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17C-197 (13) 4 PLI ATI N CHECK LIST 2 3 . OWNER OCCUPANT STATEMENT /' LICA Ig NO 4 . x 3 SETS OF S /PLOT PLA 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER V LABI T FORMS 8 . REMODELING INTERIOR 9 , ADDITION 10 . ACCESSORY STRUCTURE 11 , SIGN / AWNING PERMIT E — CHECK 13 , SPECIAL PERMIT REQUI RED WI --bE D / IF APPLICABLE 14 , UNDER SECTION 127 — C R 780 5 . FORM 16 , FILL COMMENTS : b . .. .. . °� ,�; ?,� y a . X '�z2 Jy'� Wr- DEPT Cif`z�`I�i�_n!�aG E";iy f ;�'s4:f�vS � �r � (� P r f § MAY 13 1993 �e n� DEPT OF BUILDING INSPFICTIONS NORTHA VON MIA CUSO COMMONWEALTH l(DEPARTMENT OF"PUBLIC SAFETY OF 1010 COMMONWEALTH AVE. MASSACHUSETTS" BOSTON,MASS.02215 _.>Y = i ENCLOSE CHECK OR MONEY C-RDER LICENSE FOR REQUIRED FEE, EXPIRATION DATE � CONSTR. SUPERVISOR 06/30/1493 MADE PAYABLE TO RESTRICTIONS EFFECTIVE DATE LIC-NO. 0` NONE -a' 06/30/1991 01 1576 0 "COMMISSIONER OF PUBLIC SAFETY" P_ PETER S L EHTOLA (DO NOT SEND CASH). 1199 AUBURN ST ((� SS # O1b=40-9074 - BRIDGEWATE SEA 02324 P1 AS6::�OTi EE �NC SE PHOTO(BLA.%TQN OPP ONLY, FEE: j u 100.00 ! Ef FcCTIVgUNEp.6 9911989 - I NOT ID U TIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: i $yAMPED- )R-$GNATURE OF THE MMI N£R DOB: i 7 IO _ 11 /13/1948 I,f ,/ ? NOTE` AC'nICg� iE STUB THIS DOCUMENT MUST E CARRIED ON THE PERSON OF °� (SIG NA OF L' ENSEE SIGN NAME IN FULL-ABOVE SIGNAYUF?E LINE' - THE HOLDER WHEN ENGAG /JA�� _ OTHERS RIGHT THUMB PRINT ED IN THIS OCCUPATION COMMISSIONER _ r 200M-2 87-8:329 ' d D it P/ PillL+ Peter S. Lehtola S.S.t 016-40-9074 1 ' i 40 MR Mn@C FMM 4 Jr xUDrRr)S»M a Y1 - �� ► 4, w ,J� DEPARTMENTOFPUBUCSAFETY 1010 COMMONWEALTH AVE. BOSTON,MASS.02211 LICENSE CONSTR. SUPERVISOR EFFECTIVE DATE LIC NO. 5 06/30/1991 011576 PETER S LEHTOLA m .1199 AUBURN ST BRIDGEWATE MA 02324 P Ef NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY .. .. - STAMPED-OR -SMaNATURF OF THE COMMISSIONER SIGNATURE Oh LICENSEE CCw��COMMISSIONER I , _ ^' COMMONWEALTH OF MASSACHUSETTS' ' - EXPIRATION DATE ,I 06/30/1993 AIr^1�: RESTRICTIONS I. NONE SS # 016-40-9074 PHOTONS' vw9p.PR-ONLYI FEE:' 100.00 ,- rz I '- HEIGHT:. DOB- ' -"-' - + • -=_- THIS DOCUMENT MUST RE- • - - CARRIED ON THE PERSON OF . THE HOLDER WHEN ENGAG-) OTHERS RIGHT THUMB PRINT THIS OCCUPATION ENCLOSE CHECK OR MONEY ORDER FOR REQUIRED FEE, MADE PAYABLE TO "COMMISSIONER OF PUBLIC SAFETY" (DO NOT SEND CASH). AS - = OT�EE RNCbSE ECTI VOUNE2-6 199119 8 9 NOTQfAC;­lWCeE STUB - SIGN NAME IN FULL ABOVE SIGNATURE LINE b C A. C � v b o r z � a Z r � Z Cn Y O Z I � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. ��ri's 1 �- 4 _19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location r 1-0 go-vC l /VA Lot No. 2. Owner's name dim L " �aRrz" Address "LT. 3. Builder's name Q U rrr► b L�-L-�" F 0(Z,� Address �'1 �G�t�3��► . T. F3�S c►c �?��} Mass.Construction Supervisor's License No. IS,:2 (a Expiration Date d 3 4. Addition 5. Alteration Z E PL A C S nI G G `21 S 1-A v� 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 14. Estimated cost:- A The undersigned certifies that the above statements are true to the best of his, her knowle ge and belief. �r �2 Siggnnalure of i o i l app,i l Remarks . Date Filed v 0009 'i 0 File No. ZONING PERMIT APPLICATION (510 . 2) 1. Name of Applicant: Lt,Irn+bbrV'ZL,A1-�'7� flc,R"rrl1 Address : ' ?)`� h, H-09�rY► _ST Ci Zc�:.� .iA..Telephone: I -Svcs 2 . Owner of Property: �,�b;rSZ L •n� q,--,-,S Address :�'7 ') 17 L 7 +�� STS c ��r-ti -1,7A, Telephone: l-6c)o -534- 1 3 . Status of Applicant:_;>� Owner Contract Purchaser Lessee Other (explain: r7 ) 4 . Parcel Identification: Zoning Map Sheet#�`l(° ^ Parcel# Zoning District (s) (include ov rl ys) &-6 Street Address 2;ttt�o. Required 5 . Existinq Proposed by Zonin Use of Structure/Property (if project is only interior 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 Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 3 f'Q L NC u' 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 knowl;��, Date: `" - �.�-- 1C?�'3 Applicant' s Signature: THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: Special Permit and/or Site Plan Required: Fin ng quir c�: Variance Required: MAY 191993 Signa ure of Building In &tors Date NOTE: Issuance of a zonin rmit 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. iell- °ti City of Northampton REQUIRED INSPECTIONS R A BUILDING DEPARTMENT 2. Strucntural Components in Place* 3. Complete Building* No. 345 Office of the Building Inspector Zoning Form No. 000970 Date 5/20/93 Fee $40 Check# M•0 Page, 17C Parcel 197 Zone GB Section 127 ❑ Yes © No BUI]LDING PERMI I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Cumberland Farms before Building Inspections has permission to Replace a Gas Island Inspection on Site—Foundations situated on 53 Main street, Florence 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 CONSPIC —S LA 'O THE PREMISES Certificate of Occupancy Building Inspector �� 1:?1;11 Si1�11