43-048 ` City of Northampton REQUIRED INSPECTIONS
s i 1 . Footings and Walls
i
BUILDINGDEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. 593 Office of the Building Inspector
Date September 17, 1992 19
BUI DING P RMI
THIS MAY CERTIFY THAT Richard Henderson Insp. on Site — Foundations
has permission to .Inspection of an exisitng wood burning stove Insp. of Plumbing — Rough
situated on 89 Autumn Drive Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started. Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSP UO S P AC ON THE PREMISES
Certificate of Occupancy
Ing Inspector
IM
City of Northampton REQUIRED INSPECTIONS
Footings and Walls
BUILDINGDEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 593 Office of the Building Inspector
Date September 17, 1992 19
�3
BUI DING P RMI
THIS MAY CERTIFY THAT Richard Henderson Insp. on Site — Foundations
has permission to Inspection of an exisitng wood burning stove Insp. of Plumbing — Rough
situated on 89 Autumn Drive Insp. of Plumbing —Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of theapplication on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction,Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date of issuance, if not started. Building Insp. — Finish
Note:A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSP UO. S P AC ON THE PREMISES
Certificate of Occupancy
ing Inspector
Q
�ZnnMrr
i
Date Filed f5 r 000`?` `) File No.
ZONING PERMIT APPLICATION (§10 .2)
j�
1 . . Name of Applicant: 1�/,f11dq CJ �K'Ne'vfS'e�2�
Address : �� fJ�- v v�nl ),�fi vL Telephone:,
2 . Owner of Property: S'gr�E tiS j l'7c �'� �` �' ^ 7 773
Address : Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# JJ 3 Parcel#_,46_r
Zoning District (s) (i ncl ucL-- ov�� '\
e�rlay `��
Street Address [�(,t �.
Required
5 . Existing Pro osed by Zoning
Use of Structure/Property
(if project is only interior wo ' , skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side
- 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) 101 4 _
�C L
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true a d accurate to the best of my knowledge. 1/U 1C`I rvJ
11
Date:- Applicant ' s Signatu 4J. XXte-,4/
�
-L6
THIS SECTION FOR OFFICIAL USE ONLY:
/Approved as presented/based on information presented
iedas resented
n f1-1 e
e ial:
6q3 y-i�y
gaigo
a f Buil ec -or Date
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
hiss»tul�ur.c!trs ,, _ - I�
A 1
� � DLPA(.Il�1t;N7 DI' (;C11LLllI1 C� +;�a^I'13C"i'IONS
INSPECTOR 212 i1Lnin Sheet Municipal Building ',�
Northap
ultot_i, Afass. 01060 '�
S01.10 FUE11, BURNING APPLIANCE, & (.;HIMNEY APPLICATION PERMIT NUMB R�)q
pngn Zone
Loratiean �_� iK�r�_.-- ��
ou'ller car Lesser _ �l7CYl-l1Cj � �rZiC✓('1�SOrt) ��` 77 3
(Nnm(,) (M ,1.1 .i.s?�;� Addi-ess)_ (Tc=Le. No. )
Con t.rac.t.o%'
(Nam-) (AddVt�S,} (Tele, No. )
RESIDENTIAL NUN-RESIDENTIAL.
Orl1> larai.l v Horae BUsi11eSS
t)
wf Mort, Other
Number of Units Fop ec.i.fy
CtOrIC', it? 3�Iii.l.di.T?Iy
Type? of Appliance
Ne.:a � Wood burning
Used al.
1,abe1t�d Combination
DAtrs, of Purchase � Other
Specify
1Iodle l or Type
Mh.nufacturer
Purchased From _
(Name of Firm)
(Address)
Cost - Construction & ApplLance $ _
Chimney New __. Metal Bestos
Existing _ Interior chimney
Separate Flue Exterior chimney
Other Appliance attached to flue
Masonary Lined
Unlined
rtSignature of Applicant: Y ��� �1 �`�ZZ�cL�c G �C �l�ti'j" J1�.� �7 � '7 0
(Address)
Approved By:
Title: Data:
f
PERMIT APPLICATION CHECK LIST
PAGE, 4:3 PLOT #e ZONE -�^.. �. YES NO DAT
1 . ZONING �-r'' r � ��
2 . PEBMIT APPLICATION
3 . OWNER C
4 . 3 SETS OF PLANS /PLOT L
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER V I I T FORMS
8 . RE ODE I G INTERIOR
9 . ADDITION
0 . ACCESSORY STRUCTURE
11 . SIGN AWNING
12 . PERMIT FEE - CHECK 0 - MONEY ORDER
13 , SPECIAL PERMIT REQUIRED VITH DEED IF APPLICABLE
14 . UNDER SECTION 127R 780
15 , FORM A
16 . FILL
COMMENTS: