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11C-024 (2)
l/ .PERMIT AtPPLICATION CHECK LIST ' PAGE �G PLOT ZT ZONE V^#t tl YES NO DATE 1 . ZONING FORM APPLICATION 2 . PERMIT APPLICATION L 3 . OWNER OCCUPANT STATEMENT LIC. # -IF NOT 4 . 3 SETS OF PLANS PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMIT FEE - CHECK ONLY - MONEY ORDER 13lv�' 13 , SPECIAL PEEMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : r� C � v b o• � z v a -h o� c Z M a O x O 5 Y d O Z � � o v y ti Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. / Ab 19 4� Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 57Z)""�F—// -71 1&/Qv )11"1( Lot No. 2. Owner's name S�se�� Pgo aj i/ Address S 70 3. Builder's name I59` r S%!J/ Address '7. ll �`� 't' (V-- Mass.Construction Supervisor's License No. ® I _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 12. Type of roof 13. Siding house y ' �zo 14. Estimated cost:- � The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. SignatureGe responsible app,iran! / Remarks 7� w u r J � Date Filed File No. ZONING PERMIT APPLICATION (§10 . 2) 1. Name of Applicant: �6,e4 Address : Telephone: 2 . Owner of Property: Cr45<) J 0; Address : Telephone : Sg6-gsl 3 . Status of Applicant: Owner V/Contract Purchaser Lessee Other (explain: 4 . Parcel Identification: Zoning Map Sheet# ��G Parcel# Zoning District(s) (include overlays)` M,RA Street Address Required 5. Existing Pro nosed —by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footpri t) 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) Y 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: , 12 61-1 43 Applicant' s Signature: ,A-1 � THIS SEC'T'ION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: Special' Pe mit and/or Site Plan Required: in n u ' d:e Variance Require 1. r. 73 � gnat r B nspector �© ate 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, t�N City of Northampton REQUIRED INSPECTIONS • 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1082 Office of the Building Inspector Zoning Form No. 002002 Date 11 23 93 Fee $20 Check# 13668 Page, 11C Parcel 24,Zone— Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT B-& R. Siding Spec. , Inc. before Building Inspections has permission to Install vinyl siding Inspection on Site—Foundations situated on 8 Stowell 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 S PLA ON THE PREMISES ` Certificate of Occupancy �- g spector