23B-015 (9) PERMIT APPLICATION CHEC LIST
PAGE AV) PLOT 45. ZONE UT, YES NO DATE,
1, ZONING FORM APPLICATION ,494904/7t
2. PERMIT APPLICATION L°
3, OWNER OCCUPANT STATEMENT /LIC A 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 - CHEQK ONLY - MONEY ORDER bt14, ' L--
13. SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE
14, UNDER SECTION 127 - CMR 780
15. FORM A
16. FILL
COMMENTS;
114 4 1(.644 µ
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Zoning
Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. Alterations
%r NORTHAMPTON, MASS. D e «'^^ 1 � 1 9�� Additions
APPLICATION FOR PERMIT TO ALTER Repair
s,;� Garage
1. Location Co \ A (t.4-. `0 � ` \ Lot No.
2. Owner's name - - w1.Q S L� t r t d i' -� �J At c c
'Pc t 44 - Address S `tom
3. Builder's name Q 61 `t 00 4 "^ ' Address .S ■ 1 v t'
Mass. Construction Supervisor's License No. 04 O1`r" Expiration Date
4. Addition 1 ( n •
5. Alteration CLCQC) A I. `�o 6.c s ` "�
i t- -`-
6. New Porch T
7. Is existing building to be demolished?
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:-
The undersigned certifies that the above statements are true to the best of his, her
(� knowledge d belief. y'
?vw.- On, Signature of responsible appucant
Remarks
•
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Date Filed \02 (-- c 1 I4� File No.
ZONING PERMIT n APPLICATION ( §1
1. Name of Applicant: ` t�1 r
J0 "^ (?... .
Address: S`( i,e ,s _;,, -s . V k •cM Telephone : __3. - 3,e 4 6 .
2 . Owner of Property: -� eS 11/4 ,i k d, I cr. `
Address: 6 ( Q et A S Telephone: y E.. `3 A 0
3. Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
/
4. Parcel Identification: Zoning Map Sheet# ;5 �� Parcel/7 t , ,
Zoning District(s) (include y rlays)J
Street Address GHQ "
Required
5. Existing Proposed by Zoning
Use of Structure /Property
(if project is only interior work, skip to #6)
Building height
%Bldg.Coverage (Footprint)
Setbacks - front
- side 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 jof Proposed Work /Pro=
if necessary) iry O f %(2,,d -c �.w. So b
•
'
7. Attached Plans: Sketch Plan Site Plan
. 8. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl dge.
Date: '0Z( 9� \ Applicant's Signature: 1 j. JI4e(
THIS SECTION FOR OFFICIAL U ONLY:
Approved as presented /based on information presented
Denied as presented -- Reason:
Sp cial'Permit : d /or Site Plan Required:
ridin, Requ : Variance Required:
8f•natu = Bullding I •- ctor ate /
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 pormfl granting authoritos.
iell-
04. City of Northampton REQUIRED INSPECTIONS
bt ' 1. Footings and Walls
' BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 1277 Office of the Building Inspector
Zoning Form No. 003737 Date 12/29/94Fee $ Check # 0156
Page, 23B Parcel 15 , Zone GI Section 127 ❑ Yes ® No
BUILDING PER1WIT
* Plumbing and Electrical Inspections required
THIS CERTIFIES THAT Pepin Roofing before Building Inspections
has permission to Reshingle roof Inspection on Site—Foundations
situated on 6 Hatfield Street 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.
** Install per Manufacturers information: windows, vinyl siding, Building Inspection Finish
roofs and woodstoves. Smoke Detectors (Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICUt ') I PREMISES
"Certificate of Occupancy
Bull_• _ Spector 5715 [_