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25C-056 (2) PERMIT APPLICATION CHECK LIST PAGE 5� PLOT ZONE (t-'PJ IN � YES NO DATE ZONING FORM APPLICATION �- 2 . PERMIT P LIC TIO 3 . OWNER OCCUP N E E 3 SETS OF S /PLOT PLAN 5 . NEW CO ST UC ION 6 . CURB CUT 7 WATER V I IT FORMS 8 . RE ODE ING INTERIOR 9 , ADDITION _ 0 . ACCESSORY STRUCTURE 11 , SIGN / AWNING r 2 . PERMIT FEE - CHECK O - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 , FORM A 16 . FILL COMMENTS : C C n. a a � E p r n M xo y v o � y Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. 19 Additions go APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ��� L�jk,V—,C I k id 1.C' Lot No. 2. Owners name V' Address 3. Builder's name �^ �� Address a 1P r L,L, Mass.Construction Supervisor's License No. �T=� �� _Expiration Date ` L 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. Siding house 14. Estimated cost:- Cf Zl-o The undersigned certifies that the above to menu ar true to the,best of his, her knowledge and belief. f q �� c- Signature of responsible appiicanl Remarks Date Filed 1 � File No, ZONING PERMIT APPLICATION (910 , 2 ) 1 . Name of Applicant: Address : Telephone : 2 . Owner of Property: Address :- Telephone : r4 << 3 . Status of Applica t : owner Contract �Pur ihaser� Lessee �ther (explain : 4 . Parcel Identification : Zoning Map Sheet# .SSG Parcel# Zoning District (s) ( include overl ys) �t £� Street Address 7 , Required 5. Existing Proposed by Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg . 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 Kor.k/Project : fuse additiona sheets if nec s a - Y) - 7 . Attached Plans : Sketch Plan Site Plan 8 , Certification : I hereby certify ghat the information contained herein is true an accurate to the best of my knowledge Date : � �� Applicant' s Signature : C pp g ^THIS SECTION FOR OFFICIAL USE ONLY: _ ZApproved as resented based on information resented p / p Denied as presented--Reason : Special' Permit and/or Site Plan Required : inding ui ed : _ Variance Required : S 7 17 gnatu Buildi Inspector -ley at NOTE: Issuance of a zo ng 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 Commisslon, Deparlrnont of Public Works and other npplicablo permit granting authoritlos. t,,7•L City of Northampton _. REQUMD INSPECTIONS A 1. Footings and Walls BUILDING DEPARTMENT � 2. Structural Components in Place* 3. Complete Building* No. 2 69 Office of the Building Inspector Zoning Form No. 001-002 Date 5/3/93 Fee $20 C heck# 1732 Page, 2 5 0 Parcel 5 6 ,Zone U R B Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Paul e9 c c u t h e o n before Building Inspections has permission to Re-roof over existing shingles Inspection on Site--Foundations situated on 37 Lincoln 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 terms 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 CONSPICU U PLA - N THE PREMISES r Certificate of Occupancy din► spector, -