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17C-231 (10) •PERMIT APPLICATION CHECK LIST PAGE 176 PLo T ZONE SL `� Y) , I("o .'x YES NO DATE I . ZONING FORM APPLICATION 2 , PERMIT APPLICATION �- 3 . OWNER OCCUPANT STATEMENT LIC . # IF NOT 4 . 3 SETS F S PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER- AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 , ADDITION 10 . ACCESSORY STRUCTURE- 11 . SIG AWNING 12 ... PERMIT FE - CRECK ONLY - MON Y ORDER 6o �-° 13 . SPECIAL PERMIT REQUIRED -WITH DEED IF APPLICABLE 14 , UNDER SECTION 127 - CMR 780 15 . FORM A 16 , FILL COMMENTS : R be 9-- �Nbo� Cl CL .I i Li Stud Ya LO rte\�•� . Y \toS�F�% F�•r•ava`r' . s 1' q. t � 3 1 MASS R $tot K WAII i i �a S+eel '?" t3eAoA i F�a ZJ4ees t o I 1 i I r w g 13 54fle ( 9.mn hl c A 2 7C 'L3 v < �• T � z � 3 a p C cn -- r. Z pm A cn O Fri � O � a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations NORTHAMPTON, MASS. drZi 7, 19q Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 3q Nd • M,a e E l r cte i1 r M4 S S Lot No. 2. Owner's name /VAn/1 A+ MRoitIn Address�_�� A),-,, lllgplf S-k Fto&e`s-icP -41t4, 3. Builder's name Address Mx):h�iPl`�2�5� 1�� , 3ekk,- cfo,.J''k. Mass.Construction Supervisor's License No. O q fi' r y S Expiration Date /O l0 /9,5— 4. Addition (� 5. Alteration fle 6.,i 5,ec°V i 0 h ja Goo sT �+ 6. New Porch 7. Is existing building to be demolished? No 8. Repair after the Cue 9. Garage No.of cars Size 10. Method of heating Leajy_i t 11. Distance to lot lines i 12. Type of roof Jr 0 t?tfCk Jbbf2iZCQ AA-e lblt44Ae_ 13. Siding house 14. Estimated cost'- v5v l) 1 The under ned rtifies tha t e above statements are true to the best of his, her knowled e and beli Signature of responsible app,icant Remarks 00 ?Ll0 ) Date Filed �� v File No. ONING PERMIT APPLICATION (510.2} 1 .) Name of Applicant: �, WJ �,� Address: z Q a pk, c ,e 4- Telephone:, owner of Property: M9 rA 4 AAPCh,ner` . Address: 3cl 0&, roe nc , .Og Telephone 3 . Status of Applicant: owner Contract Purchaser Lessee Other (explain: ) 4 . Parcel Identification: Zoning Map Sheet# I ?c �j Parcel# 31 , Zoning District(s) (include overlays) Street Address S4 yn cL '' Required 5. Existin Proposed bv 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. ! 'w Floor Area Ratio %Open Space (Lot area nti building and parkin Parking Spaces Loading Signs Fill (volume & location) 6 Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) Aoe .2o �C cac=-V 54ek C{UC PVL t 6yLAw llco .y 7 . Attached Plans: Sketch Plan Site Plan 8 . Certification: I hereby certify that t information o.ntained herein is true and accurate to the best of my nowledge, � � / Z Date: `� Applicants Siynatu e THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: ecial` Permit and/or Site Plan Required: ilnding aed: Variance Required: gnatu of Building ector NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits from tho Board of Hoalth,Consorvat Ion Commission,Department of Public Works and othor appiicablo permit granting authorities. City of Northampton REQUIRED INSPECTIONS fd DEPARTMENT 1. Footings and Walls BUILDING 2. Structural Components in Place* 3. Complete Building* No. 204 Office of the Building Inspector Zoning Form No. 002405 Date 4/7/94 Fee 40 Check# 009900 Page, 17c parcel 231 Zone SI Section 127 ❑ Yes ® No BUI]LDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Daniel walker before Building Inspections has permission to Replace rotted roof structure with rubber izedooTenmbranelnspecdon on Sites--Foundations g situated on 34 North Maple Street Inspection of Plumbing—Rough provided that the person accepting this pen-nit 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 ** Install per Manufacturers information: windows, vinyl siding, roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPIC US ACE ON THE PREMISES r' Certificate of Occupancy �- uilding Inspector IMF t s e City of Northampton REQUIRED INSPECTIONS • 1. Footin s and Walls BUILDING DEPARTMENT 2. Structural Components in Place* 3. Complete Building* No. 204 Office of the Building Inspector Zoning Form No. 002405 pate 4/7/94 Fee 40 Check# 009900 page, 17C parcel 231 Zone ;�L SI Section 127 ❑ Yes ® No BUILDINGPERMIT * Plumbing and Electrical Inspections required THIS CERTIFIES THAT Daniel walker before Building Inspections has permission to Replace rotted roof structure with rubberized rooT zng embraneInspection on Site—Foundations situated on 34 North Maple 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,ifnot 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 L Install per Manufacturers information: windows vinyl siding, .� roofs and woodstoves. Smoke Detectors(Fire Department) Other THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Building Inspector