43-076 (2) �.t City of Northampton REQUIRED INSPECTIONS
tel- BUILDING DEPARTMENT I.
Footings��is in Place*
3. Complete Building*
No. 1103 Office of the Building Inspector
Zoning Form No. 002C3c Date11,'30/93 Fee $20 pleat, 2293
Page, 43 pared 76 Lore SR Section 127 0 Yes El No
BUILDING PERMIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Clarence De.11s.ie before Building Inspections
has pemtission le Install vinyl siding Inspection on Site—Foundations
situated on 65 Dunphy Drive Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terns of the application on file in this office, and to the Gas Inspection
provisionsoftheStatutesandtheOrdinancesrelatingtotheConstruction, 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 immediaterevocation Inspection of Wiring—Finish
of this permit.Expires sax monthsfrom dale of issuance,if not stalled. 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 CONSPICU UAr SN THE PREMISES
Certificate of Occupancy � .
in g Inspector Z7 +2171049
j�/� OOw'�3)
Date Filed 5Z�l�. File No ,
ZONING PERMIT APPLICATION (510.2)
1. Name of Applican : S ,,� 4645 __ .........-
Address:
.��Address: 6 , , ,_ ,,,.... .. „- Sri .._ 4. Telephone: .S3? '.8
2 . owner of Prope ty:f4,`,., (1i '
Address : ‘.7L"`z" :° i - -¢ Telephone:
S . Status of Applicant: - Owner -F- Contract Purchaser
_Lessee _ !Other (explain: � )
4 . Parcel Identification: Zoning Map Sheet# T3 Parcel# 7 L. ,
Zoning District(s) (include ov5A2erlays)
Street Address 4 S" ,'- .
Required
5. Existing Proposed by Zoning
Use of Structure/Property 4,1, 4tiC1„0
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)_ .._
Setbacks - front
- side L: 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/Pect: (Use additional sheets
if necessary) .. - .- r�' . rgjI- .. .-..--... .....
7. Attached Plans : Sketch Plan Site Plan
8 , Certification: I hereby certify that the information contained herein
is tru- ancj accurate to the best of my knowledge.
Date: // s Applicant's Signature :fA,,, ex 19}),Q dL,
THIS SECTION FOR OFFICIAL USE ONLY:
ApApproved as presented/based on information presented
Denied as presented--Reason:
S ecial/ Permit and/or Site Plan Required:
Kind ' g Re. Cir:d: Variance Required:
-� .
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g Inspector ♦ lV9) rat-
NOTE: Issuance of a zoning permit does not,ciiave an applicant's burden to comp&with all zoning roquuements and obtain afl tcquired permits
from the Board of Hoath.Conservation Commission,Ocpanmont of Public Works and other applicable permit granting authorilios.
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Miscellaneous Additions,Repairs.Alterations,etc. � Tel.No.Vd7'7 723`-5 AlterationsMt ratix __„
NORTHAMPTON, MASS. /2427. .O I9-_i' Additions
APPLICATION FOR PERMIT TO ALTER Repair
- as Garage
I. Locationt= I !4k er Lot No.
z C� )
2. Owner's name C Address 0i. 7 r4/ 1
3. Builder's name/.1irao.ur'e ( J lr/P Address /b$',G��.�.„�'n., d `6,/ ,'
Mass.Construction Supervisor's License No. CO /5-?..1. Expiration Date 0;2/ G 7 / /9,74
4. Addition
5. Alteration
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
II. Distance to lot lines
12. Type of roof /J
•
13. Siding house r..rivt-.2X
14. Estimated cost:- -155 o e,
/r The undersigned certifies that the above statements are true to the best of his, her
\\%17 knowledge and belief.
F
_ fes. i / f/ • /_ .. !
Signature of responsible applieont
Remarks
PERMIT APPLI ATION CHECK LIST
PAGE /3 PLOT 76 ZONE - ti� iew71414 r)-1>
YES NO TE
1 . ZONING FORM APPLICATION /2918
/f,j
2 . PERMIT APPLICATION
3 . OWNER OCCUPANT STATEMENT _# IF NOT
4 . 3 SETS OF PLANS /PLOT PLAN
5 . NEW CONSTRUCTION
6 . CURB CUT
7 . WATER AVAILABILITY FORMS
8 . REMODELING INTERIOR
9 . ADDITION
10 . ACCESSORY STRUCTURE
11 . SIGN / AWNING /
12 . PERMIT FEE - HEC NLY - MONEY ORDER 13 ' e .
13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 - OMR 780
15 . FORM A
16 . FILL
COMMENTS :