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17A-302 (5) 4 PERMIT APPLICATION CHECK LIST P 3 0 0 3 SETS OF PLAN� /PLOT P AN NEW CONSTRUCTION 6 CURB CUT 7 WATER 8 , REMODEUNG INTERIOR 9 . ADDITION 0 , ACCESSQRX STRUCTURE 1 , SIGN 2 , PERMIT FEE - CHECK ONLY - 13 . SPECIAL RERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER 8 5 , FORM A 6 . FILL COMMENTS: a � Z -fl o 70 "d n' a z Z ^` m -s Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. q; ?�`S GL� Alterations ��`1-�' 19 f Additions NORTHAMPTON, MASS.-� Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location !�s / �te1`Jf �'���e Lot No. 2. Owner's name Q'ti� j�rt,�r/( Address ;S ✓ il�.c°5 7 �'c�C 3. Builder's name Address Mass.Construction Supervisor's License No. Od 6_ 7h3 Expiration Date rd�✓�'i��r 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? S. 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:- S60 The undersigned certifies that the above statements are we to the best of his, her knowledge and belief. Signature of responsible app icant Remarks 11.2 t Date Filed 4� s� / / °� 00306 '1' r7�� r � File No. ONING PERMIT APPLICATION (Si0. 2) I. Name of Applicant: Address : /�� 3"� ,zt Telephone: 2 . Owner of Property: u1 t„c,ve- Address : 1,, s <�%2�sJ- <�t Telephone: 3 . Status of Applicant: Owner tract Purchaser Lessee Other (explai.n ) 4 . Parcel Identification: Zoning Map Sheet# 1 4 Parcel# 30 Zoning District(s) (include o er ays) Street Address its Required 5. ExistincT Pro osed by Zonin Use of Structure/Property -suet--Tit (if project is only interior work, skip to #6) Building height %B1dg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size Z�$ 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) /-rl C,�r zC> :; = 6,.,-/� 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. Date:--���f/ Py" Applicant's Signature: THIS SECTION FOR OFFICIAL USE ONLY: /Approved as presented/based on information presented Denied as presented--Reason: S ecial'• Per it and/or Site Plan Required: 4crna ng Re it d: Variance Required•rte- of Building ate NOTE: Issuance of a zo g permit does not rcliave an applicant's burden to comply Willi all zoning requirements and obtain all requirod permits from the Board of Health,Conservation commission, Dopartmont of Public Works and other applicable pormh granting authoritlos. City of Northampton REQUIRED INSPECTIONS 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 742 Office of the Building Inspector Zoning Form No. 003067 Date-8/8/94 Fee $2o Check# 6981 Page, 17A Parcel 302 ,Zone_LmA Section 127 ❑ Yes No BUI]LDINGPERMI r-I-I *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Roy Omasta before Building Inspections has permission to strip & reshingle roof Inspection on Site--Foundations situated on 115 Hillcrest Drive 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. ** Install per Manufacturers information: windows, vinyl siding, Building Inspection—Finish roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOU A O PREMISES k Certificate of Occupancy -- Buil p!Pctor F