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17C-211 (27) PERMIT APPLICATION CHECK LIST PA YES NO GATE low- 2 . 3 , OWNER OCCUPANT STATEMENT IF NO 3 SETS OF S PLAN 5 . NEW CONSTRUCTION 6 . CURB CUT 7 WATER S 8 . REMODELING 9 , ADDITION 10 , ACCESSORY STRUCTURE 11 , SIGN / AWNING 2 , PERMIT E — MONEY O D 13 , SPECIAL UI D WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 — C R 780 15 , FORM A 16 , FILL COMMENTS : z 'v I 70 'C T A �= ;p 95, -s z Z � o e5 m r 0 O a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. — L3 d D Alterations NORTHAMPTON, MASS. % � 19f'L Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location ci lim/ ` S : Lot No. 2. Owner's name r E A,G LJ O Pd Address M b I ti X F G 3. Builder's name&. 4i_7TP, Z ",6AT° K 0-A Address Mass.Construction Supervisor's License No. Q(1 E°J J Expiration Date 6 4, Addition 5. Alteration Tee D LO o 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:-S'e-, 6 The undersigned certifies that the above statements are tr to the best of his, her knowledge V— Signalure ojresponsible appic d, Remarks j Date Filed / - File No. ZONING PERMIT APPLICATION (910. 2) I Name of Ap licant: UJ k, LTA Address: tJ '_�, N 4„) Telephone: 2 . owner of Property: 1 S-T Address: j-Lylt xr,L � fi(� , � ►�1< Telephone: 5" /3du 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain J0 ) 4 . Parcel Identification: zoning Map Sheet# / 7 Parcel# Zoning District(s) (inc ud gverla s).7 Street Address t _ r Required 5, F'Xis-tincr Proposed b Zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height !.-' Bldg. Coverage (Footprint) Setbacks - front - side L: R: L: R: - rear Lot size Frontage. 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)_ /u�5.I 1 P C PZ/-)C. M 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: &b// /' - Applicant's Signature: �� THIS SECTION FOR OFFICIAL USE ONLY: 'Approved as presented/based on information presented Denied as presented--Reason: A�-�gnatdrit'ial" Pe it and/or Site Plan Required: In ing aired: Var*ance Required: of Bu ld i Spector a NOTE: lssuanoe of a zoning perm$does not relieve an applicant's burden to comply with all zon ng roquiromonts and obtain all required pormits from the Board of Hoaith,consarvation Commission,Department of Public Works and otlior app6cablo permit granting authormos. L City of Northampton REQUIRED INSPECTIONS $ 1. Footings and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1212 Office of the Building Inspector Zoning Form No. 003637 Date 11/30/94 Fee $240 Check# 323 Page, 17C Parcel 211 ,Zone GB Section 127 ❑ Yes ® No BUI]LDINGPERMI rr-I * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Walter Marek, Jr. before Building Inspections has permission to Finish 3rd floor per plans Inspection on Site—Foundations situated on 81-85 Main Street, Florence Savings Bank Inspection of Plumbing—Rough provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish conforni 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 CONSPICUOU PL CE QN In PREMISES Certificate of Occupancy B spector (" �'Of si)( i i (.,.Ity of Northampton REQUIRED INSPECTIONS e • 1. Footin s and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 1212 Office of the Building Inspector Zoning Form No. 003637 Date 11/30/94 Fee $240 Check# 323 Page, 17C Parcel 211 ,Zone GB Section 127 ❑ Yes ® No BUI I LDINGPERMII *Plumbing and Electrical Inspections required THIS CERTIFIES THAT Walter Marek, Jr. before Building Inspections has permission to Finish 3rd floor per plans Inspection on Site—Foundations situated on 81-85 Main Street, Florence Savings Bank Inspection of Plumbing—Rough 6' l 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 nCw /2^7-X -g Maintenance and Inspection of Buildings in the City of Northampton. y Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish F W � 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 T D-I L D IN A CONSPICUOU PLACE ON TIME PREMISES Certificate of Occupancy B ' . spector - vfl x-1fl mw