22D-006 (10) PERMIT APPLICATION CHECK LIST
PAGE �9�)Lb P, LOT ja ZONE GU� gf YES NO DATE
1 . ZONING FORM LIC IO
2 . PERMIT I L'
3 . 0 NOT
4 . 3 SETS QF PLANS /PLOT LAN LZ 7
B . NEW S
61 CURB CUT
7 WATER
8 . REMODELING
9 , ADDITION
0 , ACCESSORY C
11 , SIGN I AWNING
2 PERMIT E - MONEY ORDER,
13 , SPECIAL UI D WITH DEED IF APPLICABLE
4 . UNDER EC - QMR 780
FORM A
16 . FILL
COMMENTS:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.NoA17)w Alterations
IN, Additions
NORTHAMPTON, MASS.— vo
APPLICATION FOR PERMIT TO ALTER Repair
a Garage
--
1. Location SJ - R v o i f-A, `e' Lot No.
I
2. Owner's name Address
3. Builder's name 14 VO IMF C Address
64 !!2Mass.Construction Supervisor's License No. L Expiration Date
4. Addition rf 1(#� I ')
5. Alteration (_-(Q QCf e_)(f 7 9r, 12 1 40 C
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
Il. Distance to lot lines
12. Type of roof
13. Siding house t
14. Estimated cost:
The undersigned certifies that the above statements are true to the best of his, her
knowledge arld belief.
C.
Signature of responsible app,tcant
Remarks
• - ,rx�
. . � 003563
Date Filed File No.
ZONING PERMIT APPLICATION (916'.2)
I. Name of Applicant:
Address: Telephone: -
2 . Owner of Property: -
Address: Telephone: - _78w
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 72-D Parcel# ,
Zoning District(s) (includ ove lays)
Street Address ei ''��. ,
Required
5. Exis in Pr9posed by Zonin
Use of Structure/Property
(if project is only- interior work, skip to #6)
Building height
fize. Coverage (Footpr.int)cks - front- side L: R: L R- rear
3
Frontage.
Floor Area Ratio
oOpen Space (Lot: area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6. Narrative Descrip aon of Pro osed ork/Project: (Usefadd�tional sheets
if necessary) e*L, C c rc s s 9f_ �
7. Attached Plans: _Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true nd •accurate to the best of my knowledge ;, C
Date: Applicant's Signature: a '
THIS SECTION FOR OFFICIAL 68E ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S ial•' Permit and/or Site Plan Required:
d1 Requi Variance Requ red:
a ure Bui ding Ins ��, t
NOTE: issuance of a zoning permit does not reltove an applicant's burden to comply with all zoning roquiroments and obtain all roquirod permits
from tho Board of Hooith,Consorvatfon Commission,Dopa►tmont of Public Works and other applicable permit granting authodtlos.
0ry=ti City of Northampton REQUIRED INSPECTIONS
• a 1. Footings and Walls
e
BUILDING DEPARTMENT 2. Structural Components in Place*
4io
3. Complete Building*
No. 1165 Office of the Building Inspector
Zoning Form No. 003563 Date 11/17/94 Fee 40 Check# 118
Page, 22D Parcel 6 ,Zone URA Section 127 ❑ Yes 0 No
BUI]LDINGPERM] l
*Plumbing and Electrical Inspections required
THIS CERTIFIES THAT William Mitchell before Building Inspections
has permission to Replace existing deck - same size Inspection on Site�—Foundations
situated on 81 Ryan Road 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 PLAIPE O PREMISES
" Certificate of Occupancy
Buildin torn