38B-006 (103) City of Northampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Footings and Walls *
� Structural Components m rlacc
3. Complete Building*
No. 309 Office of the Building Inspector
Zoning Form No. 960905 Date 4/29/96 Fee $40.00 Check# 342536
Page, 38B Parcel 6 ,Zone GI
Section 127 L) Yes No
BUI]LDINGPERAM
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Davidyachula_ before Big Mspecdons
has permission to Renovate 2nd floor public bathroom Inspection on Site—Foundations
situated on 124 West St - Smith College Admin Offices 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 ACE ON RE SES
Certificate of Occupancy
Building Inspector
Goi)I 1:ai11 Sil��1
FILE
APPLICANT/CONTACT PERSON•
ADDRESS/PHONE: 5 .
PROPERTY LOCATION:
MAP 3YB PARCEL: ZONE
THIS SECTION FOR.AFFICIAL USE ONLY:
PERAUT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee PRid
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Additinn
Tnelyided-
- - Elan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under. §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Permit from Conservation Com "s ' n
Signature of Building hispecVr Date `
NOTE:lssuanoe of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other appiioable permit granting authorities.
iu
APR
� 2
F.i 1 e No..&
t �
ZORJ�To PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INF TIO
1. Name of Applicant: �/ 7m d
Address: ZA • Telephoner U
2. Owner of Property: �� "� �----
Address: ��� �� / �/ Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other X17> k
(explain): /' r
4. Job Location: 1— lt-.SZ J -z fl 1Z
r
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property � 4 �" 2 �_C
�i
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
7 ..
10. Do any signs exist on the property? YES NO
IF YES, describe siz , type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES, describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUB TO
LACK OF INFORMATION.
This colo= to be filled in
by the Rmilding pepart mmn t
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%COpen Space:
'(Lotarea minus bldg
&paved parking)
Parking Spaces
# Vof Loading Docks
Fill:
'4tro.Z-dme--& location)
13 . Certification: I hereby certify that the inrma ion contained herein
a
is true and accurate to the best of my know edge f�,
DATE: APPLICANT's SIGNATURE t
NOTE: 10(9(unno4 of a Zoning permit doers not relieve an app2fo'ant'a buto oompty with ail
Zoning requirements and obtain nh required permits from the Board Vol He i h, Conservation .
�Gommission, Department of Pubiio Works and other appiioabie permit gran ng authorities. `
FILE ,
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
i
APPLICATION FOR PERMIT TO ALTER Repair
? a /� Garage
1. Location ����, N� !{✓�'y�'�d�; �"! G�/f1,� j Lot No.
2. Owner's name J7-7/ 7Y C ! Address k/4j"7- r.
3. Builder's name —7% A, L1AcXu IA- ,f Address 11`l�' �#d7F.I€I-P
Mass.Construction Supervisor's License No. I L"2 , Expiration Date
4. Addition eIV14
5. Alteration '729' a-,�Cl� /`'�� i.z 6Ar
6. New Porch ^1A
7. Is existing building to be demolished? AIA
8. Repair after the fire /�A
9. Garage Al/A No.of cars Size
10. Method of heating
11. Distance to lot lines__
12. Type of roof A/A
13. Siding house /V-A
14. Estimated cost:-�' r"
l
The undersigned cert' t the above statements are true to the best of his, her
knowledge and bell .
Signature of respo s le app icant
Remarks
APR
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