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17C-199 (2) PERMIT APPLICATION CHECK LIST -- PAGE l I PLOT 0j ZONE �r � Y� YES NO DATE 1 . ZONING FORM APPLICATION �! 2 . PERMIT APPLICATION ` 3 . OWNER OCCUPANT STATEMENT LIC. # IF NOT 4 . 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER VAI BI Y FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIG N / AWNI 12 . PERMIT FEE ZJIMItK-- 60L - MONEY ORDER �' � C=%' P 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM 16 . FILL COMMENTS : a ,o ,> �o 'C zm ., Z > � o x Z ^' m Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a rNORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location yl L Lot No. 2. Owners name Address G 3. Builder's name ®, Address Mass.Construction Supervisor's License No. �� n7 U Expiration Date 4. Addition 5. Alteration / ✓ _ 6. New Porch l� 7. Is existing building to be demolished? i 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:- qox) 7o The undersi ned certifies that the above statements are true to the best of his, her know g d bel' ' �q-3 Signawre of responsible app<<cant Remarks 00 '681 Date Filed File No. ZONING P T APPLICA ION (51.0. 2) I . Name of Applicant: w Address: Telephone: — 2 . owner of Pro erty: Address : Telephone: - 3 6 3 . Status of Applicant: Owner Contract urc aser Lessee Other (explain: 4 . Parcel Identification: Zoning Map Sheet# /7C Parcel# /57 , Zoning District(s) (include overla s) � Street Address_ Liz-� Required 5. Existing 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: - rear Lot size Frontage. Floor Area Ratio oOpen Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Wo /Project: (Use a ditiona�.sheets if ecessary) LA 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 knowleV-01 Date: 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: 0ndi g Requ' d• , Variance Required: signaturb ,6f Bu ldin c or a e NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply wi0i all zoning requirements and obtain all required permits from iho Board of Health, Consorvat ion commission,DopaArnont of Public Works and other applicable permit granting authorities. %r"f•�- City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Fo otings and Walls 2. Structural Components in Place 3. Complete Building* No. 493 Office of the Building Inspector Zoning Form No. 002681 Date 6/7/94 Fee 40 Check# 2140 Page, 17C pal 199 ,Zone GB Section 127 ❑ Yes ❑ No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paul McCutheon before Building Inspections has permission to Convert 3 season room to year round living space Inspection on Site—Foundations situated on 4 Bratton Court 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 ofthis permit.Expires six months from date of issuance,ifnot 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 SS LA THE PREMISES Certificate of Occupancy i Building Inspector �op+f1:.1;11511�11 F`�R. c I City of Northampton REQUIRED INSPECTIONS $ 1. Footings and Walls • BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 493 Office of the Building Inspector Zoning Fortn No. 002681 Date 6/7/94 Fee 40 Check# 2140 Page, 17C pal 199 ,Zone GB Section 127 ❑ Yes © No BUI]LDINGPERM. IT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paul McCutheon before Building Inspections has permission to Convert 3 season room to year round living space Inspec 'on on Site–==rFowida io s y situated on 4 Bratton Court Inspectionburg—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, Inspwtion 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 Inspcction of Wiring—Finish of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough 6 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 MIJSTA3E Dj6PLAYED IN A CONSPIC O S Z�PLA THE PREMISES Certificate of Occupancy Building Inspector r_---_.•- (,op+l 11:?GIl S11U1�