 5C- 0-7 ZONING PERMIT APPLICATION (§10.2) 1. Name of Applicant: Address: p Telephone:-_%4q 7,17ft 3 2 . Owner of Property: - Address: x Telephone:; 3 . Status of Applicant: Owner ,Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 'a 5 Parcel# c 7 2_, Zoning District(s) (include overlays) C� Street Address ac► Dn 4 Av& Required 5 • EXistina Proposed bv Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg.Coverage (Footprint) Setbacks - front - side 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) 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: %%-23 °-�'2 Applicant' s Signature: 4,2 ad Z ­�V - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ONLY: NOV 2 31992 _!fApproved as presented/based on information presented Denied as presented a for D i 1 / 2-5"' Z ignat r Building nspector at NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with ail zoning requirements and obtain all required permits from tie Board of Heatth, Conservation Commission, Department of Public Works and other applicable permit granting authorities. 7/92 FXAS City of Northampton REQURED INSPECTONS A BUILDING DEPARTMENT 1. Footings and Walls * 2. Structural Components in Place 3. Complete Building* No. 753 Office of the Building Inspector Zoning Form No. None Date 11-23-92Fee$40.00 Check# 768 Page, 25C Parcel 072 ,Zone URB Section 127 ❑ Yes ® No BUILDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Louise Carrier before Building Inspections has permission to Reriove Plaster, Insulate & Sheetrock Inspection on Site—Foundations situated on 29 Day Avenue 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.Expi res 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 Smoke Detectors(Fire Department) Other THIS.CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy —z- Buildin for ��� o4im+^Kgo City of Northampton REQuwxD INSPECTIONS e BUILDING DEPARTMENT 2. Struccttme Components in Place* 3. Complete Building* No. 753 Office of the Building Inspector Zoning Form No. None . Date 11-23-92Fee$40.00 Aleck# 768 Page, 25C parcel 072 ,Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Louise Carrier before Building Inspections has permission to Remove Plaster, Insulate & Sheetrock Inspection on Site—Foundations situated on 29 Day Avenue Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Famish 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 Smoke Detectors(Fire Department) Other THIS-CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Zz-- -Jiuildin for � �1 GL1 "Of pol M City of Northampton TI REQUIRED INSPECONS A a r I. Footings and Walls " BU/DIN DEPA RTM /N .i!� 2. Structural Components in Place* 3. Complete Building* No. 753 Office of the Building Inspector Zoning Form No. clone Date 11-23-92Fee$40.00 Check# 768 Page, 25C Parcel 072 g ,Zone URB Section 127 Yes U1 No BUI]LDINGPER.MIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Louise Carrier before Building Inspections has permission to Remove Plaster, Insulate & Sheetrock Inspection on Site—Foundations situated on 29 Day Avenue Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conform to the terrns of the application on file in this office, and to the Gas Inspection provisions of the Statutes and the Ordinances relating to the Construction, Inslxction 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. BLAding Inspection—Finish- Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy __Building-Inspector �optfat