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17A-045 (3) PERMIT APPLICATION CHECK LIST PAGE . PLOT-V3 ZONE & ,;'L /X ES NO DATE ZONING FORM APPLICATION v (( 2 . PERMIT I 3 . Ow NOT �- 3 SETS NEW CONSTRUCTION 6 , CURB CUT 7 WATER-AVAILABILITY 8 . REMODELING 9 , ADDITION 0 , ACCE"ORY STRUCTURE 11 , SIGN / AWNING Al., P ERMIT FEE - - rte; i/ 3 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICAB 4 . UNDER SECTION-- 127 - CMR 780 5 . FO 16 . FILL COMMENTS: 1 �d i a' �S r O �9 > ? T A V It 0• Z pn � Z > cn O c p� Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. rX J� J h Alterations QkNORTHAMPTON, MASS. L1 �� 19 Additions APPLICATION FOR PERMIT TO ALTER Repair `Q Garage 1. Location \ 60 X a A t wC ��C1`(CM( �t Lot No. 2. Owner's name I-CYO\fa ��_\\ -C�Y�G"� +(� Address ��C+ 4 y.%ACk C "U r\O\C`(1 C 3. Builder's name '%,J\ �eD:C`(I UvC a5'3"�S �Address �� vf C \\ 3L 3L Mass.Construction Supervisor's License No. ® S 9 V\L\ � Expiration Date 4. Addition --\OU`\ -,�s-A ma 1 5. Alteration 6. New Porch 7. Is existing building to be demolished?_ U 8. Repair after the fire Q 9. Garage N C1'n e No.of cars Size 10. Method of heating ©'n e 11. Distance to lot lines 12. Type of roof ON 13. Siding house 14. Estimated cost:- �Od The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible app scant Remarks S\\\, C VQ S, ;'T b\oCV1 GW ` wk\ VI 1 x �C -A%-V , \Y\G► . Date Filed LN " 0\So. - .. File No. ZONING PERMIT APPLICATION 1. Name of Applicant: Cx, & 4L Address: `h .k Telephone: 2 . Owner of Property: Address : \ N p Telephone: 3 . Status-`of Applicant: owner Lessee Other (explain, et�_�_, ) 4 . Parcel Identification: Zoni �f`-r�—z. , Zoning District(s) (include ov rl +� Street Address !4)0 S M fired 5. Exist: ` ;onina Use of Structure/Property �� L (if project is only- interior' w 2e Building height _ oBldg. Coverage (Footprint) i .yam Setbacks - front side L: R: C L: R: - rear Lot size �. Frontage. Floor Area Ratio open Space (Lot area minus building and parking) W3 Qno Parking Spaces C ivz Loading EJ Signs c�\\C Fill (volume & location) e- 6. Narrative Description of Proposed W,prk/Project: (Use additional sheets if necessary) °\a�,`\ 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: L\ Aq Applicant's Signature: / THI8 SECTION FOR OFFICIAL 083 ONLY: Approved as presented/based on information presented Denied as_ presented--Reason: Special' Permit and/or ite Plan Required: Finding Req iced: _ Variance Re uired: 5_ gnature of bdilding Inspector r�' ate NOTE: issuance o(a zoning permit does not rettove an applicanCs burden to comply whit all zoning requirements and obtain all required permits from tho Hoard of Hoof"conservation Commission, Dcpar+mont of Public Works and otlior applicable permit granting authorities. o� �oti City of Northampton REQUIRED INSPECTIONS e • . 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 255 Office of the Building Inspector Zoning Form No. 004123 Date 4/14/95 Fee 20 Check# 149 Page, 17A Parcel 45 ,Zone URA Section 127 ❑ Yes ® No BUI]LDINGPERMI r I I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paul Robichaud before Building Inspections has permission to Construct a 81x121 shed Inspection on Site—Foundations situated on 180 Bridge Rd. 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 ** Install per Manufacturers information: windows, vinyl siding, roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACX ON REMISES Certificate of Occupancy -- Building Inspector n_