23A-004 t• City of Northampton REQUIRED INSPECTIONS
'' "•" I . Footings and Walls
`'t ,'::dni
,.Sr, 2. Structural Components in
4.., __- BUILDING DEPARTMENT Place
( - 3. Complete Building
No. 389 Office of the Building Inspector
(16 Date June 24, 1992 19
BUILDING PERMIT
THIS MAY CERTIFY THAT John E. Modestow Insp. on Site — Foundations _ _
has permission to Construct a wheel chair ramp to house Insp. of Plumbing — Rough
situated on 25 Meadow Street 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 InsectionofBuildin sin
p g 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 certificateofoccupancy will be issued bythisoffice upon
Smoke Detectors (Eke Deptj
return of this card signed by the Plumbing, Wiring and Building
Inspectors. Gas Inspection
• THIS CARD MUST BE DISPLAYED IN A CONSPYCIIOU$ PLACE ON THE PREMISES
Certificate of Occupancy -% ., X , :-- - �—
/..' '-`==='Bvltaing inspector a
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Date Filed :,..sw' File No. U.S/A - oo4
ZONING PERMIT APPLICATION (510,2n) i„( (yo 8
1 . Name of Applicant: S O it ni ' ` � 0T5 Telephone: , ""$
Address : ag_ h1FAbow sr & 14 /7
2 . Owner of Property: S 4mf
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
_Lessee _Other (explain: )
4 . Parcel Identification: Zoning Map sheet# 4.57 Parcel# Ddy. ,
Zoning District (s) (include overlays) Ugj
Street Address a-5- /('1EAttk3t/ ct-fl ET
Required
5 . Bxist,+,.no Proi?osed by Zoning
Use of Structure/Property HOME 1,14aw4 (UM ({AW
(if project is only interior work, skip to 6)
Building height
*Bldg. 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)
ir ' _ ,. a . e at'1aSE
7 . Attached Plans : Sketch Plan Site Plan
8 , Certification: I hereby certify that the in.y i• . ained1herein
is true and accuratejto the best of my kno til `4, .402��,.,r�rt.
Date: /��/Q'`�' Applicant' s signature �_4t„,rv' I'r �'ff fm' Edi#ridgy
� �
,/, THIS SBCTION FOR OFFICIAL '=E arra -"-. - - - - - - - -' 2 2
Approved as presented/based on information presented
i =vied as .resented
• nn fo ¢eiaL•
/ /
�gn. .re-of Bu ld • Inspec or Bate
NOTE: Wwnoe of a zoning permit dote not relieve on applicant's burden to comp&with all zoning requirements and obtain dl required permits
from the Hoard of Health,Coneer lion Commisaten,Department of Publb Wanes and other appttoabb parmft granting authorities.
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Miscellaneous Additions,Repairs,Alterations,etc. / Tel.No. —. /G /Se Alterations
NORTHAMPTON, MASS. JG1 NC 7- 19 q't Additions
� !* Repair
(M a APPLICATION FOR PERMIT TO ALTER Garage
1. Location A.r M44-vow STIFFET Lot No.
2. Owners name j NAS e* WA A/ MODE tC kgddress ?-.5 1.1 .-.4 DO fry 57-g EEY"
3. Builder's name 7i4-A4E Address
Mass.Construction Supervisor's License No. � R,p Expiration Date
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4. Addition wE EU ,1.1A- 1 fl 4mP
5. Alteration
6. New Porch /,
7. Is existing building to be demolished? / 4!9
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:- 7)000
/,i,��
The un� tes th • e above sta en : • e Ole best of his, her
Signature fd responsibleapplicant I
40tarI
Remarks
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0,„, DEPARTMENT OP BUILDING INSPECTIONS A -” _
INSPECTOR 212 Main Street • Municipal Building .:
Francis X. Sienkiewicz Northampton, Mnee. 01060 ams
HOMEOWNER OCCUPANT STATEMENT
AS A HOMEOWNER OCCUPANT I UNDERSTAND THAT I MAY APPLY
FOR AND RECEIVE A BUILDING PERMIT FOR A HOME OR ADDITION
THAT I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE
STATE BUILDING CODE CMR 780 AND ZONING ORDINANCE OF THE
CITY OF NORTHAMPTON.
BEING A HOMEOWNER OCCUPANT AND NOT A PROFESSIONAL
CONTRACTOR IN NO WAY ABSOLVES ME OF ANY RESPONSIBILITY TO
INSURE THAT ALL FACETS OF THE RULES AND REGULATIONS ARE
COMPLIED WITH. I AM AWARE OF MY RESPONSIBILITY TO
COMPENSATE WORKMEN FOR ANY WORK RELATED INJURIES THAT
OCCUR ON THIS WORK SITE IF NOT INSURED.
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SIGNATURE DATE
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I hereby report that the premises shown on this plan ie not located within a Flood
Hazard Area as shown on Department of H.U.U. Federal Insurance Administration Maps,
Community Number 250167 0001A
,-CD/le 1 _ �� ( Identification •.te Aril 3 1978
By. `, I
'
TO THE FLORENCE SAVINGS BANK OWNER'
,FIRST AMERICAN TITLE INS. CO.- ONLY KATHLEEN LACHANCE
AND THE
To the best of my knowledge, informa-
25 MEADOW ST. FLORENCE
tion and belief, I hereby report that I ALMER HUNTLEY JR.& ASSOCIATE
have examined the premises and that this S IN�
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QS Meadow sr PERMIT APPLICATION CHECK LIST
PAGE Q311 PLOT 004 ZONE CARR YES NO DATE
1 . ZONING FORM APPLICATION (/ 6- 9�
2 , PERMIT APPLICATION Y _
3 . OWNER OCCUPANT STATEMENT / LICA IF NOT
4, 3 SETS OF PLANS /PLOT PLAN Piot Plan `+ Sketclti
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8, REMODELING INTERIOR
9 . ADDITION
10. ACCESSORY STRUCTURE
11 . SIGN / AWNING
12 . PERMIT FEE - CHECK ONLY - MONEY ORDER e.tr GGo- *4,2OO
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - CMR 780
15 . FORM A
16 . FILL
COMMENTS: 1�l eel ch aid^ R;-1
gmpTc7 house,