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05-060 (3)
PERMIT APPLICATION CHECK LIST P �'� ""'YES 0 DATE AGE 1 . ZONING FORM APPLICATION - 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT - LIC .# IF NOT �-' 4 . 3 SETS OF - PLANS ZELOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 . REMODELING- INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 . PERMIT - CHECK ONLY - 0 Y O D o-aQ1 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : Ttl ft e a > Z z m a z pm o cn O rn Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 'f'2 3 Alterations NORTHAMPTON, MASS. �!! �' 1 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location �-4 O V t�-^/ Lot No. 2. Owner's name cA— -Bb4 E-Y-P 1A CAA Address S?Ir M rt_ 3. Builder's name Address 'C (4Z-r1jRP Mass.Construction Supervisor's License No. O I Expiration Date o 131 I!IV 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 �o 14. Estimated cosc:- S V (J The under gne ertifi that the above statements are true to the best of his, her I �� knowledg and lief. 4 Signature of responsible app.icont Remarks _ LA ) • 4wi�Y� �y 002350 Date Filed �' File No. ZONING PERMIT APPLICATION (910 . 2) I. Name of Applicant: cCj Address : CJAV V-V> hi Telephone: 2 . Owner of Property: Address : _�cn © c,'r\ fZ l� Telephone : 51b c, - 0 -Z Z� 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) r 4 . Parcel Identification: Zoning Map Sheet# `D Parcel# gyp() , Zoning District(s) (include overlays) Street Address Required 5. Existing Proposed b zoning Use of Structure/Property (if project is only interio work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces r Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) - R / / Y 7 . Attached Plans: Sketch Plan Site Plan 8 . Certification : I hereby certify that the informati ont ined herein is true an accurate to the best of my knowle e. Date: l Applicant's Signature: THIS SECTION FOR OFFICIAL USE '0_4Y Approved as presented/based on information presented Denied as presented--Reason: A al' Per it and/or Site Plan Required: ng R i� d: variance Required; L of Bui 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. Grity of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 2. Strucctural Components in Place* � p 3. Complete Building* No. 184 Office of the Building Inspector Zoning Form No. 002350 Date_3/28/94 Fee _$40 Check# 2913 Page, 5 Parcel 60 ,Zone RR Section 127 ❑ Yes lJ No BUI]LDING PER?.,41T * Plumbing and Electrical Inspections required THIS CERTIFIES THAT_ Sack-ey Construction before Building Inspections has permission to Finish basement, sheetrock, insulate, drop ceiling Inspection on Site—Foundations _ situated on 407 Audubon toad Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspectiori 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, Maintenance and Inspection of Buildings in the City of Northampton. Inspection of Wiring—Rough //`` Y Y pect?on of Wirin —Finish �A- Z An violation of an of the terms above noted is an immediate revocation Ins g 9 °t L{ 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 O o Smoke Detectors(Fire Department) Other THIS CARD ST E DI&PLAYED IN A CONSPICU U PLACE ON THE PREMISES Certificate of Occupancy ` Buil,�� pector