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17A-257 (11) PERMIT APPLICATTON MECK LIST PAGE I /n A- PLOT a r ZONE R4, 04 YES NO DATE ZONING FORM APPLTCATION q L^ 2 . PERMIT I 3 . OW NOT 3 SETS NEW CONSTRUCTION 6 . CURB OUT 7 WATER 8 . REMODELTNG 9 , ADDITION 0 , ACCESSORY C 11 , SIGN / AWNING 2 , PERMIT FEE - CHECK ONLY - MONEY RDER 3 ��OD li 3 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLIC B 4 . UNDER E - CMR 780 5 . FORM A 6 , FILL COMMENTS : IA i �- 1 �f� ,�� � LA To w �kA�R sTV�tA., <� � Chi►-'�. i Twwgc O c� r� Z {��TC(k f�Rfcay,� gAt4l)�o-VMT4-knal �i TC E� STofz-/resf Slb R.11 trt- a z a Z Z Z ^� rn � o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 52-1 "�-� 6-5' Alterations NORTHAMPTON, MASS. IstP t C) 199-5- Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 1 1 1 OAK ST. ��im' : L�� - (2.- Lot No. 2. Owner's name �N� S-LA S v Address Cr"��, f. V t A C f- 3. Builder's name SP&� U4ST L Address '2bb Mass.Construction Supervisor's License No. C) +0 -1 � Expiration Date � O 1 + el n 4. Addition 5. Alteration ft4oy T& 1KC tS-f i Asff 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:- Z 51067r_) The undeUT that the above statements are true to the best of his, her knowledg Signazure of rr responsible pp icanz Remarks KV,(_ 4F1 (7uq�V. t`li &Q�o)(AT rX I5jkAA.k Q t' `Ol 0'4 :A C IAD f�t..rt VY, ,Ar—V D 6A-CA— _[AD S tF(—t 1) tin C L" L-� "'"'tom T PRA �_-(T Date Filed , tb 5- File No. ZONING PERMIT APPLICATION (§10. 2) 1. Name of Applicant: Address:' C , , Telephone: 2 . Owner of Property: Address: `� a.pt-� S-r, t �y Telephone: 3 . Status-'of Applicant: Owner ✓Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# 00r Parcel# J� r Zoning District(s) (include ove ys) Street Address Required 5 . Exis-tincl Pro Dosed by Zonin Use of Structure/Property (if project is only, interior wor ip o #6) Building height oBldg. Coverage (Footprint) Setbacks - front - side L: R: L - rear Lot size Frontage. ,- Floor Area Ratio N t oOpen Space (Lot area minus building and parking) c 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 knowl n Date: t ��} Gl> Applicant Is Signature: r ^THIS SECTION FOR OFFICIAL USE LX: r (Approved as presented/based on information presented Denied as presented--Reason: Special' Permit and/or Site Plan Required: Finding Required: Variance Required: _ S. gnature of ilding Inspector k Go p att NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply Willi all zoning requirements and obWn all required permits from the Board of Hoaltli,Consamation Commission,Dopartmont of public Works and other applicable pormh granting authoddos. t1M! City of orthampton REQUIRED INSPECTIONS • 1. Footin s and Walls BUILDING DEPARTMENT 2. Structural Components in Place* I Complete Building* No. 266 Office of the Building Inspector Zoning Form No. 004111 Date d/i A/A- Fee $100 Check# 3419 Page, 17A Parcel 257,Zone URB Section 127 ❑ Yes © No Btjn-.DiNGPERmir *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Sackrey Construction before Building Inspections has permission to Renovate 2nd floor and add bathroom Inspection on Site—Foundations situated on 111 oak street 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 THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLA SES r, Certificate of Occupancy B ' ding Inspector - �o�+f . - 77, �- . . f...,., .:.. .... U t-t_rl�tS1•t�fij Star A� r'� • � Alm W kuf.��- C1�1 u►1 t�S To BC'' �(?�/u�k t,t„ � � I i RffkA1R ST�1GtA. %FAR i Rao+-� I o �SSt►>C� hoar- hl��-1 0 W �' Lh'�kRMdC�-uM'�, � •I SACKREY CONSTRUCTION CG 288 CHESTERFIELD ROAD ;� v�1•�i►.��5tktt-D 5�t'oYZ./�cs!� Y Wcct> WESTHMAPTON.MA 611127 C r- -dam CI 1