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17A-244 (9) PERMIT APPLICATION CHECK LIST PAGE PLOTf�__,_j _ �`��/ ZONE L/�'j� �°�- `�'- e° <='`�, YES NO HATE 1 , ZONING FORM APPLICATION 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT IE NOT 4 . SETS OF S PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER V S 8 . REMODELING 9 , ADDITION 10 , ACCESSORY U 11 . SIGN Z AWNING 12 . PERMIT FE E - - MONEY 0 E T t'' 13 , SPECIAL PERMIT REQUIRED WIIH DEED IF APPLICABLE 14 . UNDER SECTION 27 - C R 780 15 . FORM A 16 . FILL COMMENTS : B lid r Cont ctf 177-1 i , ! ' t i ) I I � tII E i X CE�lt ­6 SC?157',5 ' 1 �. I I I I I I j 1 f l i t L j t 2 � � 1 { I I i -I I i i jam K Zlovftw,Pm. P.O.So 60248 T - - - - - --- - - - - - --- -- - - --- - - - ---- - - - Ld a j V } -- ---- D: 1 r (� Pfm(t7o^' TD N j,�ie pfr te`1�5tDe=NCE' IIF� 5 fDE •.� ��N� 70 S IDF 2 S fY u g2 i 34 + LAKE S-rrE"C'-7" John M. Demitiski, mc. -Builder & Cocard ^! P.O.Box 602418 MA O14 JOHN H. ZIEMINSKI, INC. CARPENTER-BUILDER & CONTRACTOR P.O. BOX NORTHAMPTON, MA 01060- 413-584-4002 4"J � fq�3 NOW �� !'� �'°�r3!�} �✓�(/� � rr:�'Y+-1 � y�`"t- !l GWC-� �pL"-.r�fy'"r ��cG �G1� .: / �� tom', �� � � -� ll � ~(,tfj�/h�- .� /fit_ ��--�-lit-�1-- ,� � �-) jam- t_ �_.c-y--r ' r1 '�� � �, a �,�-��-G� / ^ � /`_ ,_ i // �� i l� ��'-��� � ; ..._---- it 7 y > z v -o o• r O r C a �• o Z Zoning 'T& e' Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S `��' ` Alterations NORTHAMPTON, MASS. -! t 19 �a Additions I Repair APPLICATION FOR PERMIT TO ALTER Garage 1. Location ' Lot No /7 ,/V�"2a/.' ..j Y!/Y7T}rJ�-- /1/�-y�2— /(� Lr/�T-�:rJL•GC� J'E=`7-'/=1-i-tr_. 2. Owner's name i�/J6 r17r�iLC7/— — 4-A,,,"z- Address_ A/ a1resJ 3. Builder's name Address,P,4� ���Liar G :;? YX Mass.Construction Supervisor's License No. r-1,11-1 Sly i _-�Expiration Date �r 4. Addition °x 5. Alteration s(-:7 j 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 that the above statements are true to the best of his, her knowled c and belief. Sigma)re of responsible app,ican! 7 'Le Remarks r., � � 0 01 5 J �� Date Filed File No. ZONING PERMIT APPLICATION (§10 . 2) I. Name of Applicant: Address :_ cj. . c,K spa y� Telephone: /✓,i,4277147-?� 2 . owner of Property: �gY Address : S;� �, s, Telephone :_ 1 y 3,J> 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain: 4 . Parcel Identification: Zoning Map Sheet#v Parcel# 2�1� , Zoning District(s) (include o 1 s t4,21� Street Address Q1a IL--. Required 5 . Existinq Proposed by Zoning Use of Structure/Property v (if project is only interior work, skip to #6) Building height /Dire✓ , s;vv i �,a %B1dg. Coverage (Footprint) Setbacks - front 3,y -311 - side L: R: /4, L:_(_R: - rear "Sa ;'Vc Lot size Frontages s , Floor Area Ratio tOpen 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�rii�, t �l c �✓ ` /L` ' Q?.1�G> C onJ c! � fvt7 ! LO r 1 ufC 7- 7,L) 7 . Attached Plans : Sketch Plan A Site Plan 8 . Certification : I hereby certify that the information contained herein is true and accurate to the best of my knowledge. Date: g'YL�Li,3 Applicant's Signature : � THIS SECTION FOR OFFICIAL USE NLY: Approved as presented/based on information presented Denied as presented--Reason: cial' Per it and/or Site Plan Required : i ing R re Variance Required: gnat o ui or � at NOTE: Issu zoning p�Idoa-�nlrcf ie ve an applicant's burden to comply willi 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. iC9')- i I f I >/J Y4 City of Northampton REQUIRED INSPECTIONS BUILDING DEPARTMENT I. Footings and Walls 2. Structural Components in Place 3. Complete Building* No. 705 Office of the Building Inspector Zoning Form No. 001550 Date 8/10/93 Fee $44 Check# 3656 Page, 17A Parcel 244 ,Zone URB Section 127 ❑ Yes No BUI,LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT J.H. z ieminski Inc. before Building Ins tins has permission to Add a 8'x10' lst fl. bath & convert 2nd fl.1 closet to Inspection on Site—Foundations ' 2- z bath situated on 82 Lake street Inspection of Plumbing—Ro -� 3— provided that the person accepting this permit shall in every respect Inspection of Plumbing—FinishoH,q°f� ? 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 30/ (.� 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 �Pv �� of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough v aO4 Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection ^ t of this card signed by the Plumbing,Wiring and Building Inspectors. Building Inspection—Finis�"��� Smoke Detectors(Fire Department) Other THIS CARD M S T BE I PLAYED IN A CONSPIC S CE ON THE PREMISES Certificate of Occupancy Building Inspector