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06-042 +.w City of Northampton REQUIRED INSPECTIONS 4GF. di t,j4�_� t �. I. Footings and Walls p. BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building` No. 341. Office of the Building Inspector Zoning Form No. 002542 Date 5/5/94 Fee S20 Check* 09559 Page, 6 Pattel 42 ,Zone SR Section 127 0 Yes ® No BUILDING PERMIT Plumbing and Electrical Inspections required THIS CERTIFWESTHAT Pauline walker before Building Inspections has permission to >eshin•le cgs.f Inspection on Site—Foundations situated on 279 Haydenville Road Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respInspection of Plumbing—Finish conform to the terms of the application on file in this office, and to the Gas Inspection prnvisionsoftheStatutesandtheOrdnancesrelatingtotheConstruction, 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 peSt-Expiressk montM rromdate of issuance,if not ailed. 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. • install per Manufacturers information: windows, vinyl siding Building Inspection—Finish roofs and woodatoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOWL4E O . I PREMISES Certificate of Occupancy ' ---- Bd . IM"-+r i, it. Pti 00954 ') Date Filed L. .2 1591 File No. (ZONING PERMIT APPLICATION (518.2) 1. Name of Applicant: Pa ai, nt C 0�Lov Address: J:5 I-(c„•.(ci8a.o‘ llr ?.t ke_rgA Telephone: 2. Owner of Property: YQj rry C t~-�: i0.-t.-- Address : ,ylc, t.4„,�4.,� ofif eA Telephone: 3 . Status of Applicant: `-Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# C, Parcel# LP- , Zoning District(s) (include overlays) /) S .- Street Address a7q overlays) 4 - g , P Required 5. Existing Proposed by Zoning Use of Structure/Property 444..r .,.(,,a-,,,,�,.aa (if project is only interior work, �skip ,to #6) U Building height %Bldg.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) 6Th . j Narrative Description of Proposed Work/Project: (Use additional sheets if necessary�j//' 1/r - ;Q.L -- tum-6 7. Attached Plans: Sketch Plan Site Plan S. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: Mo-1 l I `r9'! Applicant's Signature: . f/ 2,2„Qq4._:_. ( , -l)c.c4/4,.,, �- THIS SECTION FOR OFFICIAL USE ONLY: IApproved as presented/based on information presented Denie asp esented--Reason : Spe al' P rmi •and/or Site Plan Required: i Variance' Required: Signature f�fi"Iding Inspector AO,D41 �:70. e 9`� NOTE: Issuance of a zoning paned does not relieve en oppiicants burden to comp with all zoning requirements and obtain ag required permits from the Board of Health,Conservation Commission,Dopaunont of Public Works and other applicable potmd granting ouihodgos. ii t)- a Z Z - < n T = 7 O F 7 ro > 3 0 E C r. Z m * t, ft zX Y n, G -I Z > 3 by CC- mz_f i x — tr 0 O i Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations rill) NORTHAMPTON, MASS. 19_ Additions IC APPLICATION FOR PERMIT TO ALTER Repair r-r ' //// / Garage I. Location -'19 /id pie'nwi /te Rd /ePd.. Lot No. / 2. Owners name Pt. /. n e C feJCake.t. Address 0279 He r./den�, //e RA_ /Poafl 3. Builder's name PO n moi( L.:: lJ° re Addressk33 /p ia-,o.Su P{ e.ern,.., ;nf k 4/1.1 Mass.Construction Supervisor's License No. 0/Cr/ 3f/ Expiration Date l 4. Addition h 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage V { S No.of cars I Size 10. Method of heatingg o i I I. Distance to lot lines 12. Type of roof 13. Siding house 14. Estimated cu - _'144 00 1 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible appiiaant Remarks • tir j;,)s 6ifjr u# Nar#f�snt�afun t.p* — i s?- 1Grnaaqurd�r v" fr DEPARTMENT OF BUILDING INSPECTIONS . ' T tt 1_r'� 212 Main Street ' Municipal Building PERMIT APPLICATION CHECK LIST YES NO DTE 2 . / LIC 4t IF NOT 4, 3 SETS OF PLANS /PIOT PIAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8, REMODELING INTERIOR 9 , ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN / AWNING 1Z. PERMIT FEE -10M11111 ONLY - MONEY ORD :- . t 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR• 780 15 . FORM A 16 . FILL COMMENTS: