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17A-108 P!_RMIT APPLICATION CHECK LIST +,C " PACE PLOT ` zONF ES NO DATE �;��1J I�►# ;rl. 2 ' 3 , OWNER OCCUPANT STATEMENT �`AriAOj IF NOT 4! 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 CURB CUT 7 , WATE AVAILABIOTY FORMS 8 REMODELING INT(RIOR 9 . ADDITION 10 ACCESSORY STRUCTURE 1 . SIG AWNING 2 , PERMIT FEE ;.,�,-QWffC,Kj ONLY - O F 0 D E L,-- 13 , SPECIAL_ PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 78,0 15 , FORM A 16 , FILL COMMENTS ; A a a o C n tv a E. aM r E. xg z � o o M c a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations ti NORTHAMPTON, MASS.`/ /3 19y3 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location .93 U'14he,5 1�UZ; frog G OId Lot No. 2. Ownersname Address 33 AVE,, F�D, 6A"d �!?� 3. Builder's name 7EV 12 ZNoV A)e—1 Address y�l �6,e // IZ t ), 7'-� Mass.Construction Supervisor's License No. .1 �5'� Expiration Date 06 o S 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 Y/0'11 14. Estimated cost:-11f �/O 511)o The undersigned certifies that the above statements are true to the best of his, her 40\ knowledge and belief. / Q Signature of respo ible appicant Remarks L 1 O O � J clva�. ;F J ' 0013Date Filed File No. ZONING PERMIT APPLICATION (510 , 2 ) ` Name of Applican &e s c'»v� �G �p� 1 e1V:n1 L Address : '801 7z- /6r"M 700 Y,J 4- Telephone : SFFe,- y 7--- Owner of Property: 'ILoo k<ssT5r__ Address : �3 Auv, /v2.�ffrJ e,�, �rj-� Telephone : 6"Ar6- - 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain : ) 4 . Parcel Identification: Zoning Map Sheet# 1'2/9- Parcel# Zoning District (s) (include verlays) Street Address 3 3 , Required 5• Existing Proposed by Zoning Use of Structure/Property (if project is only inter ' or 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 nil nus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project : (Use additional sheets if necessary) 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 : /993 Applicant' s Signatu : �✓�.K, �/ f. t THIS SECTION FOR OFFICIAL+ Us ONLY: fApproved as presented/based on information presented Denied as presented--Reason : pecial � Permit and/or Site Plan Required : ding q ired: _ Variance Required: �� ignat of Build or at 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. it-71- City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and Walls 2. Structural Components in Place* 3. Complete Building* No. 589 Office of the Building Inspector Zoning Form No. 001398 Date 7/14/93 Fee $20 Check# 13439 Page, 17A Parcel 108,Zone uRA Section 127 ❑ Yes 0 No BUI]LDINGPERNM * Plumbing and Electrical Inspections required THIS CERTIFIES THAT B & R Siding before Building Inspections has permission to Install vinyl siding Inspection on Site—Foundations situated on 33 Calire 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 R R THIS CARD MUST BE DISPLAYED IN A CONSPICU S PL ON THE PREMISES Certificate of Occupancy - ng Inspector ��___