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17A-128 (5) PERMIT APPLICATION CHECK LIST YES NO DAT - 1 . 3 . OWNER OCCUPANT E IE NO 3 SETS OF NS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER V I T S 8 . REMODELING INTERIOR 9 . ADDITION 10 , ACCESSORY STRUCTURE 11 . SIGN AWNING 12 . PERMIT FEE ONLY - MONEY 0 DE 13 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS : A ? 'C >� v Olt• C i ^ D ?! > �• � � m r, c Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. Additions �! Repair • APPLICATION FOR PERMIT TO ALTER _ Garage 1. Location C �rI, /' Lot No. 2. Owner's name C&I `^ Address S— a tp , Flpty,er]�/� 3. Builder's name—2& ddress -3 fx-r- �� �as u.,� .►T 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 14. Estimated cost- The undersigned certifies thzoresponsible ements are true to the best of his, her knowledge belief. S app,icant Remarks Date Filed File No. ZONING PERMIT APP ATION (§10 . 2) t 1 . Name of Applicant: Address : elephone: 2 . Owner of Pro erty: Address : ,. Telephone: 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map heet# Parcel# I �sC. Zoning District(s) (include over ys) U1l,lL Street Address_ 73 ,5- j �� , Required 5. Existina I Pro nosed b Zonin Use of Structure/Property , (if project is only' interior work, $kib to # Building height -Bldg. Coverage (Footprint) Setbacks - front - side L: R: L: - rear Lot size Frontagse. 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)_ 7 . Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that the informa on contained herein is true and accurate to the best of my knowled �r Date: 3 Applicant' s Signature: ' ZApproved THIS SECTION FOR OFFICIAL USE ONLY:as presented/based on information presented Denied as presented--Reason: 4Sc4cial' Permit and/or Site Plan Required: ding Re Xr Variance Required:5- 7� r of Budding Ins �tor i ate NOTE: Issuance of a zoning permit does not reilove an applicant's burden to comply with all zoning roqulroments and obtain all requirod permits from tho Board of Hoafth,Consorvation Commisslon, Dopartmont of Public Works and otbor appiicablo permit granting authoritios. City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT 1. Footings and palls 2. Structural Components in Place* 3. Complete Building* No. 47 Office of the Building Inspector Zoning Form No. 003808 Date 1/24/95 Fee 20 Check# 620 Page, 17A Parcel 128,Zone ' Section 127 ❑ Yes No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Dennis Labato before Building Inspections has permission to Install vinyl siding Inspection on Site--Foundations situated on 315 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 permit.Expires six months from date of issuance,if not started. Building Inspection—Rough Note;A tern ficate 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 LA O r PREMISES Certificate of Occupancy Buildin for ll;l!? SrlUt_