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18D-004 (30) PERMIT APPLICATION CHECK LIST PAGE 1 gD PLOT 00 4 ZONE GS 00 DQ rno - n Rd . YES NO , DATE 1. ZONING FORM APPLICATION 4-10 -c7Q1_, 2. PERMIT APPLICATION L' 3. OWNER OCCUPANT STATEMENT f LIC.# IF NOT -*0 i9a 4. 3 SETS OF PLANS /PLOT PLAN 5. NEW CONSTRUCTION 6, CURB CUT 7. WATER AVAILABILITY FORMS 8. REMODELING INTERIOR • 9. ADDITION 10. ACCESSORY STRUCTURE 11. SIGN / AWNING C ft 56 s 12. PERMIT FEE - CHECK ONLY - MONEY ORDER 4,47,rr7 L" 13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14. UNDER SECTION 127 - CMR 780 15. FORM A 16. FILL COMMENTS: eq.- ��Teri 0 r S ZgiD ctY a ill Y o . c 'v ell t. v �• I- to z tri y O a 8 otz 5 Y 1 $ g cn O -i <-, y tri o v ›. I et ti Zoning Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations NORTHAMPTON, MASS. 9/G/ 1 9 Additions t` '' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location /l 1)41-14 Al ,()2 Aid /Yr/i/A D7 A/ Lot No. 2. Owner's name /3// 4_ HO C sr , Address j 6 0 ✓� AM O A) lab . 3. Builder's name CJAt 3 / ? 1 C A , /4 /‘ 5 c/ E - A ddress / &OFF& Sr /fA LL E I Mass. Construction Supervisor's License No. di Expiration Date 6/30/9 3 4. Addition 5. Alteration C /IA 41 6- -E b /AE"G720.e4/ p F a 74/R 5 (_ I A- R /6 / ✓✓ J 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: - 6®O. .°1.1 The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. �l/G 4111 11st 41,,. Signal re of responsible appticanl Remarks FT . Date Filed �? " "'•'' O O 4 l ' `) 9//d File No. lgc)- o4o4. Z ' ZONING PERMIT APPLICATION 10.2 (§ ) GB 1. Name of Applicant: JM/l/fg, Address: / G-OFF.4 5 r /AN Ey Telephone: 576 -- 38aP 2. Owner of Property: [ /- Address: /DO /,4MO,v RA . Telephone: sy4 yye7 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain: c JT&4cTz'R 4. Parcel Identification: Zoning Map Sheet# I' $' D Parcel#004 , Zoning District(s) (include overlays) G6 Street Address Required 5. Existing Proposed by Zoning Use of Structure /Property (if project is only interior work, skip to #6) Building height %Bldg.Coverage (Footprint) Setbacks - front - side T 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) C/,[Am i) e(rVQn) pF ExiSTi.VQ- mire', .? 7. Attached Plans: / X 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: 0/99- Applicant's Signature: �� o,� THIS SECTION FOR OFFICIAL USE ONLY: SEP p 0 A ro as presented/based on information presented pp ved a presented /bas d p De 'ed as presented . so •r Dy al • ;;4 01111r i n .ignatu e o" Buildin• or D to NOTE: Issuance of a zoning permit 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. 7/92 FXAS t :3 .Q .0 ti City of Northampton REQUIRED INSPECTIONS ?� A C '!`"' ); 1. Footings and Walls 1, ;n ` BUILDING DEPARTMENT 2. Structural Components in Place* '� -- - 3. Complete Building* No. 667 Office of the Building Inspector Zoning Form No. 000275 Date 10/22/92 Fee $ Check # 5654 Page, 18D Parcel 4 , Zone C B Section 127 ❑ Yes ❑ No BUILDING PERMIT , • * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Warren Messeck before Building Inspections has emission to Change direction of existin interior stairs Pe Inspection on Site — Foundations situated on 100 Damon Road 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 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 j i of this card signed by the Plumbing, Wiring and Building Inspectors. °i . „r. Building Inspection — Finish C `r ' , r• Smoke Detectors (Fire Department) Other THIS CARD ■ ' T : E D PLAYED IN A CONSPICU !� US PLA 0 THE PREMISES Certificate of Occupanc, %. - E P .► 4 Buil.' -, Actor 1 61�I