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25C-133 (14)
PERMIT APPLICATION CHECK LIST PAGE PLOT i '' ZONE ^ . YES NO DATE 1 . ZONING F RM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT J LIC C . it I F NOT 4 . 3 SETS OF PLANS PLOT PLAN 5 . NEW CONSTRUCTION r 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 12 . PERMIT FEE — CHECK ONLY- - MONEY ORDER' 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 — CMR 780 15 . FORM A 16 , FILL COMMENTS : pa i Pct r-cs F-1 b > o 7C � C � C A� d b .d � r`f trr1 tv Z S. O 5 oc ?: Z CD W > .� O tv _> IM Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S Z7 ^ rs Alterations ti NORTHAMPTON, MASS. C)C-1, 19 Additions ' APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location y 1;_1u 2; mk S 1 Lot No. 2. Owner's name ; CT V Address 'A'{ 3. Builder's name SAC RV-,A Address 2-66 Cdff S Ui1T� Mass.Construction Supervisor's License No. C) 0-7 1 Expiration Date I 3 t 4. Addition 5. Alteration MIMA 'rQ� f='1r11W } 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:- (eabove The n rsigne ce ifies that s ents are true to the best of his, her kno led e an be ef. Signature of responsible a �icant Remarks W s pS NAF PT ' CYviY H Date Filed File No. :D.,-45C.- -- t33 ZONING PERMIT APPLICATION (§10 .2) LkR Q I . Name of Applicant: S r-�P-y-�4 Address : "Zg� C �� R© Telephone: - � 2 . Owner of Property:_ Address : y ffl.��s�S gss� Telephone: Sg-t- (0 1 g,$, 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: CAN (�L�C1't�y'` ) 4 . , Parcel Identification: Zoning Map Sheet# a--C- Parcel# 1 3 , Zoning District (s) (include overlays) , Street Address 44 r Required 5 , Existing Pro nosed bv Zonin Use of Structure/Property (-V Tryly- (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side I1 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) (� I�� �2 'f0-(-,'-C A . CIS 7 . Attached Plans : Sketch Plan Site Plan 8 . Certification: I hereby certify that the informat ' contai herein is true and accurate to the best of my knowle e. Date: �.O z v Applicant ' s Signature: 7 - /- - - - - - - - - - - - - - - - - THIS SECTION FOR OFFICIAL USE ON Y: Approved as presented/based on information presented OCT D led as presented as n fo Denial : gnat of Buil Ins ector Date NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all requirod permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorities. 7/92 FXAS City of Northampton REQUIRED INSPECTIONS v $ 1 . Footings and Walls Y BUILDING DEPARTMENT 2 . PlaCetural Components in 3 . Complete Building i No. 633 Office of the Building Inspector Date October 5, 1992 BUI DING P RMIT THIS MAY CERTIFY THAT Sackrey Corst i-icti , Insp. on Site — Foundations has permission to R,= -,air porch - no change to footprint Insp. of Plumbing — Rough situated on 44 Elizabeth Street Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton.Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date of issuance, if not started. Building Insp. — Finish Note:A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONS IC OUS L CE ON THE PREMISES Certificate of Occupancy Bull ing Inspector P 0-0. P