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25C-095 (25) - EQ , FL111. 6A1 H ' -- ----1-- "�!� FIT,;�, 11.0 i F CN Tx Vdr 1 � � 5X1 �► - �` i � � � �I '� �`�,;,�---�" -.=,.�-� ,� -�, _ I N I 'All 77 FGft �Woom I r-1 _ - - - B''8" - 2'•7112" �''1' � - - PERMIT APPLICATION CHECK LIST PAGE PLOT ZONE 6qA YES NO DATE ZONING F0 RM APPLICATION 2 . -PERMIT APPLICATION- 3 . OWN IF NOT 4 . 3 SE L NEW CONSTRUCTION 6 . CURB CUT 7 WATER 8 , REMODELING 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 2 ERMIT FEE - fosq 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION - C R 780 15 . FORM A 6 . FILL n/� COMMENTS: �� (.L 1L' il,.q O` t S- 1 Y t--90 - LOT q5 LOT �q r' 128 [ NOT T-0 5CALE] i-0KI a U M A r 5ttt:e,T 2tt t4M-Ft STW50r a wolzri-+ANt► T0,1 ,N1A OtO(t a z �a n' T � o' -- r v 0 LA A Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ;` ��� Alterations_V NORTHAMPTON, MASS. �� '� / li, 19 J Additions APPLICATION FOR PERMIT TO ALTER Rcpair 14 1 Garage 1. Location r� Z�m,,r' �1 1-4c,� NU/c.A�) i )C�)�')� � )) Lot No. 2. Owner's name tJd iA � �1�? D J) Address 3. Builder's name :lop", '441e1v 0-Aj Address:�-- A. frGlei"F-% 01 1MR-I 66�1� Mass.Construction Supervisor's License No. 002 G 1 Expiration Date 4. Addition 5. Alteration I /7�T 1?'�-� L"'d Z 4!�—�:'1/'"�/ 6. New Porch 7. Is existing building to be demolished? lif0 8. Repair after the fire ! 9. Garage j No.of cars Size 10. Method of heating 11. Distance to lot lines , 12. Type of roof 13. Siding house ®g/z-Ir, e 14. Estimated cost �o ', a) The undersigned certifies that the above statements are true to the best of his, her kno dge and belief. Signature of responsible app icanc Remarks „) (`t/ f/ C) �j�% ✓f/ /J/'�� ✓ /�% C�i"✓ /t�Tc� Date Filed ` File No. s ZONING PERMIT APPLICATION (§10. 2) I. Name of Applicant: Address: L -r 1 ti1v f .l Telephone:_16 2 . ' Owner of Property: 1�/„� LA` r 1)1 � Address: 2 Telephone: _� 3 . Status-`of Applicant: Owner Contract Purchaser Lessee Akother (explain: ) 4 . Parcel Identification: Zoning Map Sheets „ e Parcel#_, Zoning District(s) (include overl�ys) Street Address 10--t-c LX �,2_f , Required 5 . Existirk ro osed by Zonin Use of Structure/Property kAk_ (if project is only, interior Mork, skip to f#6) ' lding height %H1dg. Coverage (Footprint) e acks - front side L: '3 / 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) - (r 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 know dge. Date: � Applicant's Signature: THfB BECTION FOR OFFICIAL Us ONLY: 4/Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or SiAke Plan Required: Finding Requi ed: Variance Required: 5. gnature of Ilding Inspector `p� Da NOTE: lssunnoo of a zoning permit does not rellove an applicant's burden to comply wills all zoning requirements and obtain all required permits from tho Board of Noallh,conservation commission,Oopattmont of Public Works and otlior applicable permit granting atrthoddos. City of Northampton REQUIRED INSPECTIONS • 1. Footings and Walls e BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 264 Office of the Building Inspector Zoning Form No. 0(A125 Date 4/19/95 Fee 72 Check# 1054 Page, 25C Parcel 95 ,Zone URB Section 127 ❑ Yes © No BUI]LDINGPERMII *Plumbing and Electrical Inspections required THIS CERTIFIES THAT James Dawson before Building Inspections has permission to Frame walls for 2nd story bedrooms Inspection on Site—Foundations situated on 211 North street Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 CONSPICUOUS PL ON ISES Certificate of Occupancy B ilding Inspector t ,_