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25C-095 (24)
PERMIT APPLICATION CHECK LIST iii �Z,c2� PAGE 6�C PLOT ', "� ZONE 1�� --' ES NO DATE 1 . ZONING 0 C IO 2 . PERMIT APPLICATION 3 O 3 SETS OF PLANS /PLOT PLAN 5 . NEW S 6 . CURB CUT 7 WATER 8 REMODELING INTERIOR 9 , ADDITION 0 . ACCESSORY 11 , SIGN 2 , PERMTT E - 13 . SPECTAL PERMIT REQUIRED SPEC IF APPLICABLE 4 . UNDER SE - CMR 780 5 . FORM A 6 , FILL COMMENTS : a < n. T � z a Z m r� Z > _ y �► Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location Lot No. 2. Owner's name A ��h'�anC� Address 5-6V-ft �- 7- 3. Builder's name Address Mass.Construction Supervisor's License No. 116 5 Expiration Date 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 i 12. Type of roof t-we--1 po,o , 13. Siding house 14. Estimated cost: IL+vo - 0 0 d The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app icant Remarks fA Rr A\0,J,2- 16t,, t .. V f�� m 01 Lr, C_ Sheer I OL n Vvi +� e 2 ' Date Filed /111;2b_ File No. ZONING PERMIT APPLICATION (§10. 2) I . Name of Appl 'cant: 1110 OvvfN Address: O „ Go. Telephone: 2 . Owner of Property: Address: Zt ��,,. f -�: Telephone: 3 . Status of Applicant: Owner ✓ Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet0,,?C, Parcel# VS—, zoning District(s) (include orlays) Street Address Required 5 . Existin Proposed by Zonin Use of Structure/Property Gr` (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 DesW iption of Proposed Work/Pr jec ; (Us a.dditio al h ets if ne essay )l�e+r.vv°0- .k; L ° .k 6N QC . 1. � R n S k G , ' , o •r 7. Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that the information contained herein is true andj accurate to the best of my knowledge. Date: 6 y ( �5- Applicant's Signature: �G/�'�,.,� -0./ ..n r THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S cial` Permit and/or Site Plan Required: i g Re ired: Variance Required:_ gnatu o Bull pector NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning requirements and obtain all required permits from the Board of Hoolth,Conservation Commission, Dopadmont of Public Works and other applicable permit granting authorities. City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUIOLDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* 449 Office of the Building Inspector No. _ Zoning Form No. 004363 Date 6/8/95 Fee 20 Check# 200 Page, 25C Parcel 95 ,Zone URB Section 127 ❑ Yes © No BUI]LDING PERMU *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Kurt Brown before Building Inspections has permission to Remove existing roofing and recover Inspection on Site—Foundations situated on 211 North Street Inspection of Plumbing—Rough provided that the person accepting this pernnit 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 thispernut.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 CONSPIC PL A PREMISES Certificate of Occupancy Building - (,0�1