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DEPARTMENT OF PUBLIC SAFETY _•~�` _
IMMOO EALTH r j 1010 COMMONWEALTH AVE.
BOSTON,MASS.02213 MY
ISSACHUSETTS ENCLOSE CHECK OR MONEY ORDER
i
L I C EN S£ FOR REQUIRED FEE,
)N DATE CONSTR. SUPERVISOR
MADE PAYABLE TO
994 EFFECTIVE DATE LIC-NO.
IONS r "COMMISSIONER OF PUBLIC SAFETY"
A' 008/01/1991 056457
T R I C)iA RD K LIGHT t (DO NOT SEND CASH).RD
315-48-6487 P$L"LHAINDMMA 01002
G OPR ONLY) FEE:
0.00
HEIGHT: NOT vALIO UNTIL SIGNED 8V LICENSEE AND OFFICIALLY
STAMPED -OR -SIGNATURE OF THE COMMISSIONER
DOB: '
1 /08/195 ,G 4r r �j/ DO OT DETACH LICENSE STUB
'CAR DOCUMENT MUS J. — I -r
CARRIED ON THE PER6{ IGNAT OF LICENSE E SIGN NAME IN FULL-ABOVE SIGNATURE LINE
THUMB
PRINT ENE NOLDHS'NOCCUP f-
0 #
r,SSIONER j
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. _19 Additions
APPLICgo ATION FOR PERMIT TO ALTER Repair
Garage
1. Location 6;02. Nd7U"H WA,5 ;2fhJ�> /V ATE !0/y Lot No.
2. Owner's name ICAO- f-P62&5 %EC-0-i Address &02-' AJJOX7W Flf4AS R. AIA97V,1� PA-011
3. Builder's name Aid L�t Address v1S- &4& G�,a� rt,(4am_rib Gd 6W2---
Mass.Construction Supervisor's License No. D`��P y�7 Expiration Date �J741 1`F
4. Addition
5. Alteration GI �r c ��,.�� l _�(pr r,4 2d: 1
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:- #�j tV o
J
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belie!f. - b�t�
Signat r r sponsible applicant
Remarks
at rr
ex8u.
0001
Date Filed 3 - q File No. 0,�I OQ-3
ZONING P((E��RMIT APPLICATION (510.2) RR ws Pr w r
1. Name of Applicant:
Address: Telephone:
otvay-
2 . Owner of Property: /uW '7-
Address:&62- 1 fr9>2Lxt ,ZD y lf�i�lPl�y Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain:
4 . Parcel Identification: Zoning Map Sheet# o-Q- Parcel# = ,
Zoning District(s) (include overlays)_RR 7ATS
Street Address 60.2 F(2,--rn-; RC-A
Required
5. Existing Pro osed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side 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) 2- 2-2-'
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: VJ t3 l Applicant's Signature: ? �
THIS SECTION FOR OFFICIAL USE ONLY:
/ � � 199`1
/11"'
' Approved as presented/based on information presented
Denied as presented
n f Denial:
4ignat/urge of Buil nspector D to
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with 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.
7/92 FXAS
PERMIT APPLICATION CHECK LIST
W�P
PAGE '.� PLOTn BONE �`� h!{' YES N DATE_
o� P1 �cz r m s ��
1 . ZONING FORM APPLICATION "" --
2 . PERMIT P LIC TI
3 . OWNER OCCUPANT E LICA IF NOT #
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
ti
9 , ADDITION
10 ACCESSORY STRUCTURE
11 SIGN / AWNING
2 . PERMIT FEE - CHECK ONLY --- MONEY--ORDER A-le-C. 0 J�
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM
16 , FILL
COMMENTS : _
O�Z twy j,T p City of Northampton REQUIRED INSPECTIONS
A BUILDING DEPARTMENT 2. Footings and Components in Place*
3. Complete Building*
No.
Office of the Building Inspector
%4 t
Zoning Form No. 461 Date 11 /2--1/9 Fee $40.00 Check## 125
Page, 02 Parcel 023 ,Zone RR/WSP/WP Section 127 ❑ Yes ® No
BUILLDILN- G PER,M- -i---,-r
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Mark & Debbie leece _ before Building Inspections
Construct a _2' x 22' Family
has permission to Room In An Existinq Cellar Inspection on Site—Foundations
situated on 602 North Farms Road Inspec ion 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 / 2
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 C
of this permit.Expires six months from(late of issuance,if not started. Bu lding Inspection—Rougl4f�/ " 3
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection 0�
of this card signed by the Plumbing,Wiling and Building Inspectors. ,
Building Inspection—Finish"l
Smoke Detectors(Fire Department)
Other
THIS CARD T DISPLAYED IN A CONSPI OUS P .ACE ON THE PREMISES
Certificate of Occupanc `
Building Inspector
r1:!Gf�I Si��