32A-168 (10) c,
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File No:
S Borrower/Client
u Alan R . Verson
B Property Address
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50 Fawl--v S L 3:ee L County State Zip Code
E Nor t: on Hampshire 01060
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// PERMIT APPLICATION CHECK LIST
PAGE 324 PLOT 4 e Z ON E 60C J`-<J ��`
S NO DATE
ZONI IO
2 . PE I I
V
3 , ow o
3 SETS OF PLANS ZPLOT PLAN
5 . NEW CONSTRUCTION
Q . CURB CUT
WATER
8 . REMODELING INTERIOR
9 , ADDITION
0 , ACCESSORY
11 . SIGN
12 , PERMIT FEE - - V(/
�.
3 , SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
4 . U DE - CMR 78o
5 . FORM A
6 , FILL
COMMENTS :
A i _ n /
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c� Zoning
Miscellaneous Additions,Repairs,Alterations,etc. T 1.No. -5�7 �/ Alterations
NORTHAMPTON, MASS. °� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location r P t Lot No.
2. Owner's name Address 41"Nrf tl �ct.
s r
3. Builder's name ,N' 4 Lo ey_-, Address " 4 1 irV1 a�
Mass.Construction Supervisor's License No. d ; -- Expiration Date ho IT
4. Addition °'
- i -
5. Alteration° Trr-aPrkL r^NN. AV �li?r_: ,�,�In� t !s: .} r.r�� &,.v �1C t; YL 1�- �oC'uw� rat�(..• rPto.�i' S
6. New Porch —
7. Is existing building to be demolished? N
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:- -(-)D
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible app,icane
Remarks � e�� '=" � VIC Cr— YGVt_ �CrArlr A VA �t �' ins*���' X 65 All d�'Vf<_
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004037
Date Filed ��� v File No.
ZONING PERMIT APPLICATION
I . Name of Applicant: (,5;0
Address: �-jy 1``E,'1. Telephone:
2 . Owner of Property:- .Ainj yr,""op—
Address : ��e_ ,ri t'rJ�J Ft,d Telephone: - (- mot`
3 . Status of Applicant: owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheetf_J? Parcel# 1,6.P,
Zoning District(s) (include overla
Street Address
Required
5 • Existing Proposed bv Zoning
Use of Structure/Property PqJ ; (,vJu,
(if project is only interior work, skip to 1{6)
Building height
5.-' B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontagia.
Floor Area Ratio
oOpen 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) r;; - e'�c1YR� c*� �r t - -VtY4 h 1�,,Jv\rt% `r" V e N r
�. r
i} g"�' �13'!t`�ry;.rh�n U<^-� f �' rc �. �•i�C� I G
- ( .'411 �:'Y l� i 5 CIV' (h_..�._ �'l•:'fir•,r-f` Vi`1'�~3
y
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. ' 1
Date: -7 ) C 3 Applicant' s Signature: r, futM19�*
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special* Permit and/o Site Plan Required:
Finding Re uired: Variance Required:
Signature of Buil zng Inspector Date
NOTE: lssuanee of a zoning permit does not relieve an applicant's burden to comply YMi all zoning requirements and obtain all required permits
from the Board of Hoalth, conservation commission, Dopaltmont of Public Works and other applicable permit granting nuthorittos.
it'?-)_
�OA=Pl City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Footings Components in Place*
3. Complete Building*
No. 202
Office of the Building Inspector `•
Zoning Form No. 004037 Date 3/29/95 Fee $40 Check# 1602
Page, 32A Parcel 168 ,Zone URC Section 127 ❑ Yes ® No
BUI]LDINGPERMIT
THIS CERTIFIES THAT Gary Goias * Plumbing and Electrical Inspections�tioenss
has permission to Update bath, add z bath & misc. repairs to one (1) apt. Inspection on Site—Foundations
situated on 50 Hawley 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
M THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACF ON ISES
Certificate of Occupancy
uilding Inspector