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07-012 (13) .t '�� � City of Northampton REQUIRED INSPECTIONS Ill;AV.. S BUILDING DEPARTMENT 1, Footings ander a' �• 2. Structural Components in Place* "`-C•' > 3. Complete Building* No. 879 Office of the Building Inspector Zoning Form No. 960344 Daie 10/12/95Fee $40 Choc-1/40972 page, 07 pal 011 ,Zone RR/WSP/WP Section 127 ❑ Yes 0 No BUILDING PERMIT Plumbing and Electrical Inspections required THIS CERTIFIES THAT Neal }lents teed _ before Building Inspections has permission to add 2 dormers & raise roof 2' . Inspection on Site—Foundations situated on 408 North Farms Road - 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 provisionsoftheStatutesandtheOrdinancesrelatingtotheConstruction, Inspection of Wiring—Rough Maintenance and Inspection of Buildings in the City of Northampton. My violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish ofthispemdt.Expires six months from date ofissuance,ifnustarted. 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(Fite Depamnent) - Other } TIES CARD MUST BE DISPLAYED IN A CONSPICUOUS PL CE O TI-IE : Certificate of Occupancy , .fir ��v/ Building Inspector fapg� r9rff' ilk ji�ni� prr\ � FILE APPLICANT/CONTACT PERSON: .1/2 ADDRESS/PHONE: .5-141-61.5-2 ADDRESS/PHONE: I ; /� ,rt'.- r. ' - r" PROPERTY LOCATION: dig-7 51//ld./,9 AO .e�"."7 _- MAP Cl') PARCEL: [J/7 ZONE �C /,Jrj`fJ�/° THIS SECTION FOROFI(ICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FRE VD OUT Fee Paid BuildingPd (; JPermitFilled n X �2� S Fee Paid � r of Cnnctnartinxr _. New Cnnctnsrtion Remodeling Interior /aillo2 r�/hde-4-0 _../ Addition to Briefing,_,Aa >&2-t 2ji/lcvy �' Arreeenry Structure CI alO,,,,,� _._ owner/flrrtipant Statement n .irence# 3 j'?4"2a� setter Plane /Pint Plan THF OLLOWING ACTION HAS BEEN TAKEN ON THISAP ATION: • toil Approved as presented/based on information presented Denied as presented: _-Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under:§ w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under:§ re/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval-Bd of hHealth Well Water Potability-Bd Stealth lPermit f r servation Signature of: ding or Da NOTE:Issuance of a zoning permit does not relieve an applioants burden to comply with all _ zoning requirements and obtain all required permits from the Board of Wealth. Conservation Commission. Department of Public.Werke and other applicable permit granting authorities. 9 [11 [10drifl File No. 934"9 OCf 429z J Q ZONING PERMIT APPLICATION (§10 . 2hftiea io°ov ",sc cso Ns PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: hie ft_ 6/0,-ii S TrAtN Address: '(C X./r12771 t*fa//i \ p/1. Telephone: C94 0 4 S 2. Owner of Property: S�iZ9& Address: .57/7-71 Telephone: 3. Status of Applicant: (/Owner ` Contract Purchaser Lessee Other(explain): 4. Street Address: 5,#141 Lr Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property /-L S t L7. DICE 6. Description of Proposed UseNVork/Project/Occupation: (Use additional sheets if necessary): k n 2 17oRre/nzs C 1.74/3E Fav 1po>` 2 � Ai 1N ,Oe - 1)0 c({410 y6 --V FOS t�R/ti7- 7. Attached Plans: ✓ Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitNariance/Finding ever been issued for/on the site? I NO ✓ DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# S Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) 10. Do any signs exist on the property? YES NO v IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES NO IF YES,describe size,type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION- This cal= to be tilled in by the snilding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) ,y of -Parking Spaces f rof Loading Docks Fill: {vol-rime--& location) 13 . Certification: I hereby certify that the intonation contained herein r� is true and accurate to the best of my knowledge. DATE: - APPLICANT's SIGNATURE NOTE: Issuance of a zoning permit does not relieve an applioant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission. Department of Publlo Works and other applicable permit granting authorities. �.... FILE # le i le U C 7 C — n a. 7 En A D 3 c o z T. R T - a- , F A fi. y Z m £ © _ M.> > M r7 -, Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. X314 - 0 45-3c- Alterations CAPPL- NORTHAMPTON, MASS. C /z tg9s Additions xH ICATION FOR PERMIT TO ALTER Repair Garage I. Location 40 2 L1aei74 iC'w i19 C Lot No. 2. Owner's name /✓9-7 C. M-,rn C 77k-A /l Address 40 Se DOE-PT-ft FK-,eats €D 3. Builder's name 54-24t/-c Address S 4fli L1 Mass.Construction Supervisor's License No. Cl 3 124 c/ Expiration Date V:30/5 7 4. Addition APT) 9 Dr,Pnn FTC £ P44 51-C 200 F t),/cm t)w-ef 5. Alteration 6. New Porch 7. Is existing building to be demolished? k10 S. Repair after the fire 9. Garage No.of cars Size 10. Method of heating Sq--u///r 11. Distance to lot lines cAnnA6 Fool PA ttil 17- 12. 12. Type of roof As F.64,4-cr Cur 4_4-LLr 13. Siding house ,y C E is A 14. Estimated cost://.4000,_s_' The undersigned certifies that the above statements are true to the best of his. her knowledge and belief. 7fjir . e oresponsible avvucan: Remarks