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17A-248 (4) PERMIT APPLICATION CHECK LIST PAGE "'7A PLOT X49 ZONE 03 ,7 q r YES NO DATE t 1 . ZONING FORM APPLICATION ` 9- � 5�9 2 , PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT L C # IF NOT 4 . 3 SETS OF NS /PLOT PLAN 5 . NEW CONSTRUCTION 6 , CURB CUT 7 WATER VAIL BI IT 0 S 8 . REMODELING INTERIOR 9 , ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN AWNING -795 12 , PERMIT FEE - CHECK ONLY - MONEY ORDER Y7 c. c c 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - C R 780 15 , FORM A 16 , FILL COMMENTS : EX-reriar - Porch .gin-�� G�,� v������m ��� �.`� r ^ DEPARTMENT OF PUBLIC SAFETY a COMMONWEALTH 1010 COMMONWEALTH AVE. OF BOSTON,MASS.02215 Y MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER L T I I_ C FOR REQUIRED FEE, EXPIRATION DATE MADE PAYABLE TO ,J v!31;! 1 Z ��f rn.+ EFFECTIVE DATE LIC-NO. ° RESTRICTIONS 7 .`7 S "COMMISSIONER OF PUBLIC SAFETY" C L a P P - (DO NOT,SEN D CASH). J JyI`' = - } 30 CHEST'tJTl� zLL L P SS it Zb } mJIyTAGu _ " � ; 35 P' i_ aS = NOTE FEE INCREASE PHOTO(BLASfINC UPH ONLY) FEE: 1uC. c, i ECTIVE FEB. 1 , 1989 NOT VALID UNTIL SIGNED BV LICE EE AND OFFICIALLY HEIGHT: STAMPED -OR -SIGNATURE OF OMMISSIONER J �� DOB: 11 /17/1943 J ' ,�N T DETACH LICENSE STUB THIS DOCUMENT MUST BE 3NATURE 6F LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON OF THE HOLDER WHEN ENGAG- COMMISSIONER OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION _ 20OM-2-87-81429 �. b 'O o O < n a � ° n a y 0 O Z Z 0 y ,� eD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel. o. Alterations so NORTHAMPTON, MASS. ! a 19 Additions Repair APPLICATION FOR PERMIT TO ALTER Garage f s� Lot No. _ 1. Location 2. Owner's name e V Address L t 3. Buildersname ��V� ��IA Address 0 �`tipc�eh s'�- 9 Mass.Construction Supervisor's License No. ©, Expiration Date C' 3 d 7f 4. Addition 5. Alteration .I, 6. New Porch u' -Q � 0 V I e -Q S I ( r' In n ✓C 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 l / 13. Siding house [�I��RC7'�iQ 14. Estimated cost:_ c" The undersigned cert' 'e that the above statements are true to the best of his, her knowledge d li . Signatu e of responsible applicant Remarks PNINTnSH P Y,A" 00033 Date Filed 6-- 7, File No. 117A - �49 ZONING PERMIT APPLICiATION (510 .2) r,.,j {�!3 1 . Name of Applicant: � l� J Address: Lb Wye in c fi elephone: 2 . Owner of Pro erty: V" Iq 4-\ Address : cj P C Telephone 3 . Status of Applicant: Owner e--1 Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# ►'7A Parcel# , Zoning District (s) (include overlays) Street Address AS3 Required 5 . Ex i Pro Dosed by Zoning Use of Structure/Property (if project is only interior work, skip to 6) Building height %Bldg. Coverage (Footprint) Setbacks - front - side 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) e 4 L - b a I/ c d oS r l s 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification: T hereby certify that the informat ' o onta. herein is truef and accurate to the best of my knowl ge Date: T !� L Applicant ' s Signature: THIS SECTION FOR Ok'I'IC2AL USE ON T _ Approved as presented/based on information presented SEP 2 5 Hied as presented e n Lf D enial : Sign e of Buildin for as-ate NOTE: issuance of a zo mg permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required pormits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. 7/92 FXAS �� •�' City of Northampton orthampton REQUIRED INSPECTIONS J 1 . Footings and Walls BUILDING DEPARTMENT Z - Structural Components in Place 3 . Complete Building No. 624 Office of the Building Inspector Date September 30, 1992 19 BUI DING P RMIT THIS MAY CERTIFY THAT John Clapp/M.Brown Insp. on Site — Foundations has permission to Renovate existing porch Insp. of Plumbing — Rough situated on 98 Lake Street Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton.Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date of issuance, if not started. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONS O PLACE ON THE PREMISES Certificate of Occupancy ding pector P Nf P �i City of Northampton REQUIREll INSPECTIONS e 1 . Footings and Walls BUILDING DEPARTMENT 2 - Placetural Components in 3 . Complete Building No. 624 Office of the Building Inspector Date September 30, 1992 19 Q� BUI DING P RMIT THIS MAY CERTIFY THAT John Clapp/M.Brown Insp. on Site — Foundations I\ has permission to Renovate existing porch Insp. of Plumbing — Rough situated on 98 Lake Street Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above - noted is an immediate revocation of this permit. Expires six Building Insp. —Rough - " months from date of issuance, if not started. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONS O PLACE ON THE PREMISES Certificate of Occupancy d+ pector P � REQUIRED INSPECTIONS C lt of Northampton 1 . Footings and Walls � 2 . Structural Components in UILDING ARTMENT Place DEP B3 . Complete Building 624 Office of the Building Inspector 1992 19 — N O• Date September 30, BUI.LDING PERMI John Clapp/M.Brown Insp. on Site — Foundations THIS MAY CERTIFY THAT. Insp. of Plumbing — Rough -- Rovat ---- ene existing porch has permission to Insp, of Plumbing — F•inish _---- 98 Lake Street of Wiring — Rough --- situated on permit shall in every re- Insp. provided that the person accepting this ication on file in this office, of wiring —. Finish spect conform to the terms of the app Insp. and to the provisions of the Statutes and the Ordinances relating of Health (Septic Tanks) ----- to the Construction,Maintenance and Inspection f the terms Insp Rough,,,.// ton. Any violation o y Building Insp. — theCity ofNorthamp permit. Expires six noted is an immediate revocation of this p Building Insp, —. Finish months from date of issuance, if not started. Smoke Detectors (Fire Dept.)will be issued by this office upon Note: A certificate of occupancy Plumbing,Wiring and Building Inspection -- return of this card signed by Gas Inspectors. THIS CARD MUST BE DISPLAYED IN A CONS PLACE ON THE PREMISE y • In-'ector P.INS P Certificate of Occupancy -Building-In P