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25C-038 (4) PERMIT APPLICATION CHECK LIST PAGE 2S G PLOT 3T ZONE �� � � YES NO DATE ZONING FORM APPLICATION 2 . PERMIT APPLI 3 . OWNER OCCUPANT STATEMENT NOT �. 3 SETS OF PLANS- ZELOT PLAN NEW CONSTRUCTION 6 CURB CUT WATER 8 , REMODELTNG 9 . ADDITION 0 , ACCESSORY 11 , SIGN / AWNING 2 , PERMIT FEE - l/ 3 . SPEC IRED WITH DEED IF APP IC B 4 . UNDER SECTION 127 - CMR 780 15 FORM A 6 , FILL COMMENTS : a T a` o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. UTU���- Z 19 Additions APPLICATION FOR PERMIT TO ALTER Repair �7 {,, �i Garage 1. Location // ����/f�%/�� ,�l�� �1��/�//1j9�`�i/ h� ��J'f Lot No. 2. Owner's name /rJ 19 77-- ��.� Address 3. Builder's name /�' ��/ ✓� `� W/ " G� Address `� y GldfT�� /� l�✓�� /�/ C7/�'6v Mass.Construction Supervisor's License No.��QS fin/ Expiration Date_ 1-1116 4. Addition 5. Alteration 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. S;rnrtse 14. Estimated cost:- 9 Ov The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. Signature of responsible appucan! Remarks Date Filed to I' _ File No. ZONING PERMIT APPLICATION (§ib*. 2) 1 . Name of Applicant: IAll f� Ileli� 6 '� k114&e'1� Address: (,fir �� Telephone: 2 . Owner of Property: Address: Telephone: S F1- YYW 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet#_2 ,r'G Parcel#3� .. , Zoning District(s) (include lave ys) 6J Street Address tk,44 r Required 5 , Existing Proposed by Zonin Use of Structure/Property (if project is only' interior work, skip to #6) Building height oBldg. 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) 6 . Narrative Description of Proposed Work/Project: {Use additional sheets if necessary) 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.'_ X w Date App 1 icant s S ignature: e ce THIS SECTION FOR OFFICIAL USE ONLY: _ — — r r — _ V/Approved as presented/based on information presented Denied as presented--Reason: Special* Permit and/or Site Plan Required: ing Requ' ed,:, Variance Required K gnatiar Building Ixmpfactor NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply Witit all zoning requirements and obtain all required pormits from the Board of Hoalth,Conservation Commission,Dapaitmant of Public Works and oUtor appiicabio permit granting authorltios. City of Northampton REQUIRED INSPECTIONS I. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 450 Office of the Building Inspector Zoning Form No. 004355 Date 6/8/95 Fee $20 aleck#Money Order Page, 25c Parcel 38 Zone URB Section 127 ❑ Yes ® No BUI]LDINGPERMIT *Plumbing and Electrical Inspections required THIS CERTIFIES THAT United Siding & windows before Building Inspections has permission to Install replacement windows Inspection on Site—Foundations situated on 11 Northern Ave. 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 teams above noted is an immediate revocation Inspection of Wiring—Finish of this permit.Expires 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 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 - S PLA THE PREMISES Certificate of Occupancy Buildin �optt'``t 1.1;1!51149