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25C-128 (2) ERMIT APPLICATION CHECK I `7 IWAIW 7- S NO 3 OWNER SETS NEW CONSTRUCTION 6 CURB CUT 7 WATER 8 . -REMODELING 9 . ADDITION 0 , ACCESSORY 11 . SIGN / AWNING 2 , PER IT FEE - 3 . SPECIAL IF�-�- QABLE 4 . UNDER SECTION 127 - CMR 780 5 . FORM A 6 . FILL COMMENTS : V it T a+ z 3 � T7 _ to O Z Z ^' m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 5—/7-1 9 c/ S� Additions APPLICATION FOR PERMIT TO ALTER Repair / � Garage 1. Location ! e ct C-i z—i ./L'n�T��g ,-..�7`G�-, / / `� Lot No. 2. Owner's name n,`5 o Address 2 It � e4 c/ i do rT4 a p.&„ <' 3. Builder's name r- Address Mass.Construction Supervisor's License No. �'4�3 o Expiration Date 2 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 12. Type of roof 13. Siding house R,' t.- c� P r 14. Estimated cost 2� �. o a The undersigned certifies that the above statements are true to the best of his, her knowledge an ief Signature of responsible app,lcant Remarks Date Filed _ File No. ZONING PERMIT APPLICATION ( 10- :0 I . Name of Ap l.ic nt: N ,4 e��, �' ,��Address: ' � Te phone: C 2 . Owner of Property: s fin i ©to r C Address: Z �` ez_a�>eA, 57` 7-4a�24aI'- �/�1�.�Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# J'5 G Parcel#_ Zoning District(s) (include overl ys 1L Street Address , Required 5 . Exis-tinq Pro Dosed by Zonin Use of structure/Property J\ (if project iS only, interior Vork,qskip #6) Building height !,'.Bldg. Coverage (Footprint) Setbacks - front - side L: R: - rear Lot size tfmo Frontage. Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 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 cont a ' d herein f d accurate to the best of my knowledge. is true/ Date: Applicant's Signature: �2,) 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: n in=Rd: Variance Required:gn u or a NOTE: issuance of a zoning permit does not retleve an applicant's butdcn to comply Willi all zoning requirements and obtain all required pormits from the Board or Hoallh,conservation Commission, Doportmont of Public Works and othor applicable permit granting nuthoritlos. t City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Palls $ e 2. Structural Components in Place* 3. Complete Building* NO. 364 Office of the Building Inspector Zoning Form No. 004253 Date 5/11/95 Fee $20.. Check# 563 Page, 25C Parcel 128,Zone URB Section 127 ❑ Yes U No BUI]LDINGPERMI r I I *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Dennis Labato before Building Inspections has permission to Trim windows & overhangs Inspection on Site---Foundations situated on 24 Elizabeth St'rept 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. ** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC S LA ON THE PREMISES Certificate of Occupancy -- Buil r tl-'