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PERMIT APeLICATION CHECK LIST
YES NO DATE
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3 . OW NOT
4 . 3 SETS OF PLANS ZELOT PLAN
NEW CONSTRUCTION
6 , CURB CUT
7 WATER
8 . R
9 . ADDITION
10 . ACCESSORY--STRUCTURE
11 . SIGN
2 , E E - ONLY - MONEY 0 PER AM
13 . SPECIAL ERMIT REOUTRED WITH DEEDAPPLTCABLE
14 . UNDER SECTION 7 - CMR 780
15 . FORM A
16 , FILL
COMMENTS :
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
a
Garage
1. Location\ �.c\ ` 4��r� Lot No.
2. Owner's name J Address`-
3. Builder's name ' Address�CC� �l�h� `lZ�.�.1vC1�cti
Mass.Construction Supervisor's License No. Expiration Date_�Q�
4. Addition
5. Alteration \Zgz-�SS &nr:c k[�e Qjiv"Q,'At 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:-
.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
IdSignature of responsible app, cani
Remarks
OUB 96
Date Filed File No.
ZONING PERMIT APPLICATION 010 . 2}
1. Name of Applicant: -"
Address:Q K ' Telephone: � J
2 . Owner of Property: :
Address: -----------
Telephone:
3 , Status 'of Applicant- Owner contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet# Parcel# ,
Zoning District(s) (include. o lay
Street Address r
Required
5. Exis-tincT Proposed by tonin
Use of Structure/Property
(if project is only interior wor , skV to #6)
Building height
-B1dg. Coverage (Footprint)
Setbacks -- front A INV
- side L: 1 R:
- rear A
Lot size
Frontage,
Floor Area Ratio
-Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)"�i
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) ,� sC`�y�, ,��^,r'�a�rc�.�.
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 knowledge.
Date:
Applicant Is Signature:
y TIiIB RECTION v6-R OFFICIAL USE ONLY; M
'Approved as presented/based on information presented
Denied as presented--Reason:
Special' Permit and or Site Plan Required:
Finding R quired: Variance Required:
signature of Building Inspector � � ate
NOTE: issuonoo of a zoning permit does not retteve an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Goard of Health,conservation Commission, Dopoitmont of Public Warks and otitor applicable permit granting authormos.
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""'Ity of Northampton REQUIRED INSPECTIONS
$ 1. Footings and Walls
L'.U-./DING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 310 Office of the Building Inspector
Zoning Form No. 004190 Date 4/27/95 Fee $40 Check# 0901
Page, 38 _Parcel _63 ,Zone URB Section 127 ❑ Yes ® No
Bul
n
PERILV11T
DING
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Netto Construction before BuL.,.uig Inspections
Renovate kitchen and install new windows & door Ins t`Jn on Site—Foundations
has permission to P� ..
situated on 182 Earl Street Inspecton of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspec;ion of Plumbing—Finish An/
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conform to the terms of the application on file in this office, and to the Gas Inspection ' '
provisions of the Statutes and the Ordinax:ces relating to the Construction, M Inspf ction of Wiring—Rough .1' 5/ y'
Maintenance and Inspection of Buildings in the City of Northampton. ,>
Any violation of any of the terms above noted is an immediate revocation Insp°ction of Wiring—Finish
of this permit.Expires six months from Mate of issuance,if not started. Bui ding Inspection—Rough
Note:A certificate of occupancy will be,ssued by this office upon return Insulation Inspectio
of this card signed by the Plumbing,Wiring and Building Inspectors.
Bu-;:ding Inspection—Finish
Smoke De?ectors(Fire Department)
Other
THIS CARD ST BE DIS A IN A CONSPICUOUS PLACE ON 'E'S1SE
Certificate of Occupancy17
Building Inspects..