05-044 (4) Date Filed ( � File: No',
Zoning 6xdiI1anae Bob—Lion 10 , 2
am �r)i:l.i.cant
4 T e l.e p h o n a i
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DEPTOfB L lNGM ss e1 ephone ;
NORTHAMPTON --�—�--
3 , Status of,"A) .l ca n ; !i OW1101r _Contract Purchaser
IIeSs.aC, Other (e:pIciin ),!
q , Par. eel I d e n t.i.fi t�,g Zo .tnq Main Sheetr���
Zoning Districts)
Street Adclr. ess,
• y
5 , ' CO1 1�11.aT�C @' With Zon.i.nv ; laxi.stinq Proposed
Use of Structure/Property _
Size of Structure (Su , ft . )
Building height
Building coverage
Setbacks - front
- .Side
rear
Lot Size
Frontage
Floor Area Ratio
Open Space
Parking spaces
Loadiijg Spaces
Signs
Fill (volume & location) P70 Qa,onr
6„ far.rati�ie Description of •Pronosed Work pro ect ; ( Use •
addit�dnal sheets it necessary) p �Al
07-
7 , ,attached Plans ; Sketch Plan Site Plan
8 , Certjfi.ca�.i.o ; I hereby certify that the 'ih�prmation, contained
herein is true and accurate to the beast f my .knowledge ,
Date ;� Applicant ' s Signatur
THIS-SECTION FOR OFFICIAL USE ONLY :
1/'- 'Approved as presented
' Denied as presented 4°
Reason for Denial ;
'M
Signature of BLii.lding :Cnspector,
�J
—"
City Of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
BUILDING DEPARTMENT 2 . Placetural Components in
3 . Complete Building
No. 271 Office of the Building Inspector
Date JUNE 4 19 91
BUI DING P RM_ _1T
l THIS MAY CERTIFY THAT .TAMES RRA7EA[j Insp. on Site — Foundations
has permission to BRING IN FILL Insp. of Plumbing — Rough
situated on 219 AUDUBON ROAD 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 CONSPICUOUS PLA E O j E PREMISES
Certificate of Occupancy
Building Inspec
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