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17A-064 (2) PERMIT APPLICATION CHECK LIST PAGE / PLOT � ZONE °'e lZ j 7 t� YES NO DATE 1 . ZONING FORM APPLICATION T Z 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT 4 . 3 SETS OF PLANS OT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 1 2 . PERMIT FE - CHECK ONLY - MONEY ORD 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 — CMR 780 15 . FORM A 16 . FILL COMMENTS : i h � „o - � b O d M rri 7 C O cDn `^ con OZ Z r. '� ••► _ C) C C Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � C� Alterations NORTHAMPTON, MASS. 7 Z 19 Additions Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location V, /d�, `>�- - Lot No. 2. Owner's name �C7t�1�`r1`-� ` �h$,�V,� Address__ /^ 3. Builder's name • N' '6�x `�SUtp Address �'�`� �ec�5r, 1Y Yi �C1O I Mass.Construction Supervisor's License No. ---Expiration Date 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 QjtD vg-'r V;*.j 14. Estimated cost:Ap3b 0 C) The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. I � R1�, Signature of responsible app,icant Remarks �1r,a 1-��t� _ S� )C)A.- 1V4 'Qj 7jn�p _ a �^ J Date 1� 0 014 J f} Filed 3' �,� File No. ZOOMING PERMIT APPLICATION (§10 . 2) 1 . Name of Applican-: w-c— , , 4fN,C� Address : Y.� _ r�,� 0 telephone: 2 . Owner of Property:� �r�r�V Address : Telephone : 3 . Status of Applicant :Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification : Zoning Map Sheet#_/'7/- Parcel# r Zoning District(s) (include overlays) G-'1-1713 r Street Address Required 5 . ExistilIG5 Pro nosed by Zoning Use of Structure/Property ,�/ �_t �yJ (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 oopen 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)l Coop �aoc h 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: '� '.�31t*�,� Applicant' s Signature._ THIS SECTION I'OR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S ci l' Permit and/or Site Plan Required : n g Re it d: _ Variance Required : S nat e of Build ' r ate NOTE: Issuance of a zoning 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 Commission, Department of Public Works and other applicable permit granting authorities. iCT)- City of Northampton REQUIRED INSPECTIONS BUILDINGDEPARTMENT 2. Footings and Walls Components in Place* 3. Complete Building* No. 632 Office of the Building Inspector Zoning Form No. 001450 Date 7/22/93 Fee $20 Check# M0 Page, 17A Parcel 64 ,Zone URB Section 127 ❑ Yes U No BUIULDING PERINM *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Michael Hebert before Building Inspections has permission to Install vinyl siding Inspection on Sites-Foundations situated on 257 Bridge Road 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 per nit.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 M THIS CARD MUST BE DISPLAYED IN A CONSPIC U PL ON THE PREMISES Certificate of Occupancy g Inspector - �op+t !�:�C11 SilU1