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25C-093 (10) .PERMIT APPLICATION CHECK LIST PAGE S). , PLOT t ZONE f�� z �t'= � sue` YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT P LIC TIO 3 . OWNER OCCUPANT STATEMENT LIC . # I-F NOT 4 . 3 SETS OF PLANS OT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVLI-LABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMI E — CHECK ONLY — MONEY ORD �ty e✓" 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : K o 7 ZO � x0 Con O a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5 �` 56�� Alterations NORTHAMPTON, MASS. �v�- /3 1993 Additions P 8 APPLICATION FOR PERMIT TO ALTER Repair OQ // Garage 1. Location -2/ S^ ���� t4 - S�1 Lot No. 2. Owner's name '9exe. Be C, 5 o I Address /$' w61 7'4- S% , 1VcH7'4G,.pIL&, 3. Builder's name U31L.LIAAA &VA—Id-k Address_,-23,x'-!3 RU 5SELG ST, HAD4,r Mass.Construction Supervisor's License No. —Expiration Date - 1- 9(01 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage S'7-R I d° -4- 2e SW 1A)45-4,E7 No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof , 13. Siding house 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her ,xk knowledge and belief. ' -- Signature of responsible app,ican! Remarks h Date Filed File No. ZONING PERMIT APPLICATION (910 . 2) I . Name of Applicant: - z Address : �_3 fr' /! Telephone: 5-6'y- 2 . owner of Property: _ � 4 Address : �l5 4 4, S 0 Te ephone: 3 . Status of Applicant: - Owner Contract Purchaser Lessee Other (explain: ©l7 �$/D ) 4 . Parcel Identification: Zoning Map Sheet# Parcel# g, , Zoning District(s) (include overlays) Street Address . � -- ��- Syf Required 5 . Existin i --Proposed bv Zonin Use of Structure/Property (if project is only interior work—, -Skip to #6) Building height %B1dg. 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) 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: 3 - 9 `3 Applicant' s Signature: 644,E 6 2 /I e THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: i ing R ui ed: Variance Required: � ` 3hr 3 gnatur of Build nspector D to 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, Departmont of Public Works and other applicable permit granting authorities. HAM City of orthampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls v► � 2. Structural Components in Place* 3. Complete Building* No. 1141 Office of the Building Inspector Zoning Form No. 002075 Date 12/13/93 Fee $20 Check# 279 Page, 25C parcel 93 ,Zone URB Section 127 ❑ Yes W No BUI]LDINGVERNM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT William Gnatek before Building Inspections has permission to Strip & re-shingle roof Inspection on Site--Foundations situated on 215 North 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 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 CONSPICU US LACE N THE PREMISES ti Certificate of Occupancy g Inspector -